Robotic assisted versus laparoscopic surgery for deep endometriosis: a meta-analysis of current evidence

Matteo Pavone*, Alessandro Baroni*, Federica Campolo, Marta Goglia, Diego Raimondo, Antonella Carcagnì, Cherif Akladios, Jacques Marescaux, Francesco Fanfani, Giovanni Scambia, Manuel Maria Ianieri

*Corresponding author

Research output: Contribution to journalArticle

Abstract

Endometriosis is a benign inflammatory onco-mimetic disease affecting 10-15% of women in the world. When it is refractory to medical treatments, surgery may be required. Usually, laparoscopy is the preferred approach, but robotic surgery has gained popularity in the last 15 years. This study aims to evaluate the safety and efficacy of robotic-assisted laparoscopic surgery (RAS) versus conventional laparoscopic surgery (LPS) in the treatment of endometriosis. This study adheres to PRISMA guidelines and is registered with PROSPERO. Studies reporting perioperative data comparing RAS and LPS surgery in patients with endometriosis querying PubMed, Google Scholar and ClinicalTrials.gov were included in the analysis. The Quality Assessment of Diagnostic Accuracy Studies 2 tool (QUADAS-2) was used for the quality assessment of the selected articles. Fourteen studies were identified, including 2709 patients with endometriosis stage I-IV for the meta-analysis. There were no significant differences between RAS and LPS in terms of intraoperative and postoperative complications, conversion rate and estimated blood loss. However, patients in the RAS group have a longer operative time (p < 0.0001) and longer hospital stay (p = 0.020) than those in the laparoscopic group. Robotic surgery is not inferior to laparoscopy in patients with endometriosis in terms of surgical outcomes; however, RAS requires longer operative times and longer hospital stay. The benefits of robotic surgery should be sought in the easiest potential integration of robotic platforms with new technologies. Prospective studies comparing laparoscopy to the new robotic systems are desirable for greater robustness of scientific evidence.
Original languageEnglish
Pages (from-to)0-10
Number of pages11
JournalJournal of Robotic Surgery
Volume18
DOIs
Publication statusPublished - 2024

Keywords

  • Endometriosis
  • Image-guided surgery
  • Robotic platforms
  • RAS
  • Robotic assisted surgery
  • Minimally Invasive surgery

Fingerprint

Dive into the research topics of 'Robotic assisted versus laparoscopic surgery for deep endometriosis: a meta-analysis of current evidence'. Together they form a unique fingerprint.

Cite this