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文献详情 >Maturation of robotic liver re... 收藏

Maturation of robotic liver resection during the last decade:A systematic review and meta-analysis

作     者:Tomohiro Ishinuki Shigenori Ota Kohei Harada Makoto Meguro Masaki Kawamoto Goro Kutomi Hiroomi Tatsumi Keisuke Harada Koji Miyanishi Ichiro Takemasa Toshio Ohyanagi Thomas T Hui Toru Mizuguchi 

作者机构:Department of NursingSurgical SciencesSapporo Medical UniversitySapporo 0608556HokkaidoJapan Departments of SurgerySurgical Science and OncologySapporo Medical UniversitySapporo 0608543HokkaidoJapan Division of RadiologySapporo Medical UniversitySapporo 060-8543HokkaidoJapan Departments of SurgerySapporo Satozuka HospitalSapporo 0048686Japan Departments of SurgeryNemuro City HospitalNemuro 0878686HokkaidoJapan Department of SurgerySchool of MedicineSapporo Medical UniversitySapporo 0608543HokkaidoJapan Department of Intensive Care MedicineSapporo Medical University HospitalSapporo 0608543HokkaidoJapan Department of Emergency MedicineSapporo Medical UniversitySapporo 0606543HokkaidoJapan Department of Medical OncologySapporo Medical UniversitySapporo 0608543HokkaidoJapan Department of Liberal Arts and SciencesCenter for Medical EducationSapporo Medical UniversitySapporo 0608556HokkaidoJapan Department of SurgeryDivision of Pediatric SurgeryStanford University School of MedicineStanfordCA 94598United States 

出 版 物:《World Journal of Meta-Analysis》 (世界荟萃分析杂志)

年 卷 期:2021年第9卷第5期

页      面:462-473页

学科分类:1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

基  金:Supported by Grants-in-Aid from JSPS KAKENHI,No.JP 20K10404(to Mizuguchi T) the Hokkaido Hepatitis B Litigation Orange Fund,No.2059198 Terumo Life Science Foundation,No.2000666 Pfizer Health Research Foundation,No.2000777 the Viral Hepatitis Research Foundation of Japan,No.2000638 Daiichi Sankyo Company,No.2109540 Shionogi and Co.,No.2109493 MSD,No.2099412 Takeda,No.2000555 Sapporo Doto Hospital,No.2039118 Noguchi Hospital,No.2029083 Doki-kai Tomakomai Hospital,No.2059203 Tsuchida Hospital,No.2069231 

主  题:Hepatectomy Laparoscopy Robot Operation time 

摘      要:BACKGROUND Minimally invasive hepatectomy techniques have developed rapidly since *** laparoscopic liver resection(LLR)has become the primary approach for managing liver tumors and procuring donor organs for liver *** liver resection(RLR)has emerged during the last *** technical status of RLR seems to be *** To conduct a systematic review and meta-analysis comparing the short-term clinical outcomes of LLR and RLR over two 5-year *** A systematic literature search was performed using PubMed and Medline,including the Cochrane *** following inclusion criteria were set for the meta-analysis:(1)Studies comparing LLR vs RLR;and(2)Studies that described clinical outcomes,such as the operative time,intraoperative bleeding,intraoperative conversion rate,and postoperative *** A total of 25 articles were included in this meta-analysis after 40 articles had been subjected to full-text *** studies were divided into early(n=14)and recent(n=11)*** the recent group,the operative time did not differ significantly between LLR and RLR(P=0.70),whereas in the early group the operative time of LLR was significantly shorter than that of RLR(P0.001).CONCLUSION The initial disadvantages of RLR,such as its long operation time,have been overcome during the last 5 *** other clinical outcomes of RLR are comparable to those of *** cost and quality-of-life outcomes of RLR should be evaluated in future studies to promote its routine clinical use.

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