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Robotic versus conventional laparoscopic technique for the treatment of left-sided colonic diverticular disease: a systematic review with meta-analysis

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A Correction to this article was published on 23 October 2021

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Abstract

Purpose

Minimally invasive surgery has been universally accepted as a valid option for the treatment of diverticular disease, provided specific expertise is available. Over the last decade, there has been a growing interest in the application of robotic approaches for diverticular disease. We aimed at evaluating whether robotic colectomy may offer some advantages over the laparoscopic approach for surgical treatment of diverticular disease by meta-analyzing the available data from the medical literature.

Methods

The PubMed/Medline, EMBASE, and Web Of Sciences electronic databases were searched for literature up to December 2020. Inclusion criteria considered all comparative studies evaluating robotic versus laparoscopic colectomy for diverticulitis eligible. The conversion rate to the open approach was evaluated as the primary outcome.

Results

The data of 4177 patients from nine studies were included in the analysis. There were no significant differences in the baseline characteristics. Patients undergoing laparoscopic colectomy compared to those who underwent surgery with a robotic approach had a significantly higher risk of conversion into an open procedure (12.5% vs. 7.4%, p < 0.00001) and abbreviated hospital stay (p < 0.0001) at the price of a longer operating time (p < 0.00001).

Conclusion

Compared with conventional laparoscopic surgery, the robotic approach offers significant advantages in terms of conversion rate and shortened hospital stay for the treatment of diverticular disease. However, because of the lack of available evidence, it is impossible to draw definitive conclusions.

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Available data are all presents in the paper.

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Authors and Affiliations

  1. Department of General and Urgency Surgery, Misericordia Hospital, Via Senese, 161, 58100, Grosseto, Italy

    Giuseppe Giuliani, Francesco Guerra, Lucia Salvischiani, Angela Tribuzi, Giuseppe Caravaglios, Alfredo Genovese & Andrea Coratti

  2. Department of Surgical Sciences, Emergency Department - Emergency and Trauma Surgery Unit, Umberto I University Hospital, Sapienza University of Rome, Rome, Italy

    Diego Coletta

  3. Department of General Surgery, Ospedali Riuniti Marche Nord, Pesaro, Italy

    Diego Coletta

  4. Department of Biotechnological and Applied Clinical Sciences, Department of General Surgery, University of L’Aquila, San Salvatore Hospital, L’Aquila, Italy

    Antonio Giuliani

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  1. Giuseppe Giuliani
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  2. Francesco Guerra
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  4. Antonio Giuliani
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Contributions

Study conception and design: Giuseppe Giuliani and Francesco Guerra; Acquisition of data: Giuseppe Giuliani and Diego Coletta; Analysis and interpretation of data: Giuseppe Giuliani and Diego Coletta; Drafting of manuscript: Giuseppe Giuliani and Francesco Guerra; Critical revision of manuscript: Antonio Giuliani, Lucia Salvischiani, Giuseppe Caravaglios, Angela Tribuzi, Alfredo Genovese, and Andrea Coratti; Approval of the final version: Francesco Guerra, Antonio Giuliani, and Andrea Coratti.

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Giuliani, G., Guerra, F., Coletta, D. et al. Robotic versus conventional laparoscopic technique for the treatment of left-sided colonic diverticular disease: a systematic review with meta-analysis. Int J Colorectal Dis 37, 101–109 (2022). https://doi.org/10.1007/s00384-021-04038-x

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