Gynecologic laparoscopic procedures with and without robotic
Researchers aimed to perform a systematic review to identify any differences in patient safety and expected incidence of complications in laparoscopic gynecologic procedures being performed with or without robotic assistance.

Articles on ClinicalTrials.Gov, Embase, MEDLINE, PubMed, Scopus, and Web of Science databases were retrieved and screened for eligibility. In addition to meeting the screening algorithm, they included studies that met all the following: randomized control trials (RCT), enrolling patients for indicated laparoscopic gynecologic procedures, and comparing Robotic Surgery (RS) with Laparoscopic Surgery (LS) in terms of safety or complications.

- Pooled data revealed that RS and LS have a similar risk for intraoperative complications, postoperative complications, significant intraoperative hemorrhage, postoperative hemorrhage, vaginal cuff dehiscence, postoperative wound infection, urinary tract infection, and urinary bladder or ureteral injury.

- RS had “surgeon declared” lower estimated blood loss and shorter postoperative hospital stay.

There was a statistically significant decrease in hospital stay and “surgeon declared” blood loss seen in the RS group. There was no statistically significant increase in the risk of developing other postoperative complications between the LS and RS groups.

European Journal of Obstetrics & Gynecology and Reproductive Biology
Source: https://doi.org/10.1016/j.ejogrb.2021.07.038
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