Title
Robotic Living Donor Right Hepatectomy: A Systematic Review and Meta-Analysis
Date Issued
01 May 2022
Access level
open access
Resource Type
review
Author(s)
Lincango Naranjo E.P.
Garces-Delgado E.
Siepmann T.
Mirow L.
Solis-Pazmino P.
Alexander-Leon H.
Restrepo-Rodas G.
Mancero-Montalvo R.
Ponce C.J.
Cadena-Semanate R.
Vargas-Cordova R.
Herrera-Cevallos G.
Vallejo S.
Liu-Sanchez C.
Prokop L.J.
Ziogas I.A.
Vailas M.G.
Guerron A.D.
Visser B.C.
Barbas A.S.
Moris D.
Mayo Clinic
Publisher(s)
MDPI
Abstract
The introduction of robotics in living donor liver transplantation has been revolutionary. We aimed to examine the safety of robotic living donor right hepatectomy (RLDRH) compared to open (ODRH) and laparoscopic (LADRH) approaches. A systematic review was carried out in Medline and six additional databases following PRISMA guidelines. Data on morbidity, postoperative liver function, and pain in donors and recipients were extracted from studies comparing RLDRH, ODRH, and LADRH published up to September 2020; PROSPERO (CRD42020214313). Dichotomous variables were pooled as risk ratios and continuous variables as weighted mean differences. Four studies with a total of 517 patients were included. In living donors, the postoperative total bilirubin level (MD: −0.7 95%CI −1.0, −0.4), length of hospital stay (MD: −0.8 95%CI −1.4, −0.3), Clavien– Dindo complications I–II (RR: 0.5 95%CI 0.2, 0.9), and pain score at day > 3 (MD: −0.6 95%CI −1.6, 0.4) were lower following RLDRH compared to ODRH. Furthermore, the pain score at day > 3 (MD: −0.4 95%CI −0.8, −0.09) was lower after RLDRH when compared to LADRH. In recipients, the postoperative AST level was lower (MD: −0.5 95%CI −0.9, −0.1) following RLDRH compared to ODRH. Moreover, the length of stay (MD: −6.4 95%CI −11.3, −1.5) was lower after RLDRH when compared to LADRH. In summary, we identified low‐ to unclear‐quality evidence that RLDRH seems to be safe and feasible for adult living donor liver transplantation compared to the conventional approaches. No postoperative deaths were reported.
Volume
11
Issue
9
Language
English
OCDE Knowledge area
Tecnologías que implican la manipulación de células, tejidos, órganos o todo el organismo
Scopus EID
2-s2.0-85132281959
Source
Journal of Clinical Medicine
ISSN of the container
20770383
Sources of information: Directorio de Producción Científica Scopus