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Review Techniques in coloproctology. 2025 Mar 26;29(1):88. doi: 10.1007/s10151-025-03116-4 Q32.72024

The outcomes of robotic ileocolic resection in Crohn's disease compared with laparoscopic and open surgery: a meta-analysis and systematic review

机器人回结肠切除术治疗克罗恩病与腹腔镜和开放手术相比的结局：一项荟萃分析和系统评价 翻译改进

M Flaifel  1, S Eichenberg  2, B Mohandes  3, E Taha  4, L Kollmann  5, S Flemming  5, A Haberstroh  6, N Ortlieb  7, N Melling  8, K Neumann  9, S Taha-Mehlitz  10, T Poškus  11, D M Frey  12, P C Cattin  13, A Taha  14  15  16, J Zeindler  2, R Rosenberg  2, B Saad  17, M D Honaker  18

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作者单位

  • 1 School of Medicine, St. George's University of London, London, UK.
  • 2 Department of Visceral Surgery, Cantonal Hospital Baselland, Basel, Switzerland.
  • 3 Department of General Surgery, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, UAE.
  • 4 Department of Visceral, Gynecology and Pediatric Surgery, Al Qassim Health Cluster, Buraydah, Kingdom of Saudi Arabia.
  • 5 Department for General, Visceral, Transplant, Vascular and Pediatric Surgery, University Hospital Würzburg, Würzburg, Germany.
  • 6 Laupus Health Sciences Library, East Carolina University, Greenville, NC, USA.
  • 7 Data Science and Statistics, Medoc Swiss, Basel, Switzerland.
  • 8 Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
  • 9 Department of Surgery, Dalhousie University, Halifax, NS, Canada.
  • 10 Clarunis, Department of Visceral Surgery, University Centre for Gastrointestinal and Liver Diseases, St. Clara Hospital and University Hospital Basel, Basel, Switzerland.
  • 11 Institute of Clinical Medicine, Vilnius University Hospital, Vilnius, Lithuania.
  • 12 Department of Surgery, Cantonal Hospital Baden, Baden, Switzerland.
  • 13 Department of Biomedical Engineering, Faculty of Medicine, University of Basel, Allschwil, Switzerland.
  • 14 Department of Visceral Surgery, Cantonal Hospital Baselland, Basel, Switzerland. tahaa23@ecu.edu.
  • 15 Department of Biomedical Engineering, Faculty of Medicine, University of Basel, Allschwil, Switzerland. tahaa23@ecu.edu.
  • 16 Department of Surgery, Brody School of Medicine, East Carolina University, Greenville, NC, USA. tahaa23@ecu.edu.
  • 17 Department of Acute Medicine, Royal Lancaster Infirmary, Lancaster, UK.
  • 18 Department of Surgery, Brody School of Medicine, East Carolina University, Greenville, NC, USA.

    • DOI: 10.1007/s10151-025-03116-4 PMID: 40138014

    摘要 Ai翻译

    Background: This is the first review providing insights into the outcomes of robotic ileocolic resection for Crohn's disease, potentially guiding improved surgical decisions and patient outcomes and comparing outcomes with laparoscopic and open approaches.

    Methods: The review was registered prospectively with PROSPERO (CRD42024504839). A comprehensive search of MEDLINE, Embase, Scopus, and Cochrane Central databases for studies on robotic ileocolic resection for Crohn's disease from inception to February 2024 was conducted. Eligible studies included participants over 18 years of age with Crohn's disease undergoing robotic ileocolic resection. Data were extracted according to PRISMA guidelines. For single-arm analyses, the random-effects model was used, while two-arm analyses employed the inverse variance and Mantel-Haenszel methods.

    Results: The analysis included eight studies with 5760 patients, among whom 369 underwent robotic ileocolic resection. The mean operative time for robotic procedures was 226 min. Postoperative complications included ileus in 12.50% and wound complications in 7.00%, while reoperations and readmissions occurred in 3.60% and 13.20% of patients, respectively. When compared with laparoscopic procedures, robotic procedures showed shorter length of hospital stay and longer operative times but similar total complication, reoperation, and conversion rates. In contrast, robotic procedures had fewer total postoperative complications compared with open surgeries, despite longer operative times.

    Conclusions: Robotic ileocolic resection for Crohn's disease, while having a longer operative time, results in fewer postoperative complications compared with open surgery and shows comparable outcomes to laparoscopic procedures with shorter hospital stays.

    Keywords: Crohn’s disease; Ileocolic resection; Laparoscopic surgery; Meta-analysis; Robotic surgery.

    Keywords：robotic ileocolic resection; laparoscopic surgery; open surgery; Crohn's disease meta-analysis; Systematic review

    关键词：机器人回肠结肠切除术; 腹腔镜手术; 开放手术; 系统评价

    Copyright © Techniques in coloproctology. 中文内容为AI机器翻译，仅供参考！

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    期刊名：Techniques in coloproctology

    缩写：TECH COLOPROCTOL

    ISSN：1123-6337

    e-ISSN：1128-045X

    IF/分区：2.7/Q3

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    The outcomes of robotic ileocolic resection in Crohn's disease compared with laparoscopic and open surgery: a meta-analysis and systematic review