Robotic Versus Conventional Laparoscopic Distal Pancreatectomy: A Meta-analysis Of Short-term Outcomes

Objective:To compare the short-term clinical outcomes of robotic distal pancreatectomy(RDP)with laparoscopic distal pancreatectomy(LDP).Methods:PubMed,Embase,Cochrane library,Wan Fang Data Knowledge Service Platform,CNKI were searched systematically and studies comparing RDP versus LDP were included.The meta-analysis was performed by using RevMan5.3.Results:11 studies with 791 patients met the inclusion criteria.This meta-analysis shows: compared with LDP group,RDP group was associated with higher spleen preservation rate,higher splenic vessels conservation rate,lower conversion rate,shorter hospital stay,longer operative time.There was no significant difference in overall complications,severe complications,pancreatic fistula,severe pancreatic fistula,and transfusion rate between the two groups.Conclusion:RDP showed a slight advantage in short-term outcomes,and it is worthy of applying in large medical center.Further studies on the long-term outcomes of these surgical techniques are required.