[Observational studies to evaluate robotic-assisted lung cancer surgery?]
| Autor: | Bernard A; Département de chirurgie thoracique, Bocage Central, CHU de Dijon, 14, rue Gaffarel, BP 77908, 21079 Dijon, France. Electronic address: alain.bernard@chu-dijon.fr. |
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| Jazyk: | francouzština |
| Zdroj: | Revue des maladies respiratoires [Rev Mal Respir] 2024 Oct; Vol. 41 (8), pp. 562-570. Date of Electronic Publication: 2024 Aug 28. |
| DOI: | 10.1016/j.rmr.2024.08.003 |
| Abstrakt: | Background: The aim of this work is to assess the quality of observational studies and to make direct and indirect comparisons of robotic surgery with other approaches. Method: We searched various databases between 2014 and 2024 for observational studies comparing robotic-assisted surgery to thoracoscopy or thoracotomy. Results: Eighteen studies were included in the meta-analysis. Risk of confounding bias was present in 90% of studies, while risk of classification bias appeared in 80%. Robotic-assisted surgery reduced the risk of conversion to thoracotomy compared with thoracoscopy with an odds ratio of 0.21 (95% confidence interval: 0.06-0.65), with high heterogeneity between studies (I 2 =80%). Robotic-assisted surgery did not significantly reduce postoperative complications or 30-day mortality compared with thoracotomy or thoracoscopy. For 5-year overall survival, comparisons of robotic-assisted surgery to thoracoscopy or thoracotomy were non-significant with I 2 of 55%. Conclusion: This work demonstrates the need for a randomized controlled trial to validate robotic surgery for the treatment of bronchial cancer. (Copyright © 2024 SPLF. Published by Elsevier Masson SAS. All rights reserved.) |
| Databáze: | MEDLINE |
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