A systematic review of robotic versus open and video assisted thoracoscopic surgery (VATS) approaches for thymectomy
| Autor: | April E. Hebert, Karen C Redmond, Usha Kreaden, Katie E. O’Sullivan, Donna Eaton |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Insufflation
medicine.medical_specialty business.industry medicine.medical_treatment Postoperative complication Odds ratio 030204 cardiovascular system & hematology Confidence interval Surgery Thymectomy 03 medical and health sciences 0302 clinical medicine Median sternotomy 030220 oncology & carcinogenesis Video-assisted thoracoscopic surgery medicine Operative time Systematic Review Cardiology and Cardiovascular Medicine business |
| Zdroj: | Annals of Cardiothoracic Surgery. 8:174-193 |
| ISSN: | 2304-1021 2225-319X |
| DOI: | 10.21037/acs.2019.02.04 |
| Popis: | Background: Median sternotomy has been the most commonly used approach for thymectomy to date. Recent advances in video-assisted thoracoscopic surgery (VATS) and robotic access with CO 2 insufflation techniques have allowed more minimally invasive approaches. However, prior reviews have not compared robotic to both open and VATS thymectomy. Methods: A systematic review was conducted in accordance with the PRISMA guidelines using PubMed, Embase and Scopus databases. Original research articles comparing robotic to VATS or to open thymectomy for myasthenia gravis, anterior mediastinal masses, or thymomas were included. Meta-analyses were performed for mortality, operative time, blood loss, transfusions, length of stay, conversion to open, intraoperative and postoperative complication rates, and positive/negative margin rates Results: Robotic thymectomy is a valid alternative to the open approach; advantages include: reduced blood loss [weighted mean difference (WMD): −173.03, 95% confidence interval (95% CI): −305.90, −40.17, P=0.01], fewer postoperative complications (odds ratio: 0.37, 95% CI: 0.22, 0.60, P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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