Assessing robotic-assisted procedures in pediatric otolaryngology: A systematic review and meta-analysis

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY International journal of pediatric otorhinolaryngology Pub Date : 2024-11-22 DOI:10.1016/j.ijporl.2024.112175

Drew C. Gottman , Michaele Francesco Corbisiero , Arman Saeedi , Samantha Bothwell , Ellie Svoboda , Andy Ai , Soham Roy

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Abstract

Background

Robotic-assisted surgery is increasingly used in pediatric otolaryngology, offering potential benefits like improved cosmetic outcomes. However, challenges such as longer operative times, higher costs, and a steep learning curve remain.

Objectives

This systematic review and meta-analysis assess whether robotic-assisted surgery offers advantages in operative time, complication rates, hospital stay, and cosmetic outcomes compared to traditional methods in pediatric patients.

Methods

A literature search identified 20 studies, with six focused on thyroidectomy. Data on operative time, complications, hospital stay, and cosmetic outcomes were extracted and analyzed.

Results

No significant differences in operative time or complications were found for robotic-assisted thyroidectomy, but it showed superior cosmetic outcomes and, in some cases, shorter hospital stays. Additional analyses suggested feasibility and functional benefits of other robotic procedures.

Conclusions

Robotic-assisted surgery in pediatric otolaryngology is as safe and efficient as traditional methods, with added cosmetic and functional benefits. Further large-scale trials are needed.

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评估小儿耳鼻喉科机器人辅助手术：系统回顾和荟萃分析

背景机器人辅助手术越来越多地应用于小儿耳鼻喉科，具有改善美容效果等潜在优势。本系统综述和荟萃分析评估了与传统方法相比，机器人辅助手术在小儿患者的手术时间、并发症发生率、住院时间和美容效果方面是否具有优势。方法文献检索发现了 20 项研究，其中 6 项侧重于甲状腺切除术。结果未发现机器人辅助甲状腺切除术在手术时间或并发症方面有显著差异，但其美容效果更佳，某些病例的住院时间更短。结论小儿耳鼻喉科的机器人辅助手术与传统方法一样安全、高效，而且还具有美容和功能方面的优势。需要进一步开展大规模试验。

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来源期刊

International journal of pediatric otorhinolaryngology 医学-耳鼻喉科学

CiteScore

3.20

自引率

6.70%

发文量

276

审稿时长

62 days

期刊介绍： The purpose of the International Journal of Pediatric Otorhinolaryngology is to concentrate and disseminate information concerning prevention, cure and care of otorhinolaryngological disorders in infants and children due to developmental, degenerative, infectious, neoplastic, traumatic, social, psychiatric and economic causes. The Journal provides a medium for clinical and basic contributions in all of the areas of pediatric otorhinolaryngology. This includes medical and surgical otology, bronchoesophagology, laryngology, rhinology, diseases of the head and neck, and disorders of communication, including voice, speech and language disorders.