Influence of BMI on robotic rectal cancer surgery: a systematic review and meta-analysis.

IF 2.2 3区医学 Q2 SURGERY Journal of Robotic Surgery Pub Date : 2025-01-03 DOI:10.1007/s11701-024-02211-2

Jingzhe Zhang

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Abstract

Obesity presents a significant public health challenge, known to escalate the risk of colorectal cancer twofold. The potential advantages of employing robotic technology in colorectal surgery for obese individuals remain mostly unexplored. A comprehensive search of articles retrieved from Scopus, PubMed, and the Cochrane Library for the duration of January 2014 to March 2024 was performed, without language limitations. Meta-analysis was conducted in accordance with PRISMA guidelines. The study compared results of robotic rectal cancer resections in obese patients (BMI ≥ 30 kg/m²) with those in non-obese counterparts. Out of 2410 full-text articles studied, 7 met the inclusion criteria and underwent final analysis. The study included 963 non-obese and 371 obese patients. Operative time produce significant variance in non-obese patients. However, DRM, CRM, HLN, length of hospital stays, conversion rate, and overall complications did not show any statistically significant differences. Robotic surgery for rectal cancer had no clinically significant influence in obese group patients, and postoperative complications are same as in non-obese group except duration of surgery.

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BMI对机器人直肠癌手术的影响：系统回顾和荟萃分析。

肥胖是一个重大的公共卫生挑战，已知会使结直肠癌的风险增加两倍。在肥胖患者的结肠直肠手术中使用机器人技术的潜在优势大部分仍未被探索。对2014年1月至2024年3月期间从Scopus、PubMed和Cochrane Library检索的文章进行全面搜索，没有语言限制。meta分析按照PRISMA指南进行。该研究比较了肥胖患者（BMI≥30 kg/m2）与非肥胖患者的机器人直肠癌切除术结果。在所研究的2410篇全文文章中，有7篇符合纳入标准并进行了最终分析。该研究包括963名非肥胖者和371名肥胖者。非肥胖患者手术时间差异显著。而DRM、CRM、HLN、住院时间、转换率、总并发症差异无统计学意义。机器人手术治疗直肠癌对肥胖组患者无明显临床影响，术后并发症除手术时间外与非肥胖组相同。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Robotic Surgery SURGERY-

CiteScore

4.20

自引率

8.70%

发文量

145

期刊介绍： The aim of the Journal of Robotic Surgery is to become the leading worldwide journal for publication of articles related to robotic surgery, encompassing surgical simulation and integrated imaging techniques. The journal provides a centralized, focused resource for physicians wishing to publish their experience or those wishing to avail themselves of the most up-to-date findings.The journal reports on advance in a wide range of surgical specialties including adult and pediatric urology, general surgery, cardiac surgery, gynecology, ENT, orthopedics and neurosurgery.The use of robotics in surgery is broad-based and will undoubtedly expand over the next decade as new technical innovations and techniques increase the applicability of its use. The journal intends to capture this trend as it develops.