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Robotic Living Donor Right Hepatectomy: A Systematic Review and Meta-Analysis.

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dc.contributor.author Lincango Naranjo, Eddy P.
dc.contributor.author Garces-Delgado, Estefany
dc.contributor.author Siepmann, Timo
dc.contributor.author Mirow, Lutz
dc.contributor.author Solis-Pazmino, Paola
dc.contributor.author Alexander-Leon, Harold
dc.contributor.author Restrepo-Rodas, Gabriela
dc.contributor.author Mancero-Montalvo, Rafael
dc.contributor.author Ponce, Cristina J.
dc.contributor.author Cadena-Semanate, Ramiro
dc.contributor.author Vargas-Cordova, Ronnal
dc.contributor.author Herrera-Cevallos, Glenda
dc.contributor.author Vallejo, Sebastian
dc.contributor.author Liu-Sanchez, Carolina
dc.contributor.author Prokop, Larry J.
dc.contributor.author Ziogas, Ioannis A.
dc.contributor.author Vailas, Michail G.
dc.contributor.author Guerron, Alfredo D.
dc.contributor.author Visser, Brendan C.
dc.contributor.author Ponce, Oscar J.
dc.contributor.author Barbas, Andrew S.
dc.contributor.author Moris, Dimitrios
dc.date.accessioned 2022-06-25T20:36:41Z
dc.date.available 2022-06-25T20:36:41Z
dc.date.issued 2022
dc.identifier.uri https://hdl.handle.net/20.500.12866/11850
dc.description.abstract The introduction of robotics in living donor liver transplantation has been revolutionary. We aimed to examine the safety of robotic living donor right hepatectomy (RLDRH) compared to open (ODRH) and laparoscopic (LADRH) approaches. A systematic review was carried out in Medline and six additional databases following PRISMA guidelines. Data on morbidity, postoperative liver function, and pain in donors and recipients were extracted from studies comparing RLDRH, ODRH, and LADRH published up to September 2020; PROSPERO (CRD42020214313). Dichotomous variables were pooled as risk ratios and continuous variables as weighted mean differences. Four studies with a total of 517 patients were included. In living donors, the postoperative total bilirubin level (MD: -0.7 95%CI -1.0, -0.4), length of hospital stay (MD: -0.8 95%CI -1.4, -0.3), Clavien-Dindo complications I-II (RR: 0.5 95%CI 0.2, 0.9), and pain score at day > 3 (MD: -0.6 95%CI -1.6, 0.4) were lower following RLDRH compared to ODRH. Furthermore, the pain score at day > 3 (MD: -0.4 95%CI -0.8, -0.09) was lower after RLDRH when compared to LADRH. In recipients, the postoperative AST level was lower (MD: -0.5 95%CI -0.9, -0.1) following RLDRH compared to ODRH. Moreover, the length of stay (MD: -6.4 95%CI -11.3, -1.5) was lower after RLDRH when compared to LADRH. In summary, we identified low- to unclear-quality evidence that RLDRH seems to be safe and feasible for adult living donor liver transplantation compared to the conventional approaches. No postoperative deaths were reported. en_US
dc.language.iso eng
dc.publisher MDPI
dc.relation.ispartofseries Journal of Clinical Medicine
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject systematic review en_US
dc.subject meta-analysis en_US
dc.subject liver transplantation en_US
dc.subject robot en_US
dc.title Robotic Living Donor Right Hepatectomy: A Systematic Review and Meta-Analysis. en_US
dc.type info:eu-repo/semantics/review
dc.identifier.doi https://doi.org/10.3390/jcm11092603
dc.relation.issn 2077-0383


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