Robot-assisted thoracic surgery versus open XXXX : a system review and meta-analysis.

@entity35 @entity1 @entity2 @entity1514
The aim of this meta-analysis is to compare the perioperative morbidity and mortality outcomes of robotic-assisted thoracic surgery ( @entity35 ) with @entity1514 ( @entity1514 ) for @entity1 with @entity2 . We searched articles indexed in the Pubmed and Sciencedirect published as of July 2015 that met our predefined criteria. A meta-analysis was performed by combining the results of reported incidences of perioperative morbidity and mortality. The relative risk (RR) was used as a summary statistic. Five eligible articles with 2433 subjects were considered in the analysis (5 articles for morbidity, while 3 articles for mortality). Overall, pooled analysis indicated that perioperative morbidity and mortality rate was significantly lower among @entity1 who underwent @entity35 than @entity1 who underwent @entity1514 (for morbidity: RR, 0.83; 95% CI, 0.75 to 0.92; P<0.01; for mortality: RR, 0.14; 95% CI, 0.03 to 0.59; P=0.007). No evidence of publication bias was observed. In conclusion, this meta-analysis showed that @entity35 resulted in significantly lower perioperative morbidity and mortality rate compared with @entity1514 cases. Thus, we suggest @entity35 be an appropriate alternative to @entity1514 for @entity2 resection. @entity35 should be studied further in selected centers and compared with @entity1514 in a randomized fashion to better define its potential advantages and disadvantages.
