Cochrane · systematic review · CD011422

Robot‐assisted surgery in gynaecology

Lawrie, TA, Liu, H, Lu, D, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

Gynaecological, Neuro-oncology and Orphan Cancer2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
12
current version
GRADE rated
11
No studies
1
Included studies
NR
No studies 1 · 8.3%Ungraded 0 · 0%Very low 5 · 41.7%Low 6 · 50%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Show all 2 versions

Robot‐assisted surgery compared with conventional laparoscopic surgery for hysterectomy

Population: women undergoing hysterectomy
6 questions
OutcomeEffectEvidenceStatus / GRADE
Intraoperative and postoperative complications
Robot‐assisted surgery vs conventional laparoscopic surgery
RR 0.92 [0.54, 1.59]6 studies · 585 participantsLow
Intraoperative complications
Robot‐assisted surgery vs conventional laparoscopic surgery
RR 1.05 [0.31, 3.56]5 studies · 487 participantsLow
Postoperative complications
Robot‐assisted surgery vs conventional laparoscopic surgery
RR 0.82 [0.42, 1.59]5 studies · 533 participantsLow
Total operating time
Robot‐assisted surgery vs conventional laparoscopic surgery
no estimate extracted2 studies · 148 participantsVery low
Downgraded: imprecision, inconsistency
Overall hospital stay
Robot‐assisted surgery vs conventional laparoscopic surgery
no estimate extracted2 studies · 192 participantsVery low
Downgraded: risk of bias, imprecision
Blood transfusions
Robot‐assisted surgery vs conventional laparoscopic surgery
RR 2.49 [0.75, 8.23]4 studies · 346 participantsLow

Robot‐assisted surgery compared with conventional laparoscopic surgery for sacrocolpopexy

Population: gynaecology
6 questions
OutcomeEffectEvidenceStatus / GRADE
Intraoperative and postoperative complications
Robot‐assisted surgery vs conventional laparoscopic surgery
RR 0.95 [0.21, 4.24]3 studies · 186 participantsVery low
Downgraded: imprecision, inconsistency
Intraoperative complications
Robot‐assisted surgery vs conventional laparoscopic surgery
RR 0.82 [0.09, 7.59]2 studies · 108 participantsVery low
Downgraded: imprecision
Postoperative complications
Robot‐assisted surgery vs conventional laparoscopic surgery
RR 3.54 [1.31, 9.56]1 study · 68 participantsLow
Downgraded: imprecision
Total operating time
Robot‐assisted surgery vs conventional laparoscopic surgery
no estimate extracted3 studies · 186 participantsLow
Downgraded: inconsistency
Overall hospital stay
Robot‐assisted surgery vs conventional laparoscopic surgery
no estimate extracted2 studies · 108 participantsVery low
Downgraded: imprecision
Blood transfusions
Robot‐assisted surgery vs conventional laparoscopic surgery
no estimate extractedNRNo studies