Robotic surgery

Surgery

Laparoscopy

Hysterectomy

Political science

Relative risk

Meta-analysis

Internal medicine

Confidence interval

Laparoscopic surgery

MEDLINE

Medicine

General surgery

Scopus

Cochrane Library

Gynecologic oncology

Mortality rate

Journal of Minimally Invasive Gynecology

Study Objective review mortality rates in benign gynecologic laparoscopic and robotic surgery (MIS), and to evaluate the mortality rates associated with commonly performed MIS procedures. Design Meta-analysis. Setting NA Patients or Participants An electronic-based search was performed on Pubmed, Embase, Scopus, Web of Science, and Cochrane Database. All MIS studies in benign gynecology reporting operative mortality (within 30 days) were reviewed. Meta-analysis was applied to calculate pooled mortality rates using the inverse-variance method. The relative risks (RRs) and their corresponding 95% confidence intervals (95% CIs) were calculated using the Mantel-Haenszel method. Interventions Meta-analysis. Measurements and Main Results 21 articles (12,5738 patients) were included. Operative mortality from any benign MIS (laparoscopy and robotics) procedure was 1:4243 (95% CI 1:1573- 1:11450). Studies were then grouped based on surgical procedure. Mortality rate for hysterectomy (43,112 patients) was 1:4920 (95% CI 1:2233, 1:10845); for sacrocolpopexy was 1:1246 (95% CI 1:36, 1:44700); and for adnexal surgery and diagnostic laparoscopy was 1:2245 (95% CI 1:45, 1:113372). Seventeen studies reported operative mortality for laparoscopic surgery, and 4 for robotic surgery. Conclusion Operative mortality in benign minimally invasive gynecologic surgery is low. There is no major difference for laparoscopic and robotic approaches. review mortality rates in benign gynecologic laparoscopic and robotic surgery (MIS), and to evaluate the mortality rates associated with commonly performed MIS procedures. Meta-analysis. NA An electronic-based search was performed on Pubmed, Embase, Scopus, Web of Science, and Cochrane Database. All MIS studies in benign gynecology reporting operative mortality (within 30 days) were reviewed. Meta-analysis was applied to calculate pooled mortality rates using the inverse-variance method. The relative risks (RRs) and their corresponding 95% confidence intervals (95% CIs) were calculated using the Mantel-Haenszel method. Meta-analysis. 21 articles (12,5738 patients) were included. Operative mortality from any benign MIS (laparoscopy and robotics) procedure was 1:4243 (95% CI 1:1573- 1:11450). Studies were then grouped based on surgical procedure. Mortality rate for hysterectomy (43,112 patients) was 1:4920 (95% CI 1:2233, 1:10845); for sacrocolpopexy was 1:1246 (95% CI 1:36, 1:44700); and for adnexal surgery and diagnostic laparoscopy was 1:2245 (95% CI 1:45, 1:113372). Seventeen studies reported operative mortality for laparoscopic surgery, and 4 for robotic surgery. Operative mortality in benign minimally invasive gynecologic surgery is low. There is no major difference for laparoscopic and robotic approaches.

Mortality Rates in Laparoscopic and Robotic Benign Gynecologic Surgery- A Systemic Review and Meta-Analysis