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

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dc.contributor.authorLincango Naranjo, Eddy P
dc.contributor.authorGarces-Delgado, Estefany
dc.contributor.authorSiepmann, Timo
dc.contributor.authorMirow, Lutz
dc.contributor.authorSolis-Pazmino, Paola
dc.contributor.authorAlexander-Leon, Harold
dc.contributor.authorRestrepo-Rodas, Gabriela
dc.contributor.authorMancero-Montalvo, Rafael
dc.contributor.authorPonce, Cristina J
dc.contributor.authorCadena-Semanate, Ramiro
dc.contributor.authorVargas-Cordova, Ronnal
dc.contributor.authorHerrera-Cevallos, Glenda
dc.contributor.authorVallejo, Sebastian
dc.contributor.authorLiu-Sanchez, Carolina
dc.contributor.authorProkop, Larry J
dc.contributor.authorZiogas, Ioannis A
dc.contributor.authorVailas, Michail G
dc.contributor.authorGuerron, Alfredo D
dc.contributor.authorVisser, Brendan C
dc.contributor.authorPonce, Oscar J
dc.contributor.authorBarbas, Andrew S
dc.contributor.authorMoris, Dimitrios
dc.date.accessioned2026-04-10T18:39:14Z
dc.date.available2026-04-10T18:39:14Z
dc.date.issued2022
dc.description.abstractThe 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. Keywords: liver transplantation, robot, systematic review, meta-analysis
dc.identifier.citationLincango Naranjo, E. P., Garces-Delgado, E., Siepmann, T., Mirow, L., Solis-Pazmino, P., Alexander-Leon, H., Restrepo-Rodas, G., Mancero-Montalvo, R., Ponce, C. J., Cadena-Semanate, R., Vargas-Cordova, R., Herrera-Cevallos, G., Vallejo, S., Liu-Sanchez, C., Prokop, L. J., Ziogas, I. A., Vailas, M. G., Guerron, A. D., Visser, B. C., Ponce, O. J., … Moris, D. (2022). Robotic Living Donor Right Hepatectomy: A Systematic Review and Meta-Analysis. Journal of clinical medicine, 11(9), 2603. https://doi.org/10.3390/jcm11092603
dc.identifier.urihttps://biblioteca.solcaquito.org.ec/handle/123456789/1754
dc.language.isoen
dc.titleRobotic Living Donor Right Hepatectomy: A Systematic Review and Meta-Analysis
dc.typeArticle
dspace.entity.typePublication
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