REVIEW OF OPERATIVE OUTCOMES OF ROBOTIC SURGICAL PROCEDURES PERFORMED WITH ROBOTIC VS. ENDOSCOPIC LINEAR STAPLERS

Author(s)

Gutierrez M1, Ditto R1, Roy S2
1Ethicon Inc, Cincinnati, OH, USA, 2Ethicon Inc, Somerville, NJ, USA

OBJECTIVES: To assess and summarize reports of operative outcomes of stapled robotic surgical procedures performed with endoscopic linear staplers (ELS) or robotic staplers (RS). METHODS: A systematic literature search of Ovid Embase/Medline, PubMed, and QUOSA was conducted for reports on the topic of robotic surgical procedures performed using ELS or RS published between January 1, 2004 and March 13, 2017. Two investigators reviewed the abstracts of identified studies for relevance and potential inclusion in the review. RESULTS: There were 239 total publications (93 manuscripts and 146 abstracts) identified with potentially relevant information. From the systematic search, 27 manuscripts and 2 abstracts were identified with relevant information. Two manuscripts and 4 abstracts were additionally identified from a manual search, that included studies published up to September of 2017 and were also included for a total of 35 studies included in this review. There were 33 reports of non-comparative studies, which cited ELS or RS in robotic surgery as a safe surgical technique; however, only two comparative studies of robotic surgery with ELS versus RS were identified. One of the two comparative reports was in robotic colorectal surgery and the other in gastric bypass surgery. Although both studies describe robotic surgery with ELS or RS as a practical and safe surgical technique, they also described nuances in device design and usability which should be considered when selecting the appropriate stapling technique for different surgeries. CONCLUSIONS: There is a lack of comparative perioperative data between ELS and RS in robotic surgery (2 studies). Given that ELS has a longer clinical history and relatively more robust evidence base (ELS – 29 studies; RS – 6 studies), surgeons and medical device purchasers should consider possible trade-offs before switching their entire clinical utilization to RS.

Conference/Value in Health Info

2018-05, ISPOR 2018, Baltimore, MD, USA

Value in Health, Vol. 21, S1 (May 2018)

Code

PHP110

Topic

Clinical Outcomes, Epidemiology & Public Health

Topic Subcategory

Comparative Effectiveness or Efficacy, Safety & Pharmacoepidemiology

Disease

Diabetes/Endocrine/Metabolic Disorders, Gastrointestinal Disorders, Oncology

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