Scholarlink

<p>Robotic surgery is traditionally performed with pneumoperitoneum pressure ranging from 12 to 15 mmHg. However, low pressure pneumoperitoneum (LPP) has been discussed as a valuable option to reduce perioperative complications. This study aims to evaluate the evidence comparing LPP to standard pressure pneumoperitoneum (SPP) in robotic surgery. We conducted a systematic review and meta-analysis searching in January 2025 in PubMed, Embase and Cochrane for studies comparing LPP (≤ 12 mmHg) with SPP (&gt; 12mmHg) in robotic procedures (PROSPERO #CRD420251019755). Primary outcomes were operative time (OT) and postoperative ileus (POI). Secondary outcomes included estimated blood loss (EBL), pain on postoperative day one (POD1), length of stay (LOS), readmission rates, Clavien-Dindo (CD) grade I-II and III-IV complications. Thirteen studies comprising 2,675 patients were analyzed. OT was not statistically different between groups (MD 2.59; CI 95% −2.50 to 7.69; <i>p</i> = 0.32; I² 64%). POI was significantly lower in the LPP group (RR 0.43; CI 95% 0.25 to 0.73; <i>p</i> = 0.002; I²=0%). Other outcomes, including EBL, pain on POD1, LOS, readmission rates and CD grade I-II and III-IV complications showed no significant differences. Our findings suggest that LPP significantly reduces POI without impacting OT and other postoperative outcomes in robotic surgery.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Low pressure pneumoperitoneum in robotic surgery: a systematic review and meta-analysis

  • 期刊论文

  • 发表日期：

    2026年2月6日

查看全文
  • Caio Leonardo Dos Santos Saggin,
  • Ana Paula Valério-Alves,
  • Ricardo Guega Alves Bezerra,
  • João Marcos Escorcio De Aguiar Portela,
  • Patricia Viana,
  • Rafaela De Melo Sprogis,
  • José Vitor De França Xavier,
  • Caio Pluvier Duarte Costa,
  • Rafael Morriello

摘要

Robotic surgery is traditionally performed with pneumoperitoneum pressure ranging from 12 to 15 mmHg. However, low pressure pneumoperitoneum (LPP) has been discussed as a valuable option to reduce perioperative complications. This study aims to evaluate the evidence comparing LPP to standard pressure pneumoperitoneum (SPP) in robotic surgery. We conducted a systematic review and meta-analysis searching in January 2025 in PubMed, Embase and Cochrane for studies comparing LPP (≤ 12 mmHg) with SPP (> 12mmHg) in robotic procedures (PROSPERO #CRD420251019755). Primary outcomes were operative time (OT) and postoperative ileus (POI). Secondary outcomes included estimated blood loss (EBL), pain on postoperative day one (POD1), length of stay (LOS), readmission rates, Clavien-Dindo (CD) grade I-II and III-IV complications. Thirteen studies comprising 2,675 patients were analyzed. OT was not statistically different between groups (MD 2.59; CI 95% −2.50 to 7.69; p = 0.32; I² 64%). POI was significantly lower in the LPP group (RR 0.43; CI 95% 0.25 to 0.73; p = 0.002; I²=0%). Other outcomes, including EBL, pain on POD1, LOS, readmission rates and CD grade I-II and III-IV complications showed no significant differences. Our findings suggest that LPP significantly reduces POI without impacting OT and other postoperative outcomes in robotic surgery.