SYSTEMATIC REVIEW article
Front. Pediatr.
Sec. Pediatric Surgery
Volume 13 - 2025 | doi: 10.3389/fped.2025.1638198
Comparison of Robotic-assisted and Laparoscopic-assisted Surgery in the Treatment of Children with Hirschsprung's Disease: A Systematic Review and Meta-Analysis
Provisionally accepted
- The First Affiliated Hospital of Xinjiang Medical University, Xinjiang, China
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Background: This study aims to systematically evaluate the differences betw een robotic-assisted surgery (RAS) and laparoscopic-assisted surgery (LAS) in intraoper ative parameters, postoperative complications, and prognostic outcomes for children wit h Hirschsprung's disease (HSCR). By conducting a meta-analysis, evidence-based insig hts for clinical practice were sought. Methods: Following PRISMA guidelines, PubMed, Embase, and Web of Science were searched up to May 10, 2025, to identify compar ative studies of RAS and LAS for HSCR. Two reviewers independently screened litera ture and assessed quality using the Newcastle-Ottawa Scale (NOS). RevMan5.4 and ST ATA18 were used to calculate odds ratios (ORs) and 95% confidence intervals (CIs), with heterogeneity and publication bias evaluated. Results: Six studies involving 789 c hildren (352 RAS, 437 LAS) were included. Meta-analysis showed significantly less in traoperative blood loss in the RAS group (OR = -6.45, 95%CI: -11.77--1.14, P = 0.02) but longer operative duration (OR = 19.74, 95%CI: 1.75-37.72, P = 0.03). No signific ant group differences were found in postoperative enterocolitis (OR = 0.66, 95%CI: 0.
Keywords: Hirschsprung's disease, Robotic-assisted surgery, Laparoscopic-assisted surger y, Postoperative Complications, Children
Received: 30 May 2025; Accepted: 22 Jul 2025.
Copyright: © 2025 Li, Wanfu, Wang and Xu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Li Wanfu, The First Affiliated Hospital of Xinjiang Medical University, Xinjiang, China
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