Comparison of robotic-assisted and laparoscopic-assisted surgery in the treatment of children with Hirschsprung's disease: a systematic review and meta-analysis

作者：Zirui Li, Wanfu Li, Haojun Wang, Mengxue Xu · 发表于：Frontiers in Pediatrics · 年份：2025 · DOI：10.3389/fped.2025.1638198 · 被引用次数：3 · 研究领域：Congenital gastrointestinal and neural anomalies、Congenital Anomalies and Fetal Surgery、Fetal and Pediatric Neurological Disorders

Background This study aims to systematically evaluate the differences between robotic-assisted surgery (RAS) and laparoscopic-assisted surgery (LAS) in intraoperative parameters, postoperative complications, and prognostic outcomes for children with Hirschsprung's disease (HSCR). By conducting a meta-analysis, evidence-based insights for clinical practice were sought. Methods Following PRISMA guidelines, PubMed, Embase, and Web of Science were searched up to May 10, 2025, to identify comparative studies of RAS and LAS for HSCR. Two reviewers independently screened literature and assessed quality using the Newcastle-Ottawa Scale ( N OS). RevMan5.4 and STATA18 were used to calculate odds ratios (ORs) and 95% confidence intervals (CIs), with heterogeneity and publication bias evaluated. Results Six studies involving 789 children (352 RAS, 437 LAS) were included. Meta-analysis showed significantly less intraoperative blood loss in the RAS group (OR = −6.45, 95%CI: −11.77 to −1.14, P = 0.02) but longer operative duration (OR = 19.74, 95%CI: 1.75–37.72, P = 0.03). No significant group differences were found in postoperative enterocolitis (OR = 0.66, 95%CI: 0.43–1.01, P = 0.06), anastomotic complications (OR = 0.71, 95%CI: 0.35–1.45, P = 0.35), soiling (OR = 0.79, 95%CI: 0.39–1.60, P = 0.51), adhesive intestinal obstruction (OR = 1.56, 95%CI: 0.22–11.32, P = 0.66), wound infection (OR = 0.77, 95%CI: 0.19–3.01, P = 0.70), incisional hernia (OR = 1.13, 95%CI: 0.20–6.40, P = 0.89), per...