Endoscopic and Robotic Parotidectomy for the Treatment of Parotid Tumors: A Systematic Review and Meta-Analysis

BackgroundThe goal of this review was to introduce endoscopic/robotic parotidectomy (EP/RP) and compare EP/RP against conventional parotidectomy (CP) regarding the intraoperative and postoperative parameters in the treatment of parotid tumors.MethodsA systematic literature search of medical database...

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Autores principales:	Shanwen Chen, Mei Zhao, Dong Wang, Yi Zhao, Jianxin Qiu, Yehai Liu
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	endoscopic surgery robotic surgery parotid gland oncology complication Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
Acceso en línea:	https://doaj.org/article/da95e6a779f145a99079262300d6d1c2
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spelling	oai:doaj.org-article:da95e6a779f145a99079262300d6d1c22021-11-10T05:35:56ZEndoscopic and Robotic Parotidectomy for the Treatment of Parotid Tumors: A Systematic Review and Meta-Analysis2234-943X10.3389/fonc.2021.748885https://doaj.org/article/da95e6a779f145a99079262300d6d1c22021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fonc.2021.748885/fullhttps://doaj.org/toc/2234-943XBackgroundThe goal of this review was to introduce endoscopic/robotic parotidectomy (EP/RP) and compare EP/RP against conventional parotidectomy (CP) regarding the intraoperative and postoperative parameters in the treatment of parotid tumors.MethodsA systematic literature search of medical databases (PubMed, Embase, and Cochrane Central Register of Controlled Trials) was performed from inception to November 2020 to generate relevant studies.ResultsA total of 13 eligible studies (572 patients) were included for systematic review, and 7 out of 13 comparable studies for the quantitative synthesis of outcomes. Patients who underwent EP were characterized by less intraoperative bleeding volume, shorter incision length, and higher satisfaction postoperatively (WMD, 95% CI, -42.80; - 58.23 to -27.37; p < 0.01; WMD, 95% CI, -5.64; -7.88 to -3.39; p < 0.01; SMD, 95% CI, 1.88; 1.46 to 2.31; p < 0.01, respectively). However, operative time and risk of facial palsy exhibited no significant differences (WMD, 95% CI, -11.17; -26.71 to 4.34; p = 0.16; OR, 95% CI,0.71; 0.39 to 1.32; p = 0.28, respectively).ConclusionsOur findings suggest that the current evidence does not adequately support EP is equally safe and effective as CP. In certain selected cases, endoscopic technology has its unique advantages. For patients with strong cosmetic needs, endoscopic or robotic techniques may be an alternative through adequate preoperative evaluations.Systematic Review RegistrationInternational Prospective Register of Systematic Reviews, identifier CRD42020210299.Shanwen ChenMei ZhaoDong WangYi ZhaoJianxin QiuYehai LiuFrontiers Media S.A.articleendoscopic surgeryrobotic surgeryparotid glandoncologycomplicationNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENFrontiers in Oncology, Vol 11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	endoscopic surgery robotic surgery parotid gland oncology complication Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
spellingShingle	endoscopic surgery robotic surgery parotid gland oncology complication Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Shanwen Chen Mei Zhao Dong Wang Yi Zhao Jianxin Qiu Yehai Liu Endoscopic and Robotic Parotidectomy for the Treatment of Parotid Tumors: A Systematic Review and Meta-Analysis
description	BackgroundThe goal of this review was to introduce endoscopic/robotic parotidectomy (EP/RP) and compare EP/RP against conventional parotidectomy (CP) regarding the intraoperative and postoperative parameters in the treatment of parotid tumors.MethodsA systematic literature search of medical databases (PubMed, Embase, and Cochrane Central Register of Controlled Trials) was performed from inception to November 2020 to generate relevant studies.ResultsA total of 13 eligible studies (572 patients) were included for systematic review, and 7 out of 13 comparable studies for the quantitative synthesis of outcomes. Patients who underwent EP were characterized by less intraoperative bleeding volume, shorter incision length, and higher satisfaction postoperatively (WMD, 95% CI, -42.80; - 58.23 to -27.37; p < 0.01; WMD, 95% CI, -5.64; -7.88 to -3.39; p < 0.01; SMD, 95% CI, 1.88; 1.46 to 2.31; p < 0.01, respectively). However, operative time and risk of facial palsy exhibited no significant differences (WMD, 95% CI, -11.17; -26.71 to 4.34; p = 0.16; OR, 95% CI,0.71; 0.39 to 1.32; p = 0.28, respectively).ConclusionsOur findings suggest that the current evidence does not adequately support EP is equally safe and effective as CP. In certain selected cases, endoscopic technology has its unique advantages. For patients with strong cosmetic needs, endoscopic or robotic techniques may be an alternative through adequate preoperative evaluations.Systematic Review RegistrationInternational Prospective Register of Systematic Reviews, identifier CRD42020210299.
format	article
author	Shanwen Chen Mei Zhao Dong Wang Yi Zhao Jianxin Qiu Yehai Liu
author_facet	Shanwen Chen Mei Zhao Dong Wang Yi Zhao Jianxin Qiu Yehai Liu
author_sort	Shanwen Chen
title	Endoscopic and Robotic Parotidectomy for the Treatment of Parotid Tumors: A Systematic Review and Meta-Analysis
title_short	Endoscopic and Robotic Parotidectomy for the Treatment of Parotid Tumors: A Systematic Review and Meta-Analysis
title_full	Endoscopic and Robotic Parotidectomy for the Treatment of Parotid Tumors: A Systematic Review and Meta-Analysis
title_fullStr	Endoscopic and Robotic Parotidectomy for the Treatment of Parotid Tumors: A Systematic Review and Meta-Analysis
title_full_unstemmed	Endoscopic and Robotic Parotidectomy for the Treatment of Parotid Tumors: A Systematic Review and Meta-Analysis
title_sort	endoscopic and robotic parotidectomy for the treatment of parotid tumors: a systematic review and meta-analysis
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/da95e6a779f145a99079262300d6d1c2
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Endoscopic and Robotic Parotidectomy for the Treatment of Parotid Tumors: A Systematic Review and Meta-Analysis

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