Minimally invasive surgery techniques in pelvic exenteration: a systematic and meta-analysis review

Abstract

Background: Pelvic exenteration is potentially curative for locally advanced and recurrent pelvic cancers. Evolving technology has facilitated the use of minimally invasive surgical (MIS) techniques in selected cases. We aimed to compare outcomes between open and MIS pelvic exenteration. Methods: A review of comparative studies was performed. Firstly, we evaluated the differences in surgical techniques with respect to operative time, blood loss, and margin status. Secondly, we assessed differences in 30-day morbidity and mortality rates, and length of hospital stay. Results: Four studies that directly compared open and MIS exenteration were included. Analysis was performed on 170 patients; 7..