Systemic inflammatory response after robotic versus laparoscopic abdominal surgery: a systematic review and meta-analysis with colorectal cancer subgroup analysis.

Maximum serum albumin levels (as an inverse surrogate for post-operative inflammation) were higher in the robotic surgery group, albeit only reaching borderline significance, in the two studies ( n = 642 patients) that reported albumin post-operatively (MD 0.19, 95% CI [-0.00, 0.39], p = 0.05, I2 = 89%).

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Operative duration using the robotic platform was significantly longer versus laparoscopy, which is consistent with existing published studies although this only reached borderline significance within the colorectal cancer subgroup [ 28 , 54 ].

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