Robotic-assisted surgery versus conventional laparoscopy in endometrial cancer: a systematic review and meta-analysis

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Key Points

To compare oncologic effectiveness and perioperative outcomes of robotic-assisted and conventional laparoscopic surgeries in endometrial cancer.
Conducted a systematic literature search in multiple databases according to PRISMA 2020 guidelines.
Included comparative studies evaluating surgical approaches for endometrial cancer.
Performed random-effects meta-analyses with heterogeneity and sensitivity analyses.
Forty-two studies with 91,151 patients were analyzed.
No significant differences in recurrence, progression-free survival, or overall survival between robotic-assisted and laparoscopic surgery.
Robotic surgery showed reduced estimated blood loss and lower conversion rates to open surgery, with slightly more intraoperative complications.

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Systematic review compares oncologic and perioperative outcomes in endometrial cancer surgeries, indicating modest differences.

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Kalas et al. (2026) studied this question.

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