Systematic review and meta-analysis comparing perioperative outcomes of minimally invasive and open axillary lymph node dissection in breast cancer

Bray F, Laversanne M, Sung H, Ferlay J, Siegel RL, Soerjomataram I, Jemal A (2024) Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. Cancer J Clin 74(3):229–263. https://doi.org/10.3322/caac.21834

Article  Google Scholar 

Keelan S, Flanagan M, Hill ADK (2021) Evolving Trends in Surgical Management of Breast Cancer: An Analysis of 30 Years of Practice Changing Papers. Front Oncol 11:622621. https://doi.org/10.3389/fonc.2021.622621

Article  PubMed  PubMed Central  Google Scholar 

DiSipio T, Rye S, Newman B, Hayes S (2013) Incidence of unilateral arm lymphoedema after breast cancer: a systematic review and meta-analysis. Lancet Oncol 14(6):500–515. https://doi.org/10.1016/s1470-2045(13)70076-7

Article  PubMed  Google Scholar 

Soares EW, Nagai HM, Bredt LC, da Cunha AD Jr., Andrade RJ, Soares GV (2014) Morbidity after conventional dissection of axillary lymph nodes in breast cancer patients. World J Surg Oncol 12:67. https://doi.org/10.1186/1477-7819-12-67

Article  PubMed  PubMed Central  Google Scholar 

Krag DN, Anderson SJ, Julian TB, Brown AM, Harlow SP, Costantino JP, Ashikaga T, Weaver DL, Mamounas EP, Jalovec LM, Frazier TG, Noyes RD, Robidoux A, Scarth HM, Wolmark N (2010) Sentinel-lymph-node resection compared with conventional axillary-lymph-node dissection in clinically node-negative patients with breast cancer: overall survival findings from the NSABP B-32 randomised phase 3 trial. Lancet Oncol 11(10):927–933. https://doi.org/10.1016/s1470-2045(10)70207-2

Article  PubMed  PubMed Central  Google Scholar 

Giuliano AE, Ballman KV, McCall L, Beitsch PD, Brennan MB, Kelemen PR, Ollila DW, Hansen NM, Whitworth PW, Blumencranz PW, Leitch AM, Saha S, Hunt KK, Morrow M (2017) Effect of Axillary Dissection vs No Axillary Dissection on 10-Year Overall Survival Among Women With Invasive Breast Cancer and Sentinel Node Metastasis: The ACOSOG Z0011 (Alliance) Randomized Clinical Trial. JAMA 318(10):918–926. https://doi.org/10.1001/jama.2017.11470

Article  PubMed  PubMed Central  Google Scholar 

Zhang P, Luo Y, Deng J, Shao G, Han S, Huang Z (2015) Endoscopic axillary lymphadenectomy combined with laparoscopically harvested pedicled omentum for immediate breast reconstruction. Surg Endosc 29(6):1376–1383. https://doi.org/10.1007/s00464-014-3808-z

Article  PubMed  Google Scholar 

Lim SM, Kum CK, Lam FL (2005) Nerve-sparing axillary dissection using the da Vinci Surgical System. World J Surg 29(10):1352–1355. https://doi.org/10.1007/s00268-005-7902-1

Article  PubMed  Google Scholar 

Nobbenhuis MAE, Gul N, Barton-Smith P, O’Sullivan O, Moss E, Ind TEJ (2023) Robotic surgery in gynaecology: Scientific Impact Paper 71 (July 2022). BJOG: Int J Obstet Gynecol 130(1):e1–e8. https://doi.org/10.1111/1471-0528.17242

Article  Google Scholar 

Rassweiler JJ, Autorino R, Klein J, Mottrie A, Goezen AS, Stolzenburg JU, Rha KH, Schurr M, Kaouk J, Patel V, Dasgupta P, Liatsikos E (2017) Future of robotic surgery in urology. BJU Int 120(6):822–841. https://doi.org/10.1111/bju.13851

Article  PubMed  Google Scholar 

Lai HW, Chen ST, Tai CM, Lin SL, Lin YJ, Huang RH, Mok CW, Chen DR, Kuo SJ (2020) Robotic- Versus Endoscopic-Assisted Nipple-Sparing Mastectomy with Immediate Prosthesis Breast Reconstruction in the Management of Breast Cancer: A Case-Control Comparison Study with Analysis of Clinical Outcomes, Learning Curve, Patient-Reported Aesthetic Results, and Medical Cost. Ann Surg Oncol 27(7):2255–2268. https://doi.org/10.1245/s10434-020-08223-0

Article  PubMed  Google Scholar 

Lai HW, Chen DR, Liu LC, Chen ST, Kuo YL, Lin SL, Wu YC, Huang TC, Hung CS, Lin YJ, Tseng HS, Mok CW, Cheng FT (2024) Robotic Versus Conventional or Endoscopic-assisted Nipple-sparing Mastectomy and Immediate Prosthesis Breast Reconstruction in the Management of Breast Cancer: A Prospectively Designed Multicenter Trial Comparing Clinical Outcomes, Medical Cost, and Patient-reported Outcomes (RCENSM-P). Ann Surg 279(1):138–146. https://doi.org/10.1097/sla.0000000000005924

Article  PubMed  Google Scholar 

Fang J, Ma L, Zhang YH, Yang ZJ, Yu Y, Cao XC (2017) Endoscopic sentinel lymph node biopsy and endoscopic axillary lymphadenectomy without liposuction in patients with early stage breast cancer. Surg Oncol 26(4):338–344. https://doi.org/10.1016/j.suronc.2017.07.005

Article  PubMed  Google Scholar 

Yang P, Hu X, Peng S, Wang L, Yang L, Dong Y, Yang Z, Yuan L, Zhao H, He X, Bao G (2021) Near-infrared laparoscopy with indocyanine green for axillary sentinel lymph node biopsy in early breast cancer: preliminary experience of a single unit. Gland Surg 10(5):1677–1686. https://doi.org/10.21037/gs-21-223

Article  PubMed  PubMed Central  Google Scholar 

Ahn JH, Park JM, Choi SB, Go J, Lee J, Kim JY, Park HS (2023) Early experience of robotic axillary lymph node dissection in patients with node-positive breast cancer. Breast Cancer Res Treat 198(3):405–412. https://doi.org/10.1007/s10549-022-06760-8

Article  PubMed  Google Scholar 

Lee J, Park HS, Lee H, Lee K, Han DH, Lee DW (2020) Axillary lymph node dissection using a robotic surgical system: Initial experience. J Surg Oncol 122(6):1252–1256. https://doi.org/10.1002/jso.26141

Article  PubMed  Google Scholar 

Ding B, Qian L, Zhao Y, Wu W, Chen X (2015) [Meta-analysis of endoscopic axillary lymph node dissection versus conventional open excision for breast cancer]. Zhong nan da xue xue bao Yi xue ban = Journal of Central South University Medical sciences. 40(7):782–789. https://doi.org/10.11817/j.issn.1672-7347.2015.07.013

Toesca A, Sangalli C, Maisonneuve P, Massari G, Girardi A, Baker JL, Lissidini G, Invento A, Farante G, Corso G, Rietjens M, Peradze N, Gottardi A, Magnoni F, Bottiglieri L, Lazzeroni M, Montagna E, Labo P, Orecchia R, Galimberti V, Intra M, Sacchini V, Veronesi P (2022) A Randomized Trial of Robotic Mastectomy Versus Open Surgery in Women With Breast Cancer or BrCA Mutation. Ann Surg 276(1):11–19. https://doi.org/10.1097/sla.0000000000004969

Article  PubMed  Google Scholar 

Filipe MD, de Bock E, Postma EL, Bastian OW, Schellekens PPA, Vriens MR, Witkamp AJ, Richir MC (2022) Robotic nipple-sparing mastectomy complication rate compared to traditional nipple-sparing mastectomy: a systematic review and meta-analysis. J robotic Surg 16(2):265–272. https://doi.org/10.1007/s11701-021-01265-w

Article  CAS  Google Scholar 

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, Chou R, Glanville J, Grimshaw JM, Hróbjartsson A, Lalu MM, Li T, Loder EW, Mayo-Wilson E, McDonald S, McGuinness LA, Stewart LA, Thomas J, Tricco AC, Welch VA, Whiting P, Moher D (2022) [The PRISMA 2020 statement: an updated guideline for reporting systematic reviewsDeclaración PRISMA 2020: una guía actualizada para la publicación de revisiones sistemáticas]. Revista panamericana de salud publica = Pan. Am J Public Health 46:e112. https://doi.org/10.26633/rpsp.2022.112

Article  Google Scholar 

Liu Y, Qin J, Li KP, Wen Z, Huang J, Jiang Y, Chen CX, Wang CJ, Wang L, Wang JH, Yang XS (2023) Perioperative, functional, and oncologic outcomes in patients undergoing robot-assisted radical prostatectomy previous transurethral resection of prostate: a systematic review and meta-analysis of comparative trials. J robotic Surg 17(4):1271–1285. https://doi.org/10.1007/s11701-023-01555-5

Article  Google Scholar 

Higgins JP, Thompson SG (2002) Quantifying heterogeneity in a meta-analysis. Stat Med 21(11):1539–1558. https://doi.org/10.1002/sim.1186

Article  PubMed  Google Scholar 

Sterne JA, Gavaghan D, Egger M (2000) Publication and related bias in meta-analysis: power of statistical tests and prevalence in the literature. J Clin Epidemiol 53(11):1119–1129. https://doi.org/10.1016/s0895-4356(00)00242-0

Article  PubMed  CAS  Google Scholar 

Chen K, N MB, Zhang J, Reshetov IV, Nikolenko VN, Sinelnikov MY, Mikhaleva LM (2021) Efficacy of da Vinci robot-assisted lymph node surgery than conventional axillary lymph node dissection in breast cancer - A comparative study. Int J Med Rob + Comput Assist surgery: MRCAS 17(6):e2307. https://doi.org/10.1002/rcs.2307

Article  Google Scholar 

Li Z, Chen Z, Wei L, Fu X, Yang Q, Huang Z, Liu Q, Wu Z, Lin S, Li H (2025) Minimally invasive axillary lymph node dissection versus conventional axillary lymph node dissection: a comparative study on short-term efficacy in breast cancer. Surg Endosc 39(8):4935–4945. https://doi.org/10.1007/s00464-025-11863-6

Article  PubMed  Google Scholar 

Giuliano AE, Hunt KK, Ballman KV, Beitsch PD, Whitworth PW, Blumencranz PW, Leitch AM, Saha S, McCall LM, Morrow M (2011) Axillary dissection vs no axillary dissection in women with invasive breast cancer and sentinel node metastasis: a randomized clinical trial. JAMA 305(6):569–575. https://doi.org/10.1001/jama.2011.90

Article  PubMed  PubMed Central  CAS  Google Scholar 

Donker M, van Tienhoven G, Straver ME, Meijnen P, van de Velde CJ, Mansel RE, Cataliotti L, Westenberg AH, Klinkenbijl JH, Orzalesi L, Bouma WH, van der Mijle HC, Nieuwenhuijzen GA, Veltkamp SC, Slaets L, Duez NJ, de Graaf PW, van Dalen T, Marinelli A, Rijna H, Snoj M, Bundred NJ, Merkus JW, Belkacemi Y, Petignat P, Schinagl DA, Coens C, Messina CG, Bogaerts J, Rutgers EJ (2014) Radiotherapy or surgery of the axilla after a positive sentinel node in breast cancer (EORTC 10981–22023 AMAROS): a randomised, multicentre, open-label, phase 3 non-inferiority trial. Lancet Oncol 15(12):1303–1310. https://doi.org/10.1016/s1470-2045(14)70460-7

Article  PubMed  PubMed Central  Google Scholar 

Caudle AS, Yang WT, Krishnamurthy S, Mittendorf EA, Black DM, Gilcrease MZ, Bedrosian I, Hobbs BP, DeSnyder SM, Hwang RF, Adrada BE, Shaitelman SF, Chavez-MacGregor M, Smith BD, Candelaria RP, Babiera GV, Dogan BE, Santiago L, Hunt KK, Kuerer HM (2016) Improved Axillary Evaluation Following Neoadjuvant Therapy for Patients With Node-Positive Breast Cancer Using Selective Evaluation of Clipped Nodes: Implementation of Targeted Axillary Dissection. J Clin oncology: official J Am Soc Clin Oncol 34(10):1072–1078. https://doi.org/10.1200/jco.2015.64.0094

Article  CAS 

Comments (0)

No login
gif