Santiago Munoz PalomequeInternational University of Ecuador, Ecuador
Title: Efficacy of robotic hepatectomy versus laparoscopic hepatectomy in patients with liver tumors
Liver resection remains the most effective method of treating liver tumors. Currently, the laparoscopic approach is considered the gold standard compared to the open approach; however, the emergence of robotic surgery offers a new minimally invasive approach option with apparently better results. The objective of this systematic review is to assess the benefits of robotic hepatectomy versus laparoscopic hepatectomy in the resection of liver tumors. Methodology: This systematic review will include comparative, cohort, case-control studies with prospective or retrospective data collection. Study participants will be patients diagnosed with benign or malignant liver tumors, including children and adolescents, noncirrhotic or compensated cirrhotic, undergoing robotic hepatectomy and laparoscopic hepatectomy procedures. The primary outcome measures are: 1. Estimated blood loss during surgery, 2. Operative time, 3. Laparotomy conversion rate, 4. Intraoperative mortality rate, 5. Morbidity rate (postoperative complications), 6. Post-surgical hospital stay. Electronic searches will be conducted on PubMed, Medline, and ScienceDirect (2010 to present). The Cochrane study risk of bias assessment will be used. The mean differences (MD) and the 95 confidence intervals (CI) will be used as measures of the treatment effect. The evaluation of heterogeneity will be carried out by visual inspection of the funnel diagram. The evaluation of the quality of the evidence and 'Summary of findings' tables will be used by the GRADE test.
Santiago Munoz Palomeque graduated as a doctor at the age of 23 years old in 2019 from the Catholic University of Cuenca as one of the best students of his promotion, which allowed him to carry out his rotating internship in one of the best hospitals in his country (Hospital of Specialties “José Carrasco Arteaga”). He has to his credit a total of 5 original publications in prestigious medical journals and several research papers in review for publication, in addition to having completed multiple refresher courses, which has allowed him to obtain a scholarship with which he is currently studying his postgraduate degree in general and laparoscopic surgery from the International University of Ecuador at the “Metropolitan Hospital of Quito”.