OBJECTIVE To evaluate the safety and efficacy of robot-assisted laparoscopy (RAL) versus conventional laparoscopy (CL) in the treatment of advanced stage endometriosis. MATERIALS AND METHODS Utilizing electronic databases (PubMed, Embase, and Elsevier), a systematic literature review was performed between 2008 and 2015 to compare the RAL surgery with CL surgery (CLS) in the treatment of advanced stage endometriosis. According to meta-analysis criteria, two comparative clinical trials were selected. Outcome measures including length of operation, blood loss, operative complications, and the length of hospitalization, were estimated by the RevMan 5.1 software. RESULTS In the meta-analysis, there were no significant differences in blood loss, complication, and hospital stay between RAL and CL surgeries in the treatment of advanced stage endometriosis. However, RAL surgery required a higher mean operating time than CL surgery (WMD: 73.85, 95% CI: 56.77-90.94; p < 0 .00001). Comparative studies demonstrated that RAL displayed no outstanding advantages. CONCLUSIONS As a new minimally invasive method, RAL technology is safe and efficient alternative to CL in the treatment of advanced stage endometriosis. The latent benefits of RAL technology for the treatment of advanced stage endometriosis remain uncertain.

中文翻译：

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机器人辅助腹腔镜手术与传统腹腔镜手术治疗晚期子宫内膜异位症的荟萃分析。

目的评估机器人腹腔镜（RAL）与常规腹腔镜（CL）在晚期子宫内膜异位症治疗中的安全性和有效性。材料与方法利用电子数据库（PubMed，Embase和Elsevier），于2008年至2015年进行了系统的文献综述，以比较RAL手术与CL手术（CLS）在晚期子宫内膜异位症的治疗中。根据荟萃分析标准，选择了两项比较性临床试验。RevMan 5.1软件评估了结果指标，包括手术时间，失血量，手术并发症和住院时间。结果在荟萃分析中，失血，并发症，并且在晚期子宫内膜异位症的治疗期间，应在RAL和CL手术之间留院。但是，与CL手术相比，RAL手术需要更长的平均手术时间（WMD：73.85，95％CI：56.77-90.94； p <0.00001）。比较研究表明，RAL没有显示出任何突出的优势。结论RAL技术是一种新的微创方法，在晚期子宫内膜异位症的治疗中可以安全有效地替代CL。RAL技术治疗晚期子宫内膜异位症的潜在益处仍然不确定。在晚期子宫内膜异位症的治疗中，RAL技术是CL的安全有效替代方法。RAL技术治疗晚期子宫内膜异位症的潜在益处仍然不确定。在晚期子宫内膜异位症的治疗中，RAL技术是CL的安全有效替代方法。RAL技术治疗晚期子宫内膜异位症的潜在益处仍然不确定。