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Fig 1.

PRISMA diagram of the literature search.

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Fig 2.

Quality assessment of RCT.

a Risk of bias graph: judgments about each risk of bias item presented in RCT; b risk of bias summary: judgments about each risk of bias item for each RCT.

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Table 1.

Characteristics of the included studies.

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Fig 3.

Pooled analysis for C-D grade III.

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Fig 4.

Pooled analysis for C-D grade IV.

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Fig 5.

Pooled analysis for severe complications (grade III-V).

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Table 2.

Summary of secondary outcomes for RS versus LS.

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Table 2 Expand

Fig 6.

Sensitivity analysis of severe complications after RS vs. LS.

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Fig 7.

Funnel plot of the studies reporting on the rate of severe complications.

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