| Autor: |
Afra Zahid, Muhammad Ayyan, Minaam Farooq, Huzaifa Ahmad Cheema, Abia Shahid, Faiza Naeem, Muhammad Abdullah Ilyas, Shehreen Sohail |
| Rok vydání: |
2022 |
| DOI: |
10.21203/rs.3.rs-1357100/v1 |
| Popis: |
PURPOSE To establish the feasibility of robotic surgical procedures in urology in terms of the applications, pros and cons as well as the postoperative and oncological outcomes while comparing it with the conventional approaches. METHODS A systematic search of electronic databases was performed to identify Randomized Controlled Trials and Cohort studies on Robot Assisted urological surgical procedures in comparison with the conventional methods. The quality assessment of included studies was performed using the Newcastle-Ottawa Scale and the revised Cochrane “Risk of Bias” tool. A qualitative narrative synthesis of the data extracted from the studies was performed and presented in tabulated form. RESULTS After screening, 34 studies were included in our review (3 Randomized Controlled Trials and 31 Cohort studies). Robot Assisted Prostatectomy appears to be associated with lower estimated blood loss and shorter length of hospital stay. For Robot Assisted Cystectomy, the results suggest longer operative time and fewer complications. Robot Assisted Radical Nephrectomy was found to be associated with fewer perioperative complications and longer mean operative time while Robot Assisted Partial Nephrectomy was associated with less positive surgical margins, no recurrence and reduced need of postoperative analgesia. The mean operative time was longer while length of stay was shorter for the robotic approach in inguinal lymphadenectomy and ureteral re-implantation. CONCLUSION The feasibility of Robot Assisted surgery varied for different outcome measures as well as for different procedures. Some common advantages were shorter length of stay, lesser blood loss and fewer complications while the drawbacks included longer operative time. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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