Comparison of Retzius-sparing robot-assisted laparoscopic radical prostatectomy vs standard robot-assisted radical prostatectomy: a meta-analysis

Autor: Ze-Peng Jiang, Yu-Li Jiang, Jin Zhou, Gao-Feng Zheng, Xie-Lai Zhou, Kang-Er Wang, Chun-Hua Ye, Zhen-Li
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: BMC Urology, Vol 20, Iss 1, Pp 1-9 (2020)
BMC Urology
ISSN: 1471-2490
DOI: 10.1186/s12894-020-00685-4
Popis: Background To compare the postoperative continence and clinical outcomes of Retzius-sparing robot-assisted laparoscopic radical prostatectomy (RS-RALP) with non-RS RALP for patients with prostate cancer. Methods We searched PUBMED, EMBASE and the Cochrane Central Register from 1999 to 2019 for studies comparing RS-RALP to non-RS RALP for the treatment of prostate cancer. We used RevMan 5.2 to pool the data. Results A total of eight studies involving 1620 patients were included in our meta-analysis. No significant difference was found in positive surgical margins (PSM), bilateral nerve-sparing, postoperative hernia, complications, blood loss, or operative time. Postoperative continence was better with RS-RALP compared with non-RS RALP (OR = 1.02, OR: 2.86, 95% CI 1.94–4.20, p Conclusions RS-RALP had a better recovery of postoperative continence than non-RS RALP. The perioperative outcomes were comparable for the two methods.
Databáze: OpenAIRE
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