Oncologic outcomes after robot-assisted versus open radical cystectomy: a systematic review and meta-analysis
Iwata T., Kimura S., Foerster B., Fossati N., Briganti A., Karakiewicz P. I., Gust K. M., Egawa S., Nasu Y., Abufaraj M., Shariat Sh.
World Journal of Urology
Vol.37, Issue8, P. 1557-1570
Опубликовано: 2019
Тип ресурса: Обзор
DOI:10.1007/s00345-019-02708-8
Аннотация:
Purpose: The efficacy of RARC in oncologic outcomes compared ORC is controversial. We assess potential differences in oncologic outcomes between robot-assisted radical cystectomy (RARC) and open radical cystectomy (ORC). Methods: We performed the literature search systematically according to the Preferred Reporting Items for Systematic Review and Meta-analysis statement. A pooled meta-analysis was performed to assess the difference in oncologic outcomes between RARC and ORC, separately in randomized controlled trials (RCTs) and non-randomized studies (NRCTs). Results: Five RCTs and 28 NRCTs were included in this systematic review and meta-analysis. There was no difference in the rate of overall positive surgical margin (PSM) in RCTs, while NRCTs showed a lower rate for RARC. There was no difference in the soft tissue PSM rate between RARC and ORC in both RCTs and NRCTs. There was no difference in the lymph node yield by standard and extended lymph node dissection between RARC and ORC i
Ключевые слова:
Oncologic outcome; Open radical cystectomy; Positive surgical margin; Robot-assisted radical cystectomy
bladder tumor; comparative study; cystectomy; human; meta analysis; procedures; robotic surgical procedure; treatment outcome; Cystectomy; Humans; Robotic Surgical Procedures; Treatment Outcome; Urinary Bladder Neoplasms
Язык текста: Английский
ISSN: 1433-8726
Iwata T.
Kimura S.
Foerster B.
Fossati N.
Briganti A.
Karakiewicz P. I.
Gust K. M.
Egawa S.
Nasu Y.
Abufaraj M.
Shariat Sh. Sharokh 1973-
Иwата Т.
Кимура С.
Фоерстер Б.
Фоссати Н.
Бриганти А.
Каракиеwиcз П. И.
Густ К. М.
Егаwа С.
Насу Y.
Абуфарай М.
Шариат Ш. Шарох 1973-
Oncologic outcomes after robot-assisted versus open radical cystectomy: a systematic review and meta-analysis
Текст визуальный непосредственный
World Journal of Urology
Springer-Verlag GmbH
Vol.37, Issue8 P. 1557-1570
2019
Обзор
Oncologic outcome Open radical cystectomy Positive surgical margin Robot-assisted radical cystectomy
bladder tumor comparative study cystectomy human meta analysis procedures robotic surgical procedure treatment outcome Cystectomy Humans Robotic Surgical Procedures Treatment Outcome Urinary Bladder Neoplasms
Purpose: The efficacy of RARC in oncologic outcomes compared ORC is controversial. We assess potential differences in oncologic outcomes between robot-assisted radical cystectomy (RARC) and open radical cystectomy (ORC). Methods: We performed the literature search systematically according to the Preferred Reporting Items for Systematic Review and Meta-analysis statement. A pooled meta-analysis was performed to assess the difference in oncologic outcomes between RARC and ORC, separately in randomized controlled trials (RCTs) and non-randomized studies (NRCTs). Results: Five RCTs and 28 NRCTs were included in this systematic review and meta-analysis. There was no difference in the rate of overall positive surgical margin (PSM) in RCTs, while NRCTs showed a lower rate for RARC. There was no difference in the soft tissue PSM rate between RARC and ORC in both RCTs and NRCTs. There was no difference in the lymph node yield by standard and extended lymph node dissection between RARC and ORC i