Perioperative outcomes of intracorporeal robot-assisted radical cystectomy versus open radical cystectomy: A systematic review and meta-analysis of comparative studies

2021 ◽  
pp. 106137
Author(s):  
Naichun Zhou ◽  
Fengyan Tian ◽  
Yongjie Feng ◽  
Keyuan Zhao ◽  
Long Chen ◽  
...  
Keyword(s):  
Systematic Review ◽  
Radical Cystectomy ◽  
Comparative Studies ◽  
Meta Analysis ◽  
Perioperative Outcomes ◽  
Robot Assisted ◽  
Open Radical Cystectomy

scholarly journals Minimally invasive versus open radical cystectomy for bladder cancer: A systematic review and meta-analysis

2019 ◽  
Vol 47 (10) ◽  
pp. 4604-4618 ◽  
Author(s):  
Hongbin Shi ◽  
Jiangsong Li ◽  
Kui Li ◽  
Xiaobo Yang ◽  
Zaisheng Zhu ◽  
...  
Keyword(s):  
Systematic Review ◽  
Bladder Cancer ◽  
Minimally Invasive ◽  
Radical Cystectomy ◽  
Meta Analysis ◽  
Perioperative Outcomes ◽  
Transfusion Rate ◽  
Lymph Node Yield ◽  
Multicenter Rct ◽  
Open Radical Cystectomy

Background We performed a systematic review and meta-analysis to evaluate the efficacy and safety of minimally invasive radical cystectomy (MIRC) versus open radical cystectomy (ORC) for bladder cancer. Methods We searched the EMBASE and MEDLINE databases to identify randomized controlled trials (RCTs) of MIRC versus ORC in the treatment of bladder cancer. Results Eight articles describing nine RCTs (803 patients) were analyzed. No significant differences were found between MIRC and ORC in two oncologic outcomes: the recurrence rate and mortality. Additionally, no significant differences were found in three pathologic outcomes: lymph node yield, positive lymph nodes, and positive surgical margins. With respect to perioperative outcomes, however, MIRC showed a significantly longer operating time, less estimated blood loss, lower blood transfusion rate, shorter time to regular diet, and shorter length of hospital stay than ORC. The incidence of complications was similar between the two techniques. We found no statistically significant differences in the above outcomes between robot-assisted radical cystectomy and ORC or between laparoscopic radical cystectomy and ORC with the exception of the complication rate. Conclusions MIRC is an effective and safe surgical approach in the treatment of bladder cancer. However, a large-scale multicenter RCT is needed to confirm these findings.

scholarly journals Laparoscopic versus Open Radical Cystectomy in Bladder Cancer: A Systematic Review and Meta-Analysis of Comparative Studies

PLoS ONE ◽  
2014 ◽  
Vol 9 (5) ◽  
pp. e95667 ◽  
Author(s):  
Kun Tang ◽  
Heng Li ◽  
Ding Xia ◽  
Zhiquan Hu ◽  
Qianyuan Zhuang ◽  
...  
Keyword(s):  
Systematic Review ◽  
Bladder Cancer ◽  
Radical Cystectomy ◽  
Comparative Studies ◽  
Meta Analysis ◽  
Open Radical Cystectomy

Robotic or Open Radical Cystectomy, Which Is Safer? A Systematic Review and Meta-Analysis of Comparative Studies

2014 ◽  
Vol 28 (10) ◽  
pp. 1215-1223 ◽  
Author(s):  
Hiro Ishii ◽  
Bhavan Prasad Rai ◽  
Jens-Uwe Stolzenburg ◽  
Pradeep Bose ◽  
Piotr L. Chlosta ◽  
...  
Keyword(s):  
Systematic Review ◽  
Radical Cystectomy ◽  
Comparative Studies ◽  
Meta Analysis ◽  
Open Radical Cystectomy

Oncologic outcomes after robot-assisted versus open radical cystectomy: a systematic review and meta-analysis

2019 ◽  
Vol 37 (8) ◽  
pp. 1557-1570 ◽  
Author(s):  
Takehiro Iwata ◽  
Shoji Kimura ◽  
Beat Foerster ◽  
Nicola Fossati ◽  
Alberto Briganti ◽  
...  
Keyword(s):  
Systematic Review ◽  
Radical Cystectomy ◽  
Meta Analysis ◽  
Oncologic Outcomes ◽  
Robot Assisted ◽  
Open Radical Cystectomy
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