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World J Surg Oncol. 2016 Aug 22;14(1):220. doi: 10.1186/s12957-016-0971-9.

The comparison of perioperative outcomes of robot-assisted and open partial nephrectomy: a systematic review and meta-analysis.

Shen Z1,2, Xie L1,2, Xie W3, Hu H1,2, Chen T1,2, Xing C1,2, Liu X1, Xu H1,2, Zhang Y1,2, Wu Z1,2, Tian D4,5, Wu C6,7.

Author information

1
Department of Urology, The Second Hospital of Tianjin Medical University, Pingjiang Road 23, Hexi District, Tianjin, 300211, China.
2
Tianjin Key Laboratory of Urology, Tianjin Institute of Urology, the Second Hospital of Tianjin Medical University, Tianjin, 300211, China.
3
Key Laboratory of Genetics and Birth Health of Hunan Province, The Family Planning Research Institute of Hunan Province, Changsha, Hunan, 410126, China.
4
Department of Urology, The Second Hospital of Tianjin Medical University, Pingjiang Road 23, Hexi District, Tianjin, 300211, China. daweitian@163.com.
5
Tianjin Key Laboratory of Urology, Tianjin Institute of Urology, the Second Hospital of Tianjin Medical University, Tianjin, 300211, China. daweitian@163.com.
6
Department of Urology, The Second Hospital of Tianjin Medical University, Pingjiang Road 23, Hexi District, Tianjin, 300211, China. wujygc2003@163.com.
7
Tianjin Key Laboratory of Urology, Tianjin Institute of Urology, the Second Hospital of Tianjin Medical University, Tianjin, 300211, China. wujygc2003@163.com.

Abstract

BACKGROUND:

Robot-assisted partial nephrectomy (RAPN) has been widely used worldwide, to determine whether RAPN is a safe and effective alternative to open partial nephrectomy (OPN) via the comparison of RANP and OPN.

METHODS:

A comprehensive literature search was performed within the databases including PubMed, Cochrane Library, and Embase updated on 30 September 2015. Summary data with their corresponding 95 % confidence intervals (CIs) were calculated using a random effects or fixed effects model. Heterogeneity and publication bias were also evaluated.

RESULTS:

A total of 16 comparative studies including 3024 cases were used for this meta-analysis. There are no significant differences in the demographic characteristic between the two groups, but the age was lower and the tumor size was smaller for the RAPN group. RAPN had a longer operative time and warm ischemia time but which showed less estimated blood loss, hospital stay, and perioperative complications. No differences existed in the margin status, the change of glomerular filtration rate, transfusion rate, and conversion rate between the two groups. There was no significant publication bias.

CONCLUSIONS:

RAPN offered a lower rate of perioperative complications, less estimated blood loss, and shorter length of hospital stay than OPN, suggesting that RAPN can be an effective alternative to OPN. Well-designed prospective randomized controlled trials will be helpful in validating our findings.

KEYWORDS:

Meta-analysis; Open partial nephrectomy; Renal tumor; Robot-assisted partial nephrectomy

PMID:
27549155
PMCID:
PMC4994255
DOI:
10.1186/s12957-016-0971-9
[Indexed for MEDLINE]
Free PMC Article

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