Robotic vs. Retropubic radical prostatectomy in prostate cancer: A systematic review and an meta-analysis update.

摘要: // Kun Tang 1,* , Kehua Jiang 1,2,* Hongbo Chen 2 Zhiqiang 1 Hua Xu and Zhangqun Ye Department of Urology, Institute Tongji Hospital, Medical College, Huazhong University Science Technology, Wuhan, China The Central Hospital Enshi Autonomous Prefecture, Enshi, * These authors have contributed equally to this work Correspondence to: Xu, email: Keywords : robotic-assisted radical prostatectomy; retropubic prostate cancer; meta-analysis; update Received February 18, 2016 Accepted October 21, Published November 12, Abstract CONTEXT: safety feasibility prostatectomy (RARP) compared with prostatectomy(RRP) is debated. Recently, a number large-scale high-quality studies been conducted. OBJECTIVE: To obtain more valid assessment, we the meta-analysis RARP RRP assessed its in treatment cancer. METHODS: A systematic search Medline, Embase, Pubmed, Cochrane Library was performed identify that RRP. Outcomes interest included perioperative, pathologic variables complications. RESULTS: 78 assessing vs. were for meta-analysis. Although patients underwent shorter operative time than (WMD: 39.85 minutes; P < 0.001), less intraoperative blood loss (WMD = -507.67ml; lower transfusion rates (OR 0.13; remove catheter -3.04day; hospital stay -1.62day; PSM (OR:0.88; 0.04), fewer positive lymph nodes (OR:0.45; overall complications (OR:0.43; higher 3- 12-mo potent recovery rate (OR:3.19; 0.02; OR:2.37; 0.005, respectively), readmission (OR:0.70, 0.03). biochemical recurrence free survival better (OR:1.33, 0.04). All other calculated results are similar between two groups. CONCLUSIONS: Our indicate appears be safe effective counterpart selected patients.