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Comparing the safety and efficacy of robotic-assisted, laparoscopic and open dismembered pyeloplasty: a Meta-analysis / 中华泌尿外科杂志
Chinese Journal of Urology ; (12): 456-461, 2019.
Article in Chinese | WPRIM | ID: wpr-755474
ABSTRACT
Objective This systematic review and Meta-analysis was conducted to clarify the safety and efficacy of robotic-assisted (RP),laparoscopic (LP) and open (OP) dismembered pyeloplasty.Methods A systematic literature search on MEDLINE,Cochrane Central Register of Coutrolled Trials,and Web of Science was conducted to identify the relevant studies published before December 2018.Information was extracted from each eligible article.All statistical analyses of this Meta-analysis were performed with Stata 14 and RevMan 5.3 software.Results A total of 24 studies met the inclusion criteria and were included in this Meta-analysis.Compared with OP,LP showed similar results on success rate (OR =0.89,95 % CI 0.47-1.69,P =0.729) and complication rate (OR =0.89,95% CI0.58-1.36,P =0.585).LP had a longer operative time(WMD =53.86,95% CI 13.23-94.29,P =0.009) and shorter length of stay (WMD =-2.32,95% CI-3.48--1.16,P < 0.001).Our study found that RP was superior to LP with respect to success rate (OR =2.53,95 % CI 1.03-6.19,P =0.043),complication rate (OR =0.54,95 % CI 0.31-0.96,P =0.034),operative time (WMD =-25.94,95% CI-47.56--4.23,P =0.019) and length of stay (WMD =-25.94,95% CI-47.56--4.23,P =0.019).Conclusions RP has some advantages,it may be applied for UPJO routinely in the future if the costs can be decreased.

Full text: Available Index: WPRIM (Western Pacific) Type of study: Prognostic study / Systematic reviews Language: Chinese Journal: Chinese Journal of Urology Year: 2019 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Type of study: Prognostic study / Systematic reviews Language: Chinese Journal: Chinese Journal of Urology Year: 2019 Type: Article