Robotic-assisted versus open simple prostatectomy: Results from a systematic review and meta-analysis of comparative studies

Purpose: To review safety and efficacy of robotic-assisted simple prostatectomy (RASP) compared to open simple prostatectomy (OP). Materials and Methods: A comprehensive literature search was performed to assess the differences in perioperative course and functional outcomes in patients with benign...

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Autores principales:	Simone Scarcella, Daniele Castellani, Vineet Gauhar, Jeremy Yuen-Chun Teoh, Carlo Giulioni, Pietro Piazza, Carlo Andrea Bravi, Ruben De Groote, Geert De Naeyer, Stefano Puliatti, Andrea Benedetto Galosi, Alexandre Mottrie
Formato:	article
Lenguaje:	EN
Publicado:	Korean Urological Association 2021
Materias:	patient outcome assessment postoperative complications prostatectomy prostatic hyperplasia robotic surgical procedures Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/af2addfa0e434d34afa74b2512d1d2a2
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spelling	oai:doaj.org-article:af2addfa0e434d34afa74b2512d1d2a22021-11-10T04:02:11ZRobotic-assisted versus open simple prostatectomy: Results from a systematic review and meta-analysis of comparative studies10.4111/icu.202102972466-04932466-054Xhttps://doaj.org/article/af2addfa0e434d34afa74b2512d1d2a22021-11-01T00:00:00Zhttps://icurology.org/pdf/10.4111/icu.20210297https://doaj.org/toc/2466-0493https://doaj.org/toc/2466-054XPurpose: To review safety and efficacy of robotic-assisted simple prostatectomy (RASP) compared to open simple prostatectomy (OP). Materials and Methods: A comprehensive literature search was performed to assess the differences in perioperative course and functional outcomes in patients with benign prostatic hyperplasia and surgical indication. The incidences of complications were pooled using the Cochran–Mantel–Haenszel Method and expressed as odds ratio (OR), 95% confidence interval (CI), and p-values. Perioperative course and functional outcomes were pooled using the inverse variance of the mean difference (MD), 95% CI, and p-values. Analyses were two-tailed and the significance was set at p<0.05. Results: Eight studies were accepted. Meta-analysis showed significantly longer surgical time (MD, 43.72; 95% CI, 30.57–56.88; p<0.00001) with a significantly lower estimated blood loss (MD, -563.20; 95% CI, −739.95 to −386.46; p<0.00001) and shorter postoperative stay (MD, −2.85; 95% CI, −3.72 to −1.99; p<0.00001) in RASP. Catheterization time did not differ (MD, 0.65; 95% CI, −2.17 to 3.48; p=0.65). The risk of blood transfusion was significantly higher in OP (OR, 0.23; 95% CI, 0.17–0.33; p<0.00001). The risk of recatheterization (OR, 1.96; 95% CI, 0.32–11.93; p=0.47), postoperative urinary infections (OR, 0.89; 95% CI, 0.23–3.51; p=0.87) and 30-day readmission rate (OR, 0.96; 95% CI, 0.61–1.51; p=0.86) did not differ. At 3-month follow-up, functional outcomes were similar. Conclusions: RASP demonstrated a better perioperative outcome and equal early functional outcomes as compared to OP. These findings should be balanced against the longer operative time and higher cost of robotic surgery.Simone Scarcella Daniele Castellani Vineet GauharJeremy Yuen-Chun Teoh Carlo GiulioniPietro PiazzaCarlo Andrea Bravi Ruben De Groote Geert De NaeyerStefano PuliattiAndrea Benedetto Galosi Alexandre MottrieKorean Urological Associationarticlepatient outcome assessmentpostoperative complicationsprostatectomyprostatic hyperplasiarobotic surgical proceduresDiseases of the genitourinary system. UrologyRC870-923ENInvestigative and Clinical Urology, Vol 62, Iss 6, Pp 631-640 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	patient outcome assessment postoperative complications prostatectomy prostatic hyperplasia robotic surgical procedures Diseases of the genitourinary system. Urology RC870-923
spellingShingle	patient outcome assessment postoperative complications prostatectomy prostatic hyperplasia robotic surgical procedures Diseases of the genitourinary system. Urology RC870-923 Simone Scarcella Daniele Castellani Vineet Gauhar Jeremy Yuen-Chun Teoh Carlo Giulioni Pietro Piazza Carlo Andrea Bravi Ruben De Groote Geert De Naeyer Stefano Puliatti Andrea Benedetto Galosi Alexandre Mottrie Robotic-assisted versus open simple prostatectomy: Results from a systematic review and meta-analysis of comparative studies
description	Purpose: To review safety and efficacy of robotic-assisted simple prostatectomy (RASP) compared to open simple prostatectomy (OP). Materials and Methods: A comprehensive literature search was performed to assess the differences in perioperative course and functional outcomes in patients with benign prostatic hyperplasia and surgical indication. The incidences of complications were pooled using the Cochran–Mantel–Haenszel Method and expressed as odds ratio (OR), 95% confidence interval (CI), and p-values. Perioperative course and functional outcomes were pooled using the inverse variance of the mean difference (MD), 95% CI, and p-values. Analyses were two-tailed and the significance was set at p<0.05. Results: Eight studies were accepted. Meta-analysis showed significantly longer surgical time (MD, 43.72; 95% CI, 30.57–56.88; p<0.00001) with a significantly lower estimated blood loss (MD, -563.20; 95% CI, −739.95 to −386.46; p<0.00001) and shorter postoperative stay (MD, −2.85; 95% CI, −3.72 to −1.99; p<0.00001) in RASP. Catheterization time did not differ (MD, 0.65; 95% CI, −2.17 to 3.48; p=0.65). The risk of blood transfusion was significantly higher in OP (OR, 0.23; 95% CI, 0.17–0.33; p<0.00001). The risk of recatheterization (OR, 1.96; 95% CI, 0.32–11.93; p=0.47), postoperative urinary infections (OR, 0.89; 95% CI, 0.23–3.51; p=0.87) and 30-day readmission rate (OR, 0.96; 95% CI, 0.61–1.51; p=0.86) did not differ. At 3-month follow-up, functional outcomes were similar. Conclusions: RASP demonstrated a better perioperative outcome and equal early functional outcomes as compared to OP. These findings should be balanced against the longer operative time and higher cost of robotic surgery.
format	article
author	Simone Scarcella Daniele Castellani Vineet Gauhar Jeremy Yuen-Chun Teoh Carlo Giulioni Pietro Piazza Carlo Andrea Bravi Ruben De Groote Geert De Naeyer Stefano Puliatti Andrea Benedetto Galosi Alexandre Mottrie
author_facet	Simone Scarcella Daniele Castellani Vineet Gauhar Jeremy Yuen-Chun Teoh Carlo Giulioni Pietro Piazza Carlo Andrea Bravi Ruben De Groote Geert De Naeyer Stefano Puliatti Andrea Benedetto Galosi Alexandre Mottrie
author_sort	Simone Scarcella
title	Robotic-assisted versus open simple prostatectomy: Results from a systematic review and meta-analysis of comparative studies
title_short	Robotic-assisted versus open simple prostatectomy: Results from a systematic review and meta-analysis of comparative studies
title_full	Robotic-assisted versus open simple prostatectomy: Results from a systematic review and meta-analysis of comparative studies
title_fullStr	Robotic-assisted versus open simple prostatectomy: Results from a systematic review and meta-analysis of comparative studies
title_full_unstemmed	Robotic-assisted versus open simple prostatectomy: Results from a systematic review and meta-analysis of comparative studies
title_sort	robotic-assisted versus open simple prostatectomy: results from a systematic review and meta-analysis of comparative studies
publisher	Korean Urological Association
publishDate	2021
url	https://doaj.org/article/af2addfa0e434d34afa74b2512d1d2a2
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Robotic-assisted versus open simple prostatectomy: Results from a systematic review and meta-analysis of comparative studies

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