Robotic ureteral reconstruction for benign ureteral strictures: a systematic review of surgical techniques, complications and outcomes

BMC Urology

Research

Shubo Fan¹  Xuesong Li¹  Xinfei Li¹  Kunlin Yang¹  Liqun Zhou¹  Karl H. Pang²  Nadir I. Osman³  Christopher R. Chapple³ 

[1] Department of Urology, Peking University First Hospital, Beijing, China;Institute of Urology, Peking University, Beijing, China;National Urological Cancer Center, Beijing, China;Division of Urology, Department of Surgery, School of Clinical Medicine, The University of Hong Kong, Hong Kong, China;Division of Urology, Queen Mary Hospital, Hong Kong, China;Division of Surgery and Interventional Science, University College London, London, UK;Section of Functional and Reconstructive Urology, Department of Urology, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK;

关键词: Ureteral stricture;    Robotic;    Laparoscopic;    Minimally invasive;    Reconstruction;   

DOI  :  10.1186/s12894-023-01313-7

 received in 2022-11-06, accepted in 2023-08-29,  发布年份 2023

来源: Springer

【 摘 要 】

IntroductionRobotic ureteral reconstruction (RUR) has been widely used to treat ureteral diseases. To summarize the surgical techniques, complications, and outcomes following RUR, as well as to compare data on RUR with open and laparoscopic ureteral reconstruction.MethodsOur systematic review was registered on the PROSPERO (CRD42022309364) database. The PubMed, Cochrane and Embase databases were searched for publications in English on 06-Feb-2022. Randomised-controlled trials (RCTs) or non-randomised cohort studies with sample size ≥ 10 cases were included.ResultsA total of 23 studies were included involving 996 patients and 1004 ureters from 13 non-comparative, and 10 retrospective comparative studies. No RCT study of RUR was reported. The success rate was reported ≥ 90% in 15 studies. Four studies reported 85–90% success rate. Meta-analyses for comparative studies showed that RUR had significantly lower estimated blood loss (EBL) (P = 0.006) and shorter length of stay (LOS) (P < 0.001) than the open approach. RUR had shorter operative time than laparoscopic surgery (P < 0.001).ConclusionsRUR is associated with lower EBL and shorter LOS than the open approach, and shorter operative time than the laparoscopic approach for the treatment of benign ureteral strictures. However, further studies and more evidence are needed to determine whether RUR is more superior.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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