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A meta-analysis of robot assisted laparoscopic radical prostatectomy versus laparoscopic radical prostatectomy

机译:机器人辅助腹腔镜前列腺癌根治术与腹腔镜前列腺癌根治术的荟萃分析

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Objective To evaluate the efficacy and safety of robot-assisted laparoscopic radical prostatectomy (RALP) and laparoscopic radical prostatectomy (LRP) for the treatment of localized prostate cancer. Methods Meta-analysis was applied using Review Manager V5.3 software and the retrieved clinical trials comparing RALP with LRP for the treatment of localized prostate cancer published from 2000 to 2018 in PubMed, Ovid, ScienceDirect, and EMBASE datasets were analyzed. Results This meta-analysis included 16 articles, totaling 7952 patients, with 5170 RALP patients and 2782 LRP patients. Meta-analysis showed that RALP postoperative complications were fewer (P=0.0007), and the postoperative urinary continence rate was better at 1 year after surgery (P0.00001). There was no statistical significance between RALP and LRP with regards to the positive incidence of surgical margin (P = 0.18). Conclusion As an emerging technology, RALP is superior to LRP for localized prostate cancer treatment in terms of postoperative complications, and postoperative urinary continence rate.
机译:目的评价机器人辅助腹腔镜前列腺癌根治术(RALP)和腹腔镜前列腺癌根治术(LRP)的治疗效果和安全性。方法使用Review Manager V5.3软件进行荟萃分析,并检索2000年至2018年发表于PubMed,Ovid,ScienceDirect和EMBASE数据集中的比较RALP和LRP治疗局部前列腺癌的临床试验。结果该荟萃分析包括16篇文章,共计7952例患者,其中5170例RALP患者和2782例LRP患者。荟萃分析显示,术后1年RALP术后并发症较少(P = 0.0007),术后尿失禁率更高(P <0.00001)。在手术切缘阳性率方面,RALP和LRP之间无统计学意义(P = 0.18)。结论RALP作为一种新兴技术,在术后并发症和术后尿失禁率方面优于LRP。

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