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首页> 外文期刊>The international journal of medical robotics + computer assisted surgery: MRCAS >Robotic‐assisted versus open radical cystectomy in bladder cancer: A meta‐analysis of four randomized controlled trails
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Robotic‐assisted versus open radical cystectomy in bladder cancer: A meta‐analysis of four randomized controlled trails

机译：膀胱癌中的机器人辅助与开放自由基膀胱切除术：四个随机控制小径的荟萃分析

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Abstract Background Robot‐assisted radical cystectomy (RARC) is increasing annually for treatment of bladder cancer. The objective of this meta‐analysis was to compare the safety and efficacy of RARC and open radical cystectomy (ORC) for bladder cancer. Methods Our meta‐analysis searches were conducted using PubMed, Web of Science, and Cochrane Library databases to identify randomized controlled trials (RCT) assessing the two techniques. Results Four RCT studies were identified, including 239 cases. Our studies indicated that RARC was associated with longer operative time (WMD: 69.69, 95% CI:17.25 to122.12; P = 0.009), lower estimated blood loss (WMD: –299.83, 95% CI:–414.66to ?184.99; P 0.00001). The two groups had no significant difference in overall perioperative complications, length of hospital stay, lymph node yield and positive surgical margins. Conclusions RARC is mini‐invasive alternative to ORC for bladder cancer. The advantage of RARC was reduced estimated blood loss. More studies are needed to compare the two techniques.
机译：摘要背景机器人辅助自由基膀胱切除术（RARC）每年增加用于治疗膀胱癌。该荟萃分析的目的是比较RARC和开放自由基膀胱切除术（ORC）对膀胱癌的安全性和疗效。方法采用PubMed，Science，Cochrane Library数据库进行的Meta分析搜索，以确定评估两种技术的随机对照试验（RCT）。结果确定了4种RCT研究，包括239例。我们的研究表明，RARC与较长的手术时间（WMD：69.69,95％CI：17.25至122.12; p = 0.009），较低的估计失血（WMD：-299.83,95％CI：-414.66TO？184.99; P <0.00001）。两组对整体围手术期并发症，住院时间长，淋巴结产量和正面外科利润没有显着差异。结论RARC是对膀胱癌进行兽人的迷你侵入替代品。 RARC的优势降低了估计的血液损失。需要更多的研究来比较两种技术。

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