机构：[1]Department of nephrology and urology, Guangzhou Hospital of traditional Chinese medicine, Guangzhou, China[2]Department of Nephrology, Shenzhen People's Hospital, Second Clinical Medicine Centre, Jinan University, China深圳市康宁医院深圳市人民医院深圳医学信息中心[3]Department of Urology People's Hospital of Guigang, Guigang, Guangxi, China[4]Department of Oncology, Shenzhen People's Hospital, Second Clinical Medicine Centre, Jinan University, China深圳市康宁医院深圳市人民医院深圳医学信息中心
BackgroundRobot-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. MethodsOur meta-analysis searches were conducted using PubMed, Web of Science, and Cochrane Library databases to identify randomized controlled trials (RCT) assessing the two techniques. ResultsFour 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. ConclusionsRARC 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.
基金：
Natural Science Foundation of Shenzhen,
Grant/Award Number:
JCYJ20170307095828424
第一作者机构：[1]Department of nephrology and urology, Guangzhou Hospital of traditional Chinese medicine, Guangzhou, China
共同第一作者：
通讯作者：
通讯机构：[4]Department of Oncology, Shenzhen People's Hospital, Second Clinical Medicine Centre, Jinan University, China[*1]Department of Oncology, Shenzhen People's Hospital, Second Clinical Medicine Centre, Jinan University, China.
推荐引用方式(GB/T 7714)：
Jin‐Qiu Tang,Zhihong Zhao,Yiwen Liang,et al.Robotic-assisted versus open radical cystectomy in bladder cancer: A meta-analysis of four randomized controlled trails[J].INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY.2018,14(1):doi:10.1002/rcs.1867.
APA：
Jin‐Qiu Tang,Zhihong Zhao,Yiwen Liang&Guixiang Liao.(2018).Robotic-assisted versus open radical cystectomy in bladder cancer: A meta-analysis of four randomized controlled trails.INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY,14,(1)
MLA：
Jin‐Qiu Tang,et al."Robotic-assisted versus open radical cystectomy in bladder cancer: A meta-analysis of four randomized controlled trails".INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY 14..1(2018)
