Department of Urology, The Affiliated Hospital of Hang Zhou Normal University, Hangzhou, 310015, China.
School of Medicine, Hang Zhou Normal University, Hangzhou, 310016, China.
BMC Urol. 2020 Aug 3;20(1):114. doi: 10.1186/s12894-020-00685-4.
To compare the postoperative continence and clinical outcomes of Retzius-sparing robot-assisted laparoscopic radical prostatectomy (RS-RALP) with non-RS RALP for patients with prostate cancer.
We searched PUBMED, EMBASE and the Cochrane Central Register from 1999 to 2019 for studies comparing RS-RALP to non-RS RALP for the treatment of prostate cancer. We used RevMan 5.2 to pool the data.
A total of seven studies involving 1620 patients were included in our meta-analysis. No significant difference was found in positive surgical margins (PSM), bilateral nerve-sparing, postoperative hernia, complications, blood loss, or operative time. Postoperative continence was better with RS-RALP compared with non-RS RALP (OR = 1.02, OR: 2.86, 95% CI 1.94-4.20, p < 0.05).
RS-RALP had a better recovery of postoperative continence than non-RS RALP. The perioperative outcomes were comparable for the two methods.
比较保留耻骨后间隙的机器人辅助腹腔镜前列腺癌根治术（RS-RALP）与非 RS-RALP 治疗前列腺癌的术后控尿和临床结局。
我们检索了 1999 年至 2019 年的 PUBMED、EMBASE 和 Cochrane 中央注册数据库，以比较 RS-RALP 与非 RS-RALP 治疗前列腺癌的研究。我们使用 RevMan 5.2 对数据进行合并。
共有 7 项研究纳入了 1620 例患者的荟萃分析。在阳性切缘（PSM）、双侧神经保留、术后疝、并发症、出血量或手术时间方面，两组间无显著差异。与非 RS-RALP 相比，RS-RALP 术后控尿功能更好（OR=1.02，OR：2.86，95%CI 1.94-4.20，p<0.05）。
RS-RALP 术后控尿功能的恢复优于非 RS-RALP。两种方法的围手术期结局相当。
