Institute of Urology, Lanzhou University Second Hospital, Key Laboratory of Urological Diseases in Gansu Province, Gansu Nephro-Urological Clinical Center, 82 Cuiying Gate, Lanzhou, 730030, Gansu, People's Republic of China.
Panzhihua Central Hospital, Panzhihua, 617000, Sichuan, People's Republic of China.
Updates Surg. 2022 Oct;74(5):1491-1499. doi: 10.1007/s13304-022-01344-z. Epub 2022 Aug 4.
To compare the efficacy and safety between open ureteral replantation (OUR), laparoscopic ureteral replantation (LUR) and robot-assisted laparoscopic ureteral replantation (RALUR). This review produced by the R3.5.0 software with "gemtc" program package and JAGS3.4.0 software based on the Bayesian model. A comprehensive search was done in databases including PubMed, Web of Science, Embase, Cochrane library, Cnki, CBM and WANFANG DATA. Studies that compared OUR, LUR OR RALUR were selected. Summary of Conclusions by ranking of Outcomes. A total of 3949 patients from 29 studies were included. The success rate in OUR, LUR and RALUR was 97.72%, 94.68% and 95.82%. The OR (95% CI) of LUR and RALUR was 0.76 (0.42,1.7) and 0.76 (0.30, 2.6), respectively, compared with OUR. The rate of complications in OUR, LUR and RALUR was 12.78%, 7.94% and 16.32%. The OR (95% CI) of LUR and RALUR was 0.28 (0.16, 0.48) and 0.61 (0.24,1.3), respectively, compared with OUR. The MD (95% CI) of LUR and RALUR for operation time was 22 (2,40) and 46 (7.5,84), respectively, compared with OUR. The MD (95% CI) of LUR and RALUR for hospital stay was - 3.6 (- 4.5, - 2.7) and - 1.1 (- 2.9, 0.58), respectively, compared with OUR. There is no significant difference in the success rates of OUR, LUR, and RALUR. RALUR and OUR has similar complication rates and time of hospital stay, while LUR has fewer complications and faster time to discharge compared to RALUR and OUR. The operative time of OUR is significantly less compared to LUR and RALUR.
比较开放输尿管再植术（OUR）、腹腔镜输尿管再植术（LUR）和机器人辅助腹腔镜输尿管再植术（RALUR）的疗效和安全性。本综述由 R3.5.0 软件和“gemtc”程序包以及 JAGS3.4.0 软件生成，基于贝叶斯模型。在 PubMed、Web of Science、Embase、Cochrane 图书馆、中国知网、CBM 和万方数据等数据库中进行了全面检索。纳入了比较 OUR、LUR 或 RALUR 的研究。通过结局排序总结结论。共有 29 项研究的 3949 名患者纳入研究。OUR、LUR 和 RALUR 的成功率分别为 97.72%、94.68%和 95.82%。与 OUR 相比，LUR 和 RALUR 的 OR（95%CI）分别为 0.76（0.42，1.7）和 0.76（0.30，2.6）。OUR、LUR 和 RALUR 的并发症发生率分别为 12.78%、7.94%和 16.32%。与 OUR 相比，LUR 和 RALUR 的 OR（95%CI）分别为 0.28（0.16，0.48）和 0.61（0.24，1.3）。与 OUR 相比，LUR 和 RALUR 的手术时间 MD（95%CI）分别为 22（2，40）和 46（7.5，84）。与 OUR 相比，LUR 和 RALUR 的住院时间 MD（95%CI）分别为-3.6（-4.5，-2.7）和-1.1（-2.9，0.58）。OUR、LUR 和 RALUR 的成功率无显著差异。RALUR 和 OUR 的并发症发生率和住院时间相似，而 LUR 与 RALUR 和 OUR 相比，并发症更少，出院时间更快。与 LUR 和 RALUR 相比，OUR 的手术时间明显更短。
