Meng Chunyang, Gan Lijian, Li Kangsen, Peng Lei, Li Jinze, Yang Junbao, Li Yunxiang
Department of Urology, The Affiliated Nanchong Central Hospital of North Sichuan Medical College (University), Nanchong, China.
Department of Urology, The Second Hospital of Lanzhou University Medical School, Lanzhou, China.
Front Pediatr. 2022 Aug 25;10:933845. doi: 10.3389/fped.2022.933845. eCollection 2022.
To evaluate and compare the efficacy and safety between an external stent and a Double J stent for pediatric Pyeloplasty.
Through a systematical search of multiple scientific databases in July 2022, we performed a systematic review and meta-analysis of the primary outcomes of interest according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses), whose protocol was registered with PROSPERO(CRD42021274087).
Eleven studies involving 1,758 patients were included. No significant differences were observed in operative time (MD: 2.26; 95% CI -9.62 to 14.14; = 0.79), operative success rate (OR: 1.10; 95% CI 0.57 to 2.10; = 0.780), length of hospital stay (MD: 0.65; 95% CI -0.04 to 1.34; = 0.063), or complications (OR: 0.87; 95%CI 0.48 to 1.56; = 0.630) between external stents and DJ stents in pediatric pyeloplasty. According to the subgroup analysis, we found the external stent group had a shorter operative time than the DJ stent group in terms of robot-assisted laparoscopic pyeloplasty (MD: -17.13; 95% CI -32.8 to -1.45; = 0.032).
There were no significant differences in operative time, operative success rate, length of hospital stay, or complications between external stents and DJ stents in pediatric pyeloplasty. The external stented procedure seemed to have less operative time when using robot-assisted laparoscopic pyeloplasty. However, due to the limitations of our analysis, more studies are still required to support our conclusion.
This systematic review has been registered on PROSPERO, the registration ID is CRD42021274087.
评估并比较外置支架与双J支架在小儿肾盂成形术中的疗效和安全性。
通过在2022年7月系统检索多个科学数据库，我们根据PRISMA（系统评价和Meta分析的首选报告项目）对感兴趣的主要结局进行了系统评价和Meta分析，其方案已在PROSPERO（CRD42021274087）注册。
纳入11项研究，共1758例患者。小儿肾盂成形术中，外置支架与双J支架在手术时间（MD：2.26；95%CI -9.62至14.14；P = 0.79）、手术成功率（OR：1.10；95%CI 0.57至2.10；P = 0.780）、住院时间（MD：0.65；95%CI -0.04至1.34；P = 0.063）或并发症（OR：0.87；95%CI 0.48至1.56；P = 0.630）方面均未观察到显著差异。根据亚组分析，我们发现机器人辅助腹腔镜肾盂成形术中外置支架组的手术时间比双J支架组短（MD：-17.13；95%CI -32.8至-1.45；P = 0.032）。
小儿肾盂成形术中，外置支架与双J支架在手术时间、手术成功率、住院时间或并发症方面均无显著差异。在使用机器人辅助腹腔镜肾盂成形术时，外置支架手术的手术时间似乎更短。然而，由于我们分析的局限性，仍需要更多研究来支持我们的结论。
本系统评价已在PROSPERO注册，注册号为CRD42021274087。
