Department of Urology, Affiliated Hospital of North Sichuan Medical College, Nanchong, China.
J Robot Surg. 2023 Aug;17(4):1309-1318. doi: 10.1007/s11701-023-01589-9. Epub 2023 Apr 13.
To compare the perioperative outcomes of single-port robotic-assisted radical prostatectomy (SP-RARP) and multiport robotic-assisted radical prostatectomy (MP-RARP) via transperitoneal approach, we conducted a comprehensive database search of eligible studies up to October 2022 and compared their results. This study was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, and a leave-one-out sensitivity analysis was performed to control for heterogeneity and risk of bias. A total of six articles were included, involving 926 patients, among which 256 underwent SP-RARP and 670 underwent MP-RARP. Comparing the two, SP-RARP was associated with shorter hospitalization time (- 0.5 days; 95% CI - 1.02, - 0.06, p < 0.05) and less intraoperative blood loss (- 29.88 ml; 95% CI - 45.66, - 14.10, p < 0.05). However, there were no significant differences in any complications, operative time, positive surgical margins, or short-term follow-up outcomes (continence and potency at 3 months). These findings provide reference data for the selection of surgical methods in performing transperitoneal RP and support further research on the broad applicability of the SP platform.
为了比较经腹腔途径下单端口机器人辅助根治性前列腺切除术（SP-RARP）和多端口机器人辅助根治性前列腺切除术（MP-RARP）的围手术期结果，我们对符合条件的研究进行了全面的数据库检索，并对其结果进行了比较。本研究遵循系统评价和荟萃分析的首选报告项目指南进行，并进行了逐一剔除敏感性分析，以控制异质性和偏倚风险。共纳入 6 篇文章，涉及 926 例患者，其中 256 例行 SP-RARP，670 例行 MP-RARP。与 MP-RARP 相比，SP-RARP 具有较短的住院时间（-0.5 天；95%CI -1.02，-0.06，p < 0.05）和更少的术中出血量（-29.88ml；95%CI -45.66，-14.10，p < 0.05）。然而，在任何并发症、手术时间、阳性切缘或短期随访结果（3 个月时的尿控和勃起功能）方面均无显著差异。这些发现为经腹腔 RP 手术方法的选择提供了参考数据，并支持对 SP 平台广泛适用性的进一步研究。
