Yang Jian-Wei, Chen Si-Yu, Yang Li
Department of Urology, The Second Hospital of Lanzhou University, Lanzhou, 730030, China.
Gansu Province Clinical Research Center for Urology, Lanzhou, China.
J Robot Surg. 2025 Feb 22;19(1):77. doi: 10.1007/s11701-025-02245-0.
We read with great interest the recent meta-analysis by Dai et al. comparing the KangDuo (KD) and da Vinci (DV) robotic systems in radical prostatectomy (RP). Their findings highlight the comparable perioperative outcomes of both systems despite longer operative times with KD. While the study provides valuable insights, we suggest incorporating console time as a key parameter reflecting surgical efficiency and proficiency. Additionally, a pooled analysis of biochemical recurrence (BCR) would enhance the oncological assessment of the two platforms. Lastly, the small sample size limits statistical power, underscoring the need for larger, multi-center studies. Addressing these aspects could further strengthen the study's clinical relevance.
我们饶有兴趣地阅读了戴等人最近的荟萃分析，该分析比较了康多（KD）和达芬奇（DV）机器人系统在根治性前列腺切除术（RP）中的应用。他们的研究结果表明，尽管KD的手术时间较长，但两个系统的围手术期结果相当。虽然该研究提供了有价值的见解，但我们建议将控制台时间纳入反映手术效率和熟练程度的关键参数。此外，对生化复发（BCR）进行汇总分析将加强对这两个平台的肿瘤学评估。最后，样本量小限制了统计效力，凸显了开展更大规模多中心研究的必要性。解决这些问题可以进一步增强该研究的临床相关性。
