Wang Kangyu, Yang Li
Department of Urology, The Second Hospital and Clinical Medical School, Lanzhou University, No.82 Cuyingmen, Chengguan District, Lanzhou City, 730000, Gansu Province, China.
J Robot Surg. 2025 Apr 8;19(1):138. doi: 10.1007/s11701-025-02316-2.
This letter provides a review of the meta-analysis by Rong et al. comparing transperitoneal (TPPN) and retroperitoneal (RPPN) robotic partial nephrectomy. While the study offers valuable insights into perioperative outcomes, such as operating time, hospital stay, blood loss, and complications, there are several methodological concerns. These include the use of non-randomized controlled trials, which may introduce bias, the lack of long-term follow-up, and high heterogeneity across studies. The letter also addresses the evaluation of serious complications and data extraction methods. It suggests that future research should focus on randomized controlled trials, longer follow-up, and more detailed analysis of complications. Overall, while acknowledging the authors' work, this letter highlights areas for improvement to strengthen the study's conclusions for clinical practice.
这封信对荣等人比较经腹腔（TPPN）和经腹膜后（RPPN）机器人辅助部分肾切除术的荟萃分析进行了综述。虽然该研究为围手术期结果提供了有价值的见解，如手术时间、住院时间、失血量和并发症，但存在几个方法学方面的问题。这些问题包括使用非随机对照试验，这可能会引入偏差、缺乏长期随访以及各研究之间存在高度异质性。这封信还讨论了严重并发症的评估和数据提取方法。它建议未来的研究应侧重于随机对照试验、更长时间的随访以及对并发症进行更详细的分析。总体而言，在认可作者工作的同时，这封信强调了需要改进的方面，以加强该研究对临床实践结论的力度。
