Comparison of intraoperative and postoperative outcomes between open and robotic-assisted kidney transplantation: a meta-analysis and systematic review.

Renal transplantation is the best option for end-stage renal disease, and in this study, patients who underwent robotic-assisted renal transplantation (RAKT) and open renal transplantation (OKT) were selected to compare their intraoperative and postoperative clinical outcomes: including Operation Time, Length of Stay, WIT (warm ischaemia time), CIT (cold ischaemia time), Estimated Blood Loss, Post 1 month Creatinine, Incision Length, Rewarming Time, Wound infection. The study was registered in PROSPERO with CRD code: CRD420251061084. We searched in Web of Science, Pubmed, Wiely, Elsevier databases, screened according to inclusion and exclusion criteria and finally included 7 papers. The quality of the included literature was assessed using the Newcastle-Ottawa Scale, and the intraoperative and postoperative clinical outcomes were analysed using StataMP 16, with forest plots drawn, and we analysed heterogeneity; sensitivity analyses were carried out using the one-by-one exclusion method, publication bias analyses were performed using the Egger test, and subgroup analyses were carried out for the operation time. RAKT has less Estimated Blood Loss: SMD (95% CI) was -0.577 (-0.755,0.399), I = 35.0%, p = 0.139, shorter Incision length: SMD (95% CI) was -7.114 (-7.568,-6.660), I = 0.0%, p = 0.447, and longer CIT: SMD (95% CI) was 0.408 (0.263,0.554), I = 0.00%, p = 0.575 compared to OKT, and is recommended for patients about to undergo kidney transplantation. Compared with OKT, RAKT results in less blood loss, shorter incision length, and CIT. RAKT is recommended as the first choice for patients undergoing kidney transplantation.