Retzius-sparing robot-assisted radical prostatectomy vs the standard approach: a systematic review and analysis of comparative outcomes

BJU International
Enrico CheccucciFrancesco Porpiglia

Abstract

To summarize the current evidence on Retzius-sparing (RS)-robot-assisted radical prostatectomy (RARP) and to compare its oncological, peri-operative and functional outcomes with those of standard retropubic RARP (S-RARP). After establishing an a priori protocol, a systematic electronic literature search was conducted in January 2019 using the Medline (via PubMed), Embase (via Ovid) and Cochrane databases. The search strategy relied on the 'PICO' (Patient Intervention Comparison Outcome) criteria and article selection was carried out in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Only studies reporting the oncological and functional outcomes of RARP (as determined by type of procedure [RS-RARP vs S-RARP]) were considered for inclusion. Risk of bias and study quality were assessed. Finally, peri-operative and functional outcomes were recorded and analysed. A shorter operating time was associated with RS-RARP (weighted mean difference [WMD] 14.7 min, 95% confidence interval [CI] -28.25, 1.16; P = 0.03), whereas no significant difference was found in terms of estimated blood loss (WMD 1.45 mL, 95% CI -31.18, 34.08; P = 0.93). Also, no significant difference between the two grou...Continue Reading

References

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Citations

Apr 6, 2020·BJU International·Enrico CheccucciUNKNOWN Uro-technology and SoMe Working Group of the Young Academic Urologists Working Party of the European Association of urology
Nov 25, 2020·Current Opinion in Urology·Paolo MinafraPasquale Ditonno
Jan 27, 2021·Urology·Francesco MontorsiArmando Stabile
Jan 29, 2021·International Journal of Urology : Official Journal of the Japanese Urological Association·Nobuhiro HagaHirofumi Matsuoka

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