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超关节与逆关节机器人辅助部分切除术:一个系统性审查和元分析

Nikita Shrivastava¹, Priyank Bhargava², Gopal Sharma³

¹Department of Urology, DKS Super Specialty Hospital and Postgraduate Institute, Raipur, India.

World journal of urology

|February 15, 2024

概括

机器人辅助部分切除术 (RAPN) 的逆关节 (RP) 方法显示了较低的整体并发症,较短的手术时间和减少的血液损失,与关节 (TP) 方法相比. 需要进一步的研究来证实这些发现.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
最少侵入性的手术
手术瘤学手术瘤学

背景情况:

机器人辅助部分切除术 (RAPN) 是局部瘤的标准治疗方法.
对于RAPN,存在跨腹膜 (TP) 和背腹膜 (RP) 两种手术方法.
在RAPN中,TP与RP方法的比较有效性仍然不清楚.

研究的目的:

系统地审查和比较跨皮管 (TP) 和皮管 (RP) 机器人辅助部分切除术 (RAPN) 之间的术后结果.

主要方法:

进行了系统的文献搜索,以确定相关研究.
包括报告TP RAPN和RP RAPN术后结果的研究.
评估的主要结果是比较两种方法之间的并发症率.

主要成果:

该审查包括22项研究,包括5675名患者 (2524名RP,3151名TP).
通过RP方法,整体并发症率,手术时间,估计血液损失 (EBL),输血需要 (BT) 和停留时间 (LOS) 显著降低.
在RP和TP组之间,在主要并发症率,转化率或积极的外科手术边缘方面没有发现显著差异.

结论:

对于RAPN而言,逆腹膜 (RP) 方法与经腹膜 (TP) 方法相比,与显著更好的术后结果相关,包括减少并发症,EBL,BT和LOS.
尽管观察到这些好处,但由于缺乏随机对照试验,需要进一步调查以巩固这些发现.

关键词:

逆上皮质突 (Retroperitoneal) 的情况是这样的.机器人部分切除术系统性审查系统性审查穿越皮质的穿越皮质

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