Yang Ping,Li Kangming,Zou Bing,et al.Robotic-assisted laparoscopic pyeloplasty versus laparoscopic pyeloplasty for children with ureteropelvic junction obstruction:Meta-analysis of comparative studies[J].Journal of Clinical Pediatric Surgery,,21():482-489.[doi:10.3760/cma.j.cn101785-202011015-015]
Robotic-assisted laparoscopic pyeloplasty versus laparoscopic pyeloplasty for children with ureteropelvic junction obstruction:Meta-analysis of comparative studies
- Keywords:
- Ureteropelvic Junction Obstruction; Robotic Surgical Procedures; Laparoscopy; Treatment Outcome; Meta-Analysis
- Abstract:
- Objective To systematiclly review the efficacy of robotic-assisted laparoscopic pyeloplasty (RALP) versus laparoscopic pyeloplasty (LP) for children with ureteropelvic junction obstruction (UPJO). Methods A literature search was performed within the databases of PubMed, Cochrane, Web of Science and China National Knowledge Infrastructure (CNKI), VIP and WanFang from the inceptions up to October 2020. Meta-analysis was performed by RevMan 5. 3. Results A total of 12 articles involving 1531 patients were re- trieved. RALP was superior in the following aspects with significant differences:operative success rate[OR=2. 66,95% CI(1. 09,6. 49)], operative duration[MD=-6. 68, 95% CI(-13. 10,-0. 26)], postoperative length of stay[MD=-0. 91,95% CI(-1. 01,-0. 81)] and postoperative complications[OR=0. 49, 95% CI (0. 27,0. 80)]. In descriptive analysis, dosing of analgesic was less in RALP group than that in LP group and the expenditure was higher in RALP group than LP group. Conclusion As compared with LP, RALP has high- er success rate and fewer postoperative complications for UPJO. Operative duration and postoperative length of stay were shorter in the RALP group. However, the expenditure was higher.
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Memo
收稿日期:2020-11-8。
基金项目:四川省医学科研课题计划（S20067）
通讯作者:李康明,Email:son.of.old@foxmail.com