Robotic versus laparoscopic radical nephrectomy: a large multi-institutional analysis (ROSULA Collaborative Group)

Anele, Uzoma A.; Marchioni, Michele; Yang, Bo; Simone, Giuseppe; Uzzo, Robert G.; Lau, Clayton; Mir, Maria Carmen; Capitanio, Umberto; Porter, James R.; Jacobsohn, Ken; Luyk, Nicolò De; Mari, Andrea; Chang, Kidon; Fiori, Cristian; Sulek, Jay; Mottrie, Alexandre; White, Wesley M.; Perdonà, Sisto; Quarto, Giuseppe; Bindayı, Ahmet; Ashrafi, Akbar; Schips, Luigi; Berardinelli, Francesco; Zhang, Chao; Gallucci, Michele; Ramírez‐Backhaus, M.; Larcher, Alessandro; Kilday, Patrick; Liao, Michael Z.; Langenstroer, Peter; Challacombe, Ben; Kutikov, Alexander; Rha, Koon Ho; Sundaram, Chandru P.; Hampton, Lance J.; Porpiglia, Francesco; Aron, Monish; Derweesh, Ithaar; Autorino, Riccardo

doi:10.1007/s00345-019-02657-2

Cited by 38 publications

(52 citation statements)

References 38 publications

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“…Our meta-analysis suggested that the EBL was similar between RARN and LRN (p = 0.86), which is consistent with prior studies (9,19,22). Helmers et al (20) performed a retrospective study with 319 cases (243 RARN and 76 LRN).…”

Section: Discussionsupporting

confidence: 90%

“…One prospective study, instead, reported the LOS in RARN was significantly shorter than that in LRN (4.4 vs. 5.1 days, p < 0.05) (21). Anele et al (22) found RARN had a lower median LOS (3 days in the RARN group vs. 5 days in the LRN group, p < 0.001). In addition, the flexible operation of the robotic method may increase the surgeon's confidence in the quality of the anastomosis.…”

Section: Discussionmentioning

confidence: 96%

“…In a retrospective cohort study conducted by Jeong et al (11), the rate of prolonged OT (>4 h) in patients receiving RARN was higher than that for patients undergoing conventional LRN (11). Subsequently, using the multi-institutional renal masses database, Anele et al (22) found that the duration of surgery for RARN was significantly longer than that for LRN, with a median OT increase of approximately 60 min (median = 185 and 126 min for RARN and LRN, respectively). Contrary to the results of both studies, our findings suggest that OT was comparable between RARN and LRN.…”

Section: Discussionmentioning

confidence: 99%

“…Three articles were analyzed (18,19,22). A total of 989 patients were included, of whom 425 underwent RARN and 564 underwent LRN ( Figure 3C).…”

Section: Transfusion Ratementioning

confidence: 99%

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Comparison of Perioperative Outcomes of Robot-Assisted vs. Laparoscopic Radical Nephrectomy: A Systematic Review and Meta-Analysis

Peng

Cao

et al. 2020

Front. Oncol.

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Background: The use of robot-assisted radical nephrectomy (RARN) for renal cell carcinoma (RCC) has increased in recent years, but the advantages of RARN over laparoscopic radical nephrectomy (LRN) remain controversial. This study aimed to compare the perioperative outcomes between RARN and LRN. Methods: We systematically searched the EMBASE, PubMed, Web of Science, and CNKI databases to identify eligible comparative studies. The parameters were perioperative outcomes including operating time (OT), estimated blood loss (EBL), length of stay (LOS), conversion rate, and complications. Stata 15.0 software was used for the meta-analysis. Results: Seven studies with 1,832 patients were included in the analysis. Among them, 532 underwent RARN and 840 underwent LRN for RCC. There were no significant differences in OT (weighted mean difference [WMD], 29.05; 95% confidence interval [CI],

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

“…Three articles were analyzed (18,19,22). A total of 989 patients were included, of whom 425 underwent RARN and 564 underwent LRN ( Figure 3C).…”

Section: Transfusion Ratementioning

confidence: 99%

See 2 more Smart Citations

Comparison of Perioperative Outcomes of Robot-Assisted vs. Laparoscopic Radical Nephrectomy: A Systematic Review and Meta-Analysis

Peng

Cao

et al. 2020

Front. Oncol.

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“…Not only do results show that there is less blood loss and less problems with erectile dysfunction and continence post‐surgery, but most patients are able to be discharged home in 24 to 48 hours, meaning a reduction in the possibility of infection and allowing them to recover in their own surroundings . Robotic surgery is also used for nephrectomy and cystectomy, and eventually, intra‐corporal bladder reconstruction and ileal conduit formation will become the norm. Indeed, there are areas where this has already happened …”

mentioning

confidence: 99%