Robotic Surgery in Uro-oncology: A Systematic Review and Meta-analysis of Randomized Controlled Trials.
Robotic surgery represents a new horizon in minimally invasive urologic surgery. This systematic review of the literature and meta-analysis examines the effectiveness of robotic surgery compared with laparoscopic or open surgery for major uro-oncological procedures. Twenty-five articles reported findings from 8 trials of prostatectomy (4 trials) and cystectomy (4 trials) including 1033 participants. Robotic surgery is comparable with laparoscopic or open surgery for oncological outcomes and overall complications, and provides somewhat better functional outcome when compared with laparoscopic and open surgery.
Surgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital (RPAH), Sydney, Australia; Sydney Medical School, The University of Sydney, Sydney, Australia. Electronic address: Daniel.Steffens@sswahs.nsw.gov.au.
Daniel
D
Steffens
The Institute of Academic Surgery (IAS), Royal Prince Alfred Hospital, Sydney, Australia.
Ruban
R
Thanigasalam
The Institute of Academic Surgery (IAS), Royal Prince Alfred Hospital, Sydney, Australia.
Scott
S
Leslie
Surgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital (RPAH), Sydney, Australia.
Bharvi
B
Maneck
Surgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital (RPAH), Sydney, Australia; Sydney Medical School, The University of Sydney, Sydney, Australia; The Institute of Academic Surgery (IAS), Royal Prince Alfred Hospital, Sydney, Australia.
Jane M
JM
Young
Surgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital (RPAH), Sydney, Australia; Sydney Medical School, The University of Sydney, Sydney, Australia; The Institute of Academic Surgery (IAS), Royal Prince Alfred Hospital, Sydney, Australia.
Michael
M
Solomon
D015653:Cystectomy; D006801:Humans; D010535:Laparoscopy; D011468:Prostatectomy; D016032:Randomized Controlled Trials as Topic; D065287:Robotic Surgical Procedures; D014565:Urogenital Neoplasms / Q000601:surgery*