Urological and sexual function after robotic and laparoscopic surgery for rectal cancer: A systematic review, meta-analysis and meta-regression

Ian Jun Yan Wee, Li Jen Kuo, James Chi Yong Ngu

研究成果: 雜誌貢獻文章同行評審

2 引文 斯高帕斯(Scopus)

摘要

Background: This systematic review sought to compare the urogenital functions after laparoscopic (LAP) and robotic (ROB) surgery for rectal cancer. Methods: This study conformed to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Results: Twenty-six studies (n = 2709 for ROB, n = 2720 for LAP) were included. There was a lower risk of 30-day urinary retention in the ROB group (risk ratios 0.78, 95% confidence interval [CI] 0.61–0.99), but the long-term risk was comparable (p = 0.460). Meta-regression showed a small, positive relationship between age and risk of 30-day urinary retention in both the ROB (p = 0.034) and LAP groups (p = 0.004). The International Prostate Symptom Score was better in the ROB group at 3 months (mean difference [MD] −1.58, 95% CI −3.10 to −0.05). The International Index of Erectile Function score was better in the ROB group at 6 months (MD 4.06, 95% CI 2.38 – 5.74). Conclusion: While robotics may improve urogenital function after rectal surgery, the quality of evidence is low based on the Grading of Recommendations, Assessment, Development and Evaluation approach.
原文英語
頁(從 - 到)1-8
頁數8
期刊International Journal of Medical Robotics and Computer Assisted Surgery
17
發行號1
DOIs
出版狀態已發佈 - 二月 2021

ASJC Scopus subject areas

  • 手術
  • 生物物理學
  • 電腦科學應用

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