Hwang JH, Kim BW, Kim SR, Kim JH. Robotic Radical Hysterectomy Is Not Superior to Laparoscopic Radical Hysterectomy in Perioperative Urologic Complications: A Meta-Analysis of 23 Studies.
J Minim Invasive Gynecol 2019;
27:38-47. [PMID:
31315060 DOI:
10.1016/j.jmig.2019.07.008]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2019] [Revised: 07/05/2019] [Accepted: 07/11/2019] [Indexed: 11/16/2022]
Abstract
OBJECTIVE
This study aimed to compare the risks of intraoperative and postoperative urologic complications after robotic radical hysterectomy (RRH) compared with laparoscopic radical hysterectomy (LRH).
DATA SOURCES
We searched Pubmed, EMBASE, and the Cochrane Library for studies published up to March 2019. Related articles and relevant bibliographies of published studies were also checked.
METHODS OF STUDY SELECTION
Two researchers independently performed data extraction. We selected comparative studies that reported perioperative urologic complications.
TABULATION, INTEGRATION, AND RESULTS
Twenty-three eligible clinical trials were included in this analysis. When all studies were pooled, the odds ratio for the risk of any urologic complication after RRH compared with LRH was .91 (95% confidence interval [CI], .64-1.28; p = .585). The odds ratios for intraoperative and postoperative complications after RRH versus LRH were .86 (95% CI, .48-1.55; p = .637) and .94 (95% CI, .64-1.38; p = .767), respectively. In a secondary analysis study quality, study location, and the publication year were not associated with intraoperative or postoperative urologic complications.
CONCLUSION
Current evidence suggests that RRH is not superior to LRH in terms of perioperative urologic complications.
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