Robotic versus laparoscopic surgery for rectal cancer in male urogenital function preservation, a meta-analysis
Abstract Background Urogenital dysfunction after rectal cancer surgery can largely affect patients’ postoperative quality of life. Whether robotic surgery can be a better option when comparing with laparoscopic surgery is still not well-known. Methods Comprehensive search in PubMed, Embase, Cochrane...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-10-01
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| Series: | World Journal of Surgical Oncology |
| Online Access: | http://link.springer.com/article/10.1186/s12957-018-1499-y |
| _version_ | 1818132704203374592 |
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| author | Xiaoli Tang Zheng Wang Xiaoqing Wu Meiyuan Yang Daorong Wang |
| author_facet | Xiaoli Tang Zheng Wang Xiaoqing Wu Meiyuan Yang Daorong Wang |
| author_sort | Xiaoli Tang |
| collection | DOAJ |
| description | Abstract Background Urogenital dysfunction after rectal cancer surgery can largely affect patients’ postoperative quality of life. Whether robotic surgery can be a better option when comparing with laparoscopic surgery is still not well-known. Methods Comprehensive search in PubMed, Embase, Cochrane Library, and Clinical Trials was conducted to identify relevant studies in March 2018. Studies comparing robotic surgery with laparoscopic surgery were included. Measurement of urogenital function was through the International Prostate Symptom Score and International Index of Erectile Function. Results Six studies with 386 patients in robotic group and 421 patients in laparoscopic group were finally included. Pooled analysis indicated that bladder function was better at 12 months in the robotic group after the procedures (mean difference, − 0.30, 95% CI, − 0.52 to − 0.08). No significant difference was found at 3 and 6 months postoperatively (mean difference, − 0.37, 95% CI, − 1.48 to 0.73; mean difference, − 1.21, 95% CI, − 2.69 to 0.28). Sexual function was better at 3 months in the robotic group after surgery (mean difference, − 3.28, 95% CI, − 6.08 to − 0.49) and not significantly different at 6 and 12 months. (mean difference, 3.78, 95% CI, − 7.37 to 14.93; mean difference, − 2.82, 95% CI, − 8.43 to 2.80). Conclusion Robotic surgery may offer faster recovery in urogenital function compared to laparoscopic surgery for rectal cancer. |
| first_indexed | 2024-12-11T08:41:03Z |
| format | Article |
| id | doaj.art-d8c67e9f244740568895f1708a19a645 |
| institution | Directory Open Access Journal |
| issn | 1477-7819 |
| language | English |
| last_indexed | 2024-12-11T08:41:03Z |
| publishDate | 2018-10-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Surgical Oncology |
| spelling | doaj.art-d8c67e9f244740568895f1708a19a6452022-12-22T01:14:16ZengBMCWorld Journal of Surgical Oncology1477-78192018-10-011611910.1186/s12957-018-1499-yRobotic versus laparoscopic surgery for rectal cancer in male urogenital function preservation, a meta-analysisXiaoli Tang0Zheng Wang1Xiaoqing Wu2Meiyuan Yang3Daorong Wang4Department of General Surgery, The Second Xiangya Hospital of Central South UniversityDepartment of General Surgery, Medical College of Yangzhou UniversityDepartment of General Surgery, Medical College of Yangzhou UniversityDepartment of General Surgery, The Second Xiangya Hospital of Central South UniversityDepartment of General Surgery, The northern Jiangsu people’s HospitalAbstract Background Urogenital dysfunction after rectal cancer surgery can largely affect patients’ postoperative quality of life. Whether robotic surgery can be a better option when comparing with laparoscopic surgery is still not well-known. Methods Comprehensive search in PubMed, Embase, Cochrane Library, and Clinical Trials was conducted to identify relevant studies in March 2018. Studies comparing robotic surgery with laparoscopic surgery were included. Measurement of urogenital function was through the International Prostate Symptom Score and International Index of Erectile Function. Results Six studies with 386 patients in robotic group and 421 patients in laparoscopic group were finally included. Pooled analysis indicated that bladder function was better at 12 months in the robotic group after the procedures (mean difference, − 0.30, 95% CI, − 0.52 to − 0.08). No significant difference was found at 3 and 6 months postoperatively (mean difference, − 0.37, 95% CI, − 1.48 to 0.73; mean difference, − 1.21, 95% CI, − 2.69 to 0.28). Sexual function was better at 3 months in the robotic group after surgery (mean difference, − 3.28, 95% CI, − 6.08 to − 0.49) and not significantly different at 6 and 12 months. (mean difference, 3.78, 95% CI, − 7.37 to 14.93; mean difference, − 2.82, 95% CI, − 8.43 to 2.80). Conclusion Robotic surgery may offer faster recovery in urogenital function compared to laparoscopic surgery for rectal cancer.http://link.springer.com/article/10.1186/s12957-018-1499-y |
| spellingShingle | Xiaoli Tang Zheng Wang Xiaoqing Wu Meiyuan Yang Daorong Wang Robotic versus laparoscopic surgery for rectal cancer in male urogenital function preservation, a meta-analysis World Journal of Surgical Oncology |
| title | Robotic versus laparoscopic surgery for rectal cancer in male urogenital function preservation, a meta-analysis |
| title_full | Robotic versus laparoscopic surgery for rectal cancer in male urogenital function preservation, a meta-analysis |
| title_fullStr | Robotic versus laparoscopic surgery for rectal cancer in male urogenital function preservation, a meta-analysis |
| title_full_unstemmed | Robotic versus laparoscopic surgery for rectal cancer in male urogenital function preservation, a meta-analysis |
| title_short | Robotic versus laparoscopic surgery for rectal cancer in male urogenital function preservation, a meta-analysis |
| title_sort | robotic versus laparoscopic surgery for rectal cancer in male urogenital function preservation a meta analysis |
| url | http://link.springer.com/article/10.1186/s12957-018-1499-y |
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