The outcomes of robot-assisted surgery in the treatment of neurogenic lower urinary tract dysfunctions: a systematic review and meta-analysis

被引:0
作者
Geretto, Paolo [1 ]
De Cillis, Sabrina [2 ]
Osman, Nadir I. [3 ]
Cancrini, Fabiana [4 ]
Culha, Mehmet Gokhan [5 ]
Doizi, Steeve [6 ]
Guillot-Tantay, Cyrille [7 ]
Herve, Francois [8 ]
Przydacz, Mikolaj [9 ]
Raison, Nicholas [10 ]
Fernandez, Antonio Tienza [11 ]
Tutolo, Manuela [12 ]
Vale, Luis [13 ]
Phe, Veronique [6 ]
机构
[1] Univ Turin, Dept Surg Sci, Citta Salute & Sci, Via Gianfranco Zuretti 24, I-10126 Turin, Italy
[2] Univ Turin, San Luigi Gonzaga Hosp, Dept Oncol, Div Urol, Orbassano, Italy
[3] Royal Hallamshire Hosp, Dept Urol, Sheffield, England
[4] Sapienza Univ, Dept Med & Surg Sci & Translat Med, Rome, Italy
[5] Univ Hlth Sci, Prof Dr Cemil Tascioglu City Hosp, Dept Urol, Istanbul, Turkiye
[6] Sorbonne Univ, Tenon Hosp, AP HP, Dept Urol, Paris, France
[7] Hop Foch, Serv Urol, Suresnes, France
[8] Ghent Univ Hosp, ERN Accredited Ctr, Dept Urol, Ghent, Belgium
[9] Jagiellonian Univ Med Coll, Dept Urol, Krakow, Poland
[10] Kings Coll London, Kings Coll Hosp, London, England
[11] Son Espases Univ Hosp, Hlth Res Inst Balearic Isl, Urol Dept, Palma De Mallorca 07120, Spain
[12] IRCCS San Raffaele Hosp, Urol Res Inst, Div Oncol, Unit Urol, Milan, Italy
[13] Ctr Hosp Univ Sao Joao, Dept Ophthalmol, Porto, Portugal
关键词
Robotic surgery; NLUTD; Neurogenic bladder; Ileal conduit; Augmentation cystoplasty; Artificial urinary sphicter; Continent urinary diversion; SUPRATRIGONAL CYSTECTOMY; AUGMENTATION ILEOCYSTOPLASTY; ILEAL CONDUIT; CYSTOPLASTY; VALIDATION;
D O I
10.1007/s00345-024-05312-7
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Aims To assess the outcomes of robotic surgery for patients with neurogenic lower urinary tract dysfunctions (NLUTD). Materials and methods Studies evaluating the outcomes (efficacy and safety) of robot-assisted ileal conduit creation or artificial urinary sphincter (R-AUS) implantation or augmentation cystoplasty or continent urinary diversion creation in patients with NLUTD were included. The search strategy and studies selection were performed on Medline, Embase and Cochrane using the PICOS method according to the PRISMA statement (PROSPERO 2022 CRD42022333157). The comparator, if available, was the use of open or laparoscopic technique. Meta-analysis was performed whenever possible. The remaining articles were synthesized narratively. Results Eight articles were included. Five described the outcomes of robot-assisted cystectomy with ileal conduit creation, two described the outcomes of augmentation cystoplasty and continent urinary diversion creation and one described R-AUS implantation in patients with NLUTD. The risk of bias was high. Three articles comparing the outcomes of robotic and open cystectomy and ileal conduit creation were suitable for meta-analysis. According to our meta-analysis, robot-assisted surgery had better outcomes compared to open surgery in terms of high-grade early postoperative complications (OR 0.39; 0.19-0.79; p = 0.01), days to bowel recovery (Cohen's D = - 0.62 +/- 0.14, p < 0.001), length of hospitalisation (Cohen's D = - 0.28 +/- 0.13; p = 0.03) and estimated blood loss (Cohen's D = - 1.17 +/- 0.14, p < 0.001).Regarding AUS implantation, augmentation cystoplasty and continent urinary diversion creation, the outcomes from the articles included in our systematic review showed a 16-40% overall early complication rate in case of augmentation cystoplasty and 22% in case of AUS implantation. Conclusions Robot-assisted surgery may have several advantages over open surgery in the treatment of NLUTDs. However, current evidence is insufficient to draw firm conclusions. Further high-quality studies are needed to better understand the role of robotic surgery in the treatment of NLUTD.
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页数:13
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共 30 条
[1]   Robotic versus open cystectomy with ileal conduit for the management of neurogenic bladder: a comparative study [J].
Beirnaert, Jeanne ;
Benarroche, Davy ;
Pinar, Ugo ;
Roupret, Morgan ;
Phe, Veronique ;
Vaessen, Christophe ;
Parra, Jerome ;
Chartier-Kastler, Emmanuel ;
Seisen, Thomas .
WORLD JOURNAL OF UROLOGY, 2022, 40 (12) :2963-2970
[2]  
Blok B, 2023, EAU ANN C MIL MARCH
[3]   Robot-assisted laparoscopic cystectomy with non-continent urinary diversion for neurogenic lower urinary tract dysfunction: Midterm outcomes [J].
Calen, Laura ;
Mesnard, Benoit ;
Hedhli, Oussama ;
Broudeur, Lucas ;
Reiss, Benedicte ;
Loubersac, Thomas ;
Branchereau, Julien ;
Baron, Maximilien ;
Rigaud, Jerome ;
Le Fort, Marc ;
Perrouin-Verbe, Brigitte ;
Le Normand, Loic ;
Lefevre, Chloe ;
Perrouin-Verbe, Marie-Aimee .
NEUROUROLOGY AND URODYNAMICS, 2023, 42 (03) :586-596
[4]   Post-traumatic syringomyelia: What should know the urologist? [J].
Caremel, R. ;
Hamel, O. ;
Gerardin, E. ;
Lenormand, L. ;
Parker, F. ;
Lefort, M. ;
Grise, P. ;
Perrouin-Verbe, B. .
PROGRES EN UROLOGIE, 2013, 23 (01) :8-14
[5]   Quality of life in spinal cord injury patients with urinary difficulties - Development and validation of qualiveen [J].
Costa, P ;
Perrouin-Verbe, B ;
Colvez, A ;
Didier, JP ;
Marquis, P ;
Marrel, A ;
Amarenco, G ;
Espirac, B ;
Leriche, A .
EUROPEAN UROLOGY, 2001, 39 (01) :107-113
[6]   Opening the Horizons of Functional Urology and Neurourology to Robot-assisted Surgery [J].
De Cillis, Sabrina ;
Geretto, Paolo ;
Phe, Veronique .
EUROPEAN UROLOGY, 2023, 83 (03) :189-190
[7]   Comparison of the morbidity and mortality of cystectomy and ileal conduit urinary diversion for neurogenic lower urinary tract dysfunction according to the approach: Laparotomy, laparoscopy or robotic [J].
Deboudt, Constance ;
Perrouin-Verbe, Marie-Aimee ;
Le Normand, Loic ;
Perrouin-Verbe, Brigitte ;
Buge, Francois ;
Rigaud, Jerome .
INTERNATIONAL JOURNAL OF UROLOGY, 2016, 23 (10) :848-853
[8]   Classification of surgical complications - A new proposal with evaluation in a cohort of 6336 patients and results of a survey [J].
Dindo, D ;
Demartines, N ;
Clavien, PA .
ANNALS OF SURGERY, 2004, 240 (02) :205-213
[9]   Long-term outcomes of artificial urinary sphincter in female patients with spina bifida [J].
Gasmi, Anis ;
Perrouin-Verbe, Marie-Aimee ;
Hascoet, Juliette ;
Bey, Elsa ;
Jezequel, Magali ;
Voiry, Caroline ;
Perrouin-Verbe, Brigitte ;
Game, Xavier ;
Manunta, Andrea ;
Lenormand, Loic ;
Capon, Gregoire ;
Peyronnet, Benoit .
NEUROUROLOGY AND URODYNAMICS, 2021, 40 (01) :412-420
[10]   Totally intracorporeal robot-assisted supratrigonal cystectomy and ileal augmentation cystoplasty with periprostatic artificial urinary sphincter implantation for male neurogenic mixed urinary incontinence [J].
Geretto, Paolo ;
De Cillis, Sabrina ;
Karsenty, Gilles ;
Candela, Luigi ;
Phe, Veronique .
MINERVA UROLOGY AND NEPHROLOGY, 2023, 75 (03) :272-274