Abstract
BackgroundTo compare the postoperative continence and clinical outcomes of Retzius-sparing robot-assisted laparoscopic radical prostatectomy (RS-RALP) with non-RS RALP for patients with prostate cancer.MethodsWe searched PUBMED, EMBASE and the Cochrane Central Register from 1999 to 2019 for studies comparing RS-RALP to non-RS RALP for the treatment of prostate cancer. We used RevMan 5.2 to pool the data.ResultsA total of eight studies involving 1620 patients were included in our meta-analysis. No significant difference was found in positive surgical margins (PSM), bilateral nerve-sparing, postoperative hernia, complications, blood loss, or operative time. Postoperative continence was better with RS-RALP compared with non-RS RALP (OR = 1.02, OR: 2.86, 95% CI 1.94–4.20, p < 0.05).ConclusionsRS-RALP had a better recovery of postoperative continence than non-RS RALP. The perioperative outcomes were comparable for the two methods.
Highlights
To compare the postoperative continence and clinical outcomes of Retzius-sparing robot-assisted laparoscopic radical prostatectomy (RS-RALP) with non-Retzius space sparing (RS) RALP for patients with prostate cancer
No significant difference was found in the positive surgical margin (PSM), bilateral nerve-sparing, postoperative hernia, complications, blood loss, and operative time
Our study indicated that patients who underwent Retzius-sparing RALP (RSRALP) had a faster recovery of urinary continence than patients who underwent non-RS RALP (OR: 2.86, 95% Confidence interval (CI) 1.94–4.20, p < 0.05, Fig. 2)
Summary
To compare the postoperative continence and clinical outcomes of Retzius-sparing robot-assisted laparoscopic radical prostatectomy (RS-RALP) with non-RS RALP for patients with prostate cancer. Methods: We searched PUBMED, EMBASE and the Cochrane Central Register from 1999 to 2019 for studies comparing RS-RALP to non-RS RALP for the treatment of prostate cancer. Postoperative continence was better with RS-RALP compared with non-RS RALP (OR = 1.02, OR: 2.86, 95% CI 1.94–4.20, p < 0.05). Robotic-assisted laparoscopic radical prostatectomy (RALP) has been widely used in recent times [1]. Abu-Ghanem et al reported that Retzius space reconstruction after transperitoneal laparoscopic robot-assisted radical prostatectomy was a better way to accelerate postoperative urinary continence, reduce early and postoperative complication rates and shorten LOS [10]
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