Robotic Radical Hysterectomy Is Not Superior to Laparoscopic Radical Hysterectomy in Perioperative Urologic Complications: A Meta-Analysis of 23 Studies.

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.

authors

Hwang JH,Kim BW,Kim SR,Kim JH

doi

10.1016/j.jmig.2019.07.008

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

38-47

issue

1

eissn

1553-4650

issn

1553-4669

pii

S1553-4650(19)30312-7

journal_volume

27

pub_type

杂志文章,meta分析
  • Needleoscopic Conservative Staging of Borderline Ovarian Tumor.

    abstract:STUDY OBJECTIVE:To investigate the safety and technical feasibility of needleoscopic fertility-sparing staging of borderline ovarian tumors. DESIGN:Video article and review of the literature (Canadian Task Force classification Level III). SETTING:This 29-year-old woman had a right ovarian cyst suspicious for borderli...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jmig.2016.10.009

    authors: Gueli Alletti S,Rossitto C,Perrone E,Cianci S,De Blasis I,Fagotti A,Scambia G

    更新日期:2017-01-01 00:00:00

  • Extracorporeal Manual Morcellation of Very Large Uteri Within an Enclosed Endoscopic Bag: Our 5-Year Experience.

    abstract:STUDY OBJECTIVES:To describe a technique to manually morcellate large uteri within a polyurethane endoscopic bag at the time of laparoscopic hysterectomy, and report perioperative outcomes from our 5 years of experience. STUDY DESIGN:Retrospective review of all consecutive hysterectomies with uterine weight >500 g per...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2016.03.016

    authors: Serur E,Zambrano N,Brown K,Clemetson E,Lakhi N

    更新日期:2016-09-01 00:00:00

  • Sterility of Selected Operative Sites During Total Laparoscopic Hysterectomy.

    abstract:STUDY OBJECTIVE:To describe the type and quantity of bacteria found intraoperatively on the abdomen, vagina, surgical gloves, instrument tips, and uterus at distinct time points during total laparoscopic hysterectomy (TLH). DESIGN:Observational study (Canadian Task Force classification III). SETTING:Academic affiliat...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2017.06.004

    authors: Shockley ME,Beran B,Nutting H,Arnolds K,Sprague ML,Zimberg S

    更新日期:2017-01-01 00:00:00

  • Reliability of visual diagnosis of endometriosis.

    abstract:OBJECTIVE:To determine whether accuracy of visual diagnosis of endometriosis at laparoscopy is determined by stage of disease. DESIGN:Prospective longitudinal cohort study (Canadian Task Force classification II-2). SETTING:Tertiary referral centers in three Australian states. PATIENTS:Of 1439 biopsy specimens, endom...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2013.04.017

    authors: Fernando S,Soh PQ,Cooper M,Evans S,Reid G,Tsaltas J,Rombauts L

    更新日期:2013-11-01 00:00:00

  • Short-acting and Long-acting Opioids Utilization among Women Diagnosed with Endometriosis in the United States: A Population-based Claims Study.

    abstract:STUDY OBJECTIVE:To determine the prevalence and pattern of opioid use in endometriosis and the characteristics of patients prescribed an opioid using medical insurance claims data. DESIGN:We performed a retrospective cohort analysis of data from the Truven MarketScan Commercial database for the period of January 1, 20...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2020.05.029

    authors: As-Sanie S,Soliman AM,Evans K,Erpelding N,Lanier RK,Katz NP

    更新日期:2020-06-09 00:00:00

  • Identifying the Rate-Limiting Step in Total Laparoscopic Hysterectomy in a Training Hospital.

    abstract:STUDY OBJECTIVE:To identify the lengthiest step of total laparoscopic hysterectomy (TLH) in a teaching hospital and to determine which clinical factors affect the duration of this step. SETTING:The University of Louisville Hospital. DESIGN:Single institution retrospective case series. METHODS AND MAIN RESULTS:This i...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2015.04.020

    authors: Torres D,Lang TG,Pasic R,Biscette S,Gunaratnam B,Shiber LD

    更新日期:2015-09-01 00:00:00

  • Clinical characteristics of adnexal masses in Korean children and adolescents: retrospective analysis of 409 cases.

    abstract:STUDY OBJECTIVE:To analyze the clinical characteristics of young Korean female children and adolescents who underwent surgery because of adnexal masses during the last 14 years. DESIGN:Retrospective cohort study (Canadian Task Force classification II-2). SETTING:University hospital. PATIENTS:Three hundred ninety-six...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2009.12.013

    authors: Ryoo U,Lee DY,Bae DS,Yoon BK,Choi D

    更新日期:2010-03-01 00:00:00

  • Endometriosis of the round ligament of the uterus.

    abstract:STUDY OBJECTIVE:To demonstrate the prevalence of endometriosis in the intrapelvic portion of the round ligaments of the uterus (RLUs) and to propose criteria for their excision. DESIGN:Retrospective case series analysis of women undergoing laparoscopy for the treatment of deep infiltrating endometriosis (Canadian Task...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2011.09.006

    authors: Crispi CP,de Souza CA,Oliveira MA,Dibi RP,Cardeman L,Sato H,Schor E

    更新日期:2012-01-01 00:00:00

  • Laparoscopic Management of Ureteral Endometriosis and Hydronephrosis Associated With Endometriosis.

    abstract::STUDY OBJECTIVE: To evaluate if laparoscopic treatment of ureteral endometriosis is feasible, safe, and effective and to determine if ureteral dilatation and/or the number of incisions increases complications. DESIGN:An institutional review board-approved retrospective cohort study of consecutive patients who underwe...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2016.11.018

    authors: Alves J,Puga M,Fernandes R,Pinton A,Miranda I,Kovoor E,Wattiez A

    更新日期:2017-01-01 00:00:00

  • Intramyometrial Injection of Vasopressin: A Novel Method for Hemostasis at Laparoscopic Management of Cornual Ectopic.

    abstract:STUDY OBJECTIVE:Although all ectopic pregnancies are associated with risk of hemorrhage, cornual pregnancies are feared for catastrophic hemorrhage and uncontrollable bleeding. The maternal mortality rate can be as high as 2.5%, which is 7 times higher than the mortality rate for ectopic pregnancies in general. Differe...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2017.04.005

    authors: Bettaiah R,Kamath SS

    更新日期:2017-01-01 00:00:00

  • Preoperative Oral Carbohydrate Loading in Laparoscopic Gynecologic Surgery: A Randomized Controlled Trial.

    abstract:STUDY OBJECTIVE:To determine whether carbohydrate loading improves the postoperative quality of recovery (QoR) better than the midnight fasting policy in laparoscopic gynecologic surgeries. DESIGN:Randomized, parallel-group trial. SETTING:Tertiary university hospital. PATIENTS:Female patients scheduled for laparosco...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2020.12.002

    authors: Cho EA,Lee NH,Ahn JH,Choi WJ,Byun JH,Song T

    更新日期:2020-12-10 00:00:00

  • Efficacy of barriers and hypoxia-inducible factor inhibitors to prevent CO(2) pneumoperitoneum-enhanced adhesions in a laparoscopic mouse model.

    abstract:STUDY OBJECTIVE:To investigate the effects of hypoxia-inducible factor (HIF) inhibitors, flotation agents, barriers, and a surfactant on pneumoperitoneum-enhanced adhesions in a laparoscopic mouse model. DESIGN:Prospective randomized trial (Canadian Task Force classification I). SETTING:Department of Obstetrics and G...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2007.04.002

    authors: Binda MM,Molinas CR,Bastidas A,Jansen M,Koninckx PR

    更新日期:2007-09-01 00:00:00

  • Does response to hormonal therapy predict presence or absence of endometriosis?

    abstract:STUDY OBJECTIVE:We sought to determine whether relief of chronic pelvic pain symptoms with hormonal treatment is predictive of presence or absence of endometriosis or location of endometriosis within the pelvis. DESIGN:A retrospective, chart review (Canadian Task Force classification II-3). SETTING:A private practice...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2007.09.002

    authors: Jenkins TR,Liu CY,White J

    更新日期:2008-01-01 00:00:00

  • Surgical hysteroscopic treatment of cesarean-induced isthmocele in restoring fertility: prospective study.

    abstract::The reproductive outcome in 41 consecutive patients with cesarean-induced isthmocele and secondary infertility was evaluated prospectively. Patients included menopausal women (mean [SD; 95% CI] age, 35 [4.1; 29-42] years), with fertility duration of 3 to 8 (4.6 [28]) years with isthmocele, postmenstrual abnormal uteri...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2010.10.011

    authors: Gubbini G,Centini G,Nascetti D,Marra E,Moncini I,Bruni L,Petraglia F,Florio P

    更新日期:2011-03-01 00:00:00

  • Is uterine artery embolization for cervical ectopic pregnancy always safe?

    abstract::The study objective was to assess the feasibility and the efficacy of bilateral uterine artery embolization (BUAE) for the treatment of cervical pregnancy. The design was a series of 3 cases of viable cervical pregnancy diagnosed by transvaginal ultrasonography and treated by means of BUAE and subsequent uterine curet...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jmig.2007.05.017

    authors: Martinelli P,Maruotti GM,Oppedisano R,Agangi A,Mazzarelli LL,Votino C,Quarantelli M,Iaccarino V

    更新日期:2007-11-01 00:00:00

  • Impact of Surgical Route in Influencing the Risk of Lymphatic Complications After Ovarian Cancer Staging.

    abstract::Lymphatic complications are a common occurrence after staging surgery for early-stage ovarian cancer (eEOC). We investigated whether the introduction of minimally invasive surgery influences the risk of developing lymphoceles and lymphorrhea in patients undergoing staging for eEOC. For this purpose, data of consecutiv...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.jmig.2017.03.014

    authors: Bogani G,Borghi C,Ditto A,Signorelli M,Martinelli F,Chiappa V,Scaffa C,Perotto S,Leone Roberti Maggiore U,Montanelli L,Di Donato V,Infantino C,Lorusso D,Raspagliesi F

    更新日期:2017-01-01 00:00:00

  • Minimally Invasive Surgery for Resection of Diaphragm Metastases in Ovarian Cancer.

    abstract:STUDY OBJECTIVE:To estimate pulmonary complications and diaphragm recurrence after resection of diaphragm metastases by minimally invasive surgery (MIS) for epithelial ovarian cancer (EOC). DESIGN:Retrospective analysis (Canadian Task Force classification III). SETTING:Mayo Clinic in Scottsdale, Arizona, from January...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2018.12.003

    authors: Magrina JF,Guardiola TC,Magtibay PM 3rd,Kosiorek HE,Magtibay PM

    更新日期:2019-01-01 00:00:00

  • Pentoxifylline therapy after laparoscopic surgery for different stages of endometriosis: a prospective, double-blind, randomized, placebo-controlled study.

    abstract:STUDY OBJECTIVE:To evaluate the effects of pentoxifylline administration on patients with different stages of endometriosis on whom laparoscopy was performed. DESIGN:Prospective, double-blind, randomized, placebo-controlled clinical (Canadian Task Force classification I). SETTING:University and private hospitals. PA...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jmig.2006.06.024

    authors: Alborzi S,Ghotbi S,Parsanezhad ME,Dehbashi S,Alborzi S,Alborzi M

    更新日期:2007-01-01 00:00:00

  • Robotic-Assisted Laparoscopic Treatment of Residual Ectopic Pregnancy in a Previous Cesarean Section Scar: A Case Report.

    abstract:STUDY OBJECTIVE:To describe a technique of robotic-assisted laparoscopy of residual cesarean scar pregnancy (CSP) and uterine defect repair. DESIGN:Video case report, with step-by-step explanation of the procedure (Canadian Task Force classification III) SETTING: CSP may be treated by different approaches including su...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2016.08.815

    authors: Schmitt A,Crochet P,Agostini A

    更新日期:2017-01-01 00:00:00

  • Laparoscopic versus open abdominal management of cervical cancer: long-term results from a propensity-matched analysis.

    abstract:STUDY OBJECTIVE:To compare perioperative and long-term outcomes related to laparoscopic and open abdominal surgical management of cervical cancer. DESIGN:Propensity-matched comparison of prospectively collected data (Canadian Task Force classification II-1). SETTING:University teaching hospital. PATIENTS:Sixty-five ...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2014.03.018

    authors: Bogani G,Cromi A,Uccella S,Serati M,Casarin J,Pinelli C,Ghezzi F

    更新日期:2014-09-01 00:00:00

  • A phase III randomized clinical trial comparing laparoscopic or robotic radical hysterectomy with abdominal radical hysterectomy in patients with early stage cervical cancer.

    abstract:STUDY OBJECTIVE:Cervical cancer is a significant health problem in countries of the developing world. Although case series suggest advantages of total laparoscopic radical hysterectomy (TLRH) compared with total abdominal radical hysterectomy (TARH), no randomized controlled trial is currently available to establish TL...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.jmig.2008.06.013

    authors: Obermair A,Gebski V,Frumovitz M,Soliman PT,Schmeler KM,Levenback C,Ramirez PT

    更新日期:2008-09-01 00:00:00

  • Preoperative Ultrasound Indications Determine Excision Technique for Bowel Surgery for Deep Infiltrating Endometriosis: A Single, High-Volume Center.

    abstract:STUDY OBJECTIVE:To identify bowel nodule features of deep infiltrating endometriosis (DIE) measured through preoperative ultrasound scanning that influence laparoscopic surgical strategy. DESIGN:A retrospective study. SETTING:Malzoni Clinic-Endoscopica Malzoni Department, Center for Advanced Endoscopic Gynecological ...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2019.08.034

    authors: Malzoni M,Casarella L,Coppola M,Falcone F,Iuzzolino D,Rasile M,Di Giovanni A

    更新日期:2020-01-01 00:00:00

  • Impact of Temporary Protective Ileostomy on Intestinal Function and Quality of Life after a 2-Year Follow-up in Patients Who Underwent Colorectal Segmental Resection for Endometriosis.

    abstract:STUDY OBJECTIVE:To compare 2-year follow-up intestinal function and quality of life (QoL) between women with temporary protective ileostomy (PI) and recanalization and women without PI after colorectal segmental resection for deep infiltrating endometriosis (DIE). DESIGN:Prospective observational exploratory study. S...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2019.10.017

    authors: Raimondo D,Mattioli G,Degli Esposti E,Gregori B,Del Forno S,Mastronardi M,Arena A,Borghese G,Ambrosio M,Seracchioli R

    更新日期:2020-01-01 00:00:00

  • Laparoscopic Management of Ovarian Cancer Patients With Localized Carcinomatosis and Lymph Node Metastases: Results of a Retrospective Multi-institutional Series.

    abstract:STUDY OBJECTIVE:To investigate the feasibility and safety of laparoscopic cytoreduction in ovarian cancer patients with localized carcinomatosis or lymph node involvement. DESIGN:Retrospective cohort study (Canadian Task Force classification II-2). SETTING:Multi-institutional study performed in 6 referral gynecologic...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jmig.2016.01.029

    authors: Gallotta V,Ghezzi F,Vizza E,Fagotti A,Ceccaroni M,Fanfani F,Chiantera V,Ercoli A,Rossitto C,Conte C,Uccella S,Corrado G,Scambia G,Ferrandina G

    更新日期:2016-05-01 00:00:00

  • Studying surgical innovations: challenges of the randomized controlled trial.

    abstract::The randomized controlled trial (RCT) is designed to measure the efficacy of an intervention and is considered to be the most rigorous form of research, allowing for causal inferences to be made between treatments and outcomes. When designing an RCT, one must consider its essential methodological components including ...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jmig.2015.02.012

    authors: Unger CA,Barber MD

    更新日期:2015-05-01 00:00:00

  • Identification of Predictive Factors in Endometriosis for Improvement in Patient Quality of Life.

    abstract:STUDY OBJECTIVE:To investigate predictive factors for change in quality of life (QOL) between pre- and postoperative periods in patients with endometriosis. DESIGN:A prospective and multicenter cohort study. SETTING:Five districts including a tertiary referral center and private and general public hospitals. PATIENT...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jmig.2019.05.013

    authors: Comptour A,Pereira B,Lambert C,Chauvet P,Grémeau AS,Pouly JL,Canis M,Bourdel N

    更新日期:2020-01-01 00:00:00

  • Effect of surgery for endometrioma on ovarian function.

    abstract::Endometriosis affects a significant proportion of reproductive-aged women. The impact of the disease on ovarian function is an important consideration when planning treatment in women who want to retain the potential of future childbearing. This review will specifically address the association between endometriomas an...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jmig.2013.09.012

    authors: Shah DK,Mejia RB,Lebovic DI

    更新日期:2014-03-01 00:00:00

  • Colouterine fistula complicating diverticulitis diagnosed at hysteroscopy: case report.

    abstract::Since Noecker first reported a colouterine fistula secondary to diverticulitis in 1929, about 20 cases have been reported in the literature. Methods for diagnosis have yet to be established. Herein we report the first case of a colouterine fistula at the level of the isthmus diagnosed at hysteroscopy. Diagnostic hyste...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2011.08.725

    authors: Mandato VD,Abrate M,Sandonà F,Costagliola L,Gastaldi A,La Sala GB

    更新日期:2012-01-01 00:00:00

  • Technicity in Canada: A nationwide whole population analysis of temporal trends and variation in minimally invasive hysterectomies.

    abstract:STUDY OBJECTIVE:The objective of our study is to provide a contemporary description of hysterectomy practice and temporal trends in Canada. DESIGN:A national whole population retrospective analysis of data from the Canadian Institute for Health Information SETTING: Canada PATIENTS: All women who underwent hysterectomy...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2021.01.010

    authors: Chen I,Mallick R,Allaire C,Bajzak KI,Belland LM,Bougie O,Cassell KA,Choudhry AJ,Cundiff GW,Kroft J,Leyland NA,Maheux-Lacroix S,Rajakumar C,Randle E,Robertson D,Thiel JA,Tulandi T,Yong PJ,Laberge PY

    更新日期:2021-01-18 00:00:00

  • Robotic surgery: changing the surgical approach for endometrial cancer in a referral cancer center.

    abstract:STUDY OBJECTIVE:To study the effect of robotic surgery on the surgical approach to endometrial cancer in a gynecologic oncology center over a short time. DESIGN:Prospective analysis of patients with early-stage endometrial cancer who underwent robotic surgery. SETTING:Teaching hospital. PATIENTS:Eighty patients who ...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2009.03.013

    authors: Peiretti M,Zanagnolo V,Bocciolone L,Landoni F,Colombo N,Minig L,Sanguineti F,Maggioni A

    更新日期:2009-07-01 00:00:00