首页|Affiliated Hospital of North Sichuan Medical College Reports Findings in Prostat ectomy (A comprehensive evaluation and metaanalysis of the perioperative and on cological outcomes of robotic radical prostatectomy using the DaVinci vs the Hug o ...)
Affiliated Hospital of North Sichuan Medical College Reports Findings in Prostat ectomy (A comprehensive evaluation and metaanalysis of the perioperative and on cological outcomes of robotic radical prostatectomy using the DaVinci vs the Hug o ...)
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2024 OCT 03 (NewsRx)-By a News Reporter-Staff News Editor at Robotics & Machine Learning Daily News Daily News-New research on Surgery - Prostatectom y is the subject of a report. According to news reporting originating from Sichu an, People's Republic of China, by NewsRx correspondents, research stated, "Beca use of the increasing popularity of Hugo RAS as a surgical platform, a compariso n examination of intraoperative and oncological outcomes across DaVinci and Hugo RAS robotic surgery platforms is urgently needed. We carried out a comprehensiv e review and meta-analysis of the literature of current research, comprehensivel y searching PubMed, Cochrane and Embase for eligible studies comparing the resul ts between the DaVinci and Hugo RAS." Our news editors obtained a quote from the research from the Affiliated Hospital of North Sichuan Medical College, "Preferred Reporting Items for Systematic Rev iews and Meta-Analyses (PRISMA) criteria were followed in the conduct of this st udy, with language restricted to English and a final search date of June 2024. W e excluded articles composed solely of conference abstracts and irrelevant conte nt. Composite outcomes were assessed using weighted mean differences (WMD) and o dds ratios (ORs). The risk of bias in individual research was assessed using the Newcastle-Ottawa Scale (NOS), and heterogeneity and bias risk were controlled f or using a sensitivity analysis. Six studies in all were considered, comprising 1025 patients, including 626 DaVinci patients and 399 Hugo RAS patients. Review Manager V5.4.1 software (Cochrane Collaboration, Oxford, UK) was utilized to con duct the meta-analysis, including 6 trials, which demonstrated that compared to Hugo RAS, DaVinci was associated with statistically significant differences in s everal outcomes: a reduction in operative time (OT) (WMD - 8.46, 95% CI - 13.56 to 3.36; p = 0.001), an increase in estimated blood loss (EBL) (WMD 4 1.68, 95% CI 23.59 to 59.77; p<0.00001), and an increased pelvic lymphadenectomy ratio (OR 1.5, 95% CI 1.05-2. 05; p = 0.01). On the contrary, there were no statistically noteworthy differenc es in the length of hospital stay (LOS) between the two teams (WMD - 0.05, 95% CI - 0.14 to 0.04; p = 0.25), nerve sparing (unilateral or bilateral) (OR 0.96, 95% CI 0.68-1.35; p = 0.8), postoperative complications (OR 1.15, 95% CI 0.50-2.64; p = 0.75), or positive surgical margins (PSM) (O R 1.08, 95% CI 0.76-1.54; p = 0.68). Although DaVinci offers short er operating times (OT) and increased pelvic lymph node dissection rates, Hugo R AS demonstrates lower estimated blood loss (EBL). Overall, Hugo RAS Robot-Assist ed Radical Prostatectomy (RARP) results seem to be similar to those obtained wit h the DaVinci system. Further research and long-term follow-up are necessary to ascertain durable oncological and functional outcomes, allowing doctors to switc h between robotic systems and use their skills."
SichuanPeople's Republic of ChinaAsi aEmerging TechnologiesHealth and MedicineMachine LearningMale Urologic S urgical ProceduresMen's HealthProstatectomyRoboticsRobotsSurgery
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