Intracorporeal versus extracorporeal urinary diversion in robot-assisted radical cystectomy: a systematic review and meta-analysis
This systematic review and meta-analysis aimed to assess and compare the perioperative and oncological outcomes of intracorporeal (ICUD) and extracorporeal (ECUD) urinary diversion following robot-assisted radical cystectomy (RARC). A systematic literature search of articles was performed in PubMed...
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| Veröffentlicht in: | International journal of clinical oncology 2021-09, Vol.26 (9), p.1587-1599 |
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| creator | Katayama, Satoshi Mori, Keiichiro Pradere, Benjamin Mostafaei, Hadi Schuettfort, Victor M. Quhal, Fahad Motlagh, Reza Sari Laukhtina, Ekaterina Moschini, Marco Grossmann, Nico C. Nasu, Yasutomo Shariat, Shahrokh F. Fajkovic, Harun |
| description | This systematic review and meta-analysis aimed to assess and compare the perioperative and oncological outcomes of intracorporeal (ICUD) and extracorporeal (ECUD) urinary diversion following robot-assisted radical cystectomy (RARC). A systematic literature search of articles was performed in PubMed
®
, Web of Science
®
, and Scopus
®
databases according to the Preferred Reporting Items for Systematic Review and Meta-Analysis statement. We included studies that compared patients who underwent RARC with ICUD to those with ECUD. Twelve studies including 3067 patients met the eligibility criteria. There were no significant differences between ICUD and ECUD in overall and major complications, regardless of the period (short-term [≤ 30 days] or mid-term [> 30 days]). Subgroup analyses demonstrated that ICUD performed by high-volume centers exhibited a significantly reduced risk of major complications (short-term: OR 0.57, 95% CI 0.37–0.86,
p
= 0.008, mid-term: OR 0.66, 95% CI 0.46–0.94,
p
= 0.02). Patients who underwent ICUD had lower estimated blood loss (MD -102.3 ml, 95% CI − 132.8 to − 71.8,
p
|
| doi_str_mv | 10.1007/s10147-021-01972-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8364906</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2561331317</sourcerecordid><originalsourceid>FETCH-LOGICAL-c564t-e1c3abd950f67ca081bffd013e030994079ea1c818b66dfc7c621b4c49df80be3</originalsourceid><addsrcrecordid>eNp9kUFv1DAQhSNERUvhD3BAlrhwMfXYjp1wQEJVgUqVuMDZcuxJcZXEi51s2Su_vE63lJYDJ3tmvnn206uqV8DeAWP6JAMDqSnjQBm0mlP-pDoCKTTVWvOn5S4k0Fbx-rB6nvMVY6BVzZ9Vh6UvFTT1UfX7fJqTdTFtYkI7kC2mvGSCvx51lxQmm3bEh3Ue4kTCRFLs4kxtziHP6EmyPrjCul0p3RzH3XtiSV6r0c7BkYTbgNfETp6MOFtqJzvsyvKL6qC3Q8aXd-dx9f3T2bfTL_Ti6-fz048X1NVKzhTBCdv5tma90s6yBrq-9wwEMsHaVjLdogXXQNMp5XunneLQSSdb3zesQ3FcfdjrbpZuRO9wdT6YTQpj8WaiDebxZAo_zGXcmkYo2TJVBN7eCaT4c8E8mzFkh8NgJ4xLNryWQta15Lqgb_5Br-KSiuGVUiAECFgpvqdcijkn7O8_A8ysEZt9xKZEbG4jNrwsvX5o437lT6YFEHsgl9F0ienv2_-RvQFwHbaD</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2561331317</pqid></control><display><type>article</type><title>Intracorporeal versus extracorporeal urinary diversion in robot-assisted radical cystectomy: a systematic review and meta-analysis</title><source>SpringerLink Journals</source><creator>Katayama, Satoshi ; Mori, Keiichiro ; Pradere, Benjamin ; Mostafaei, Hadi ; Schuettfort, Victor M. ; Quhal, Fahad ; Motlagh, Reza Sari ; Laukhtina, Ekaterina ; Moschini, Marco ; Grossmann, Nico C. ; Nasu, Yasutomo ; Shariat, Shahrokh F. ; Fajkovic, Harun</creator><creatorcontrib>Katayama, Satoshi ; Mori, Keiichiro ; Pradere, Benjamin ; Mostafaei, Hadi ; Schuettfort, Victor M. ; Quhal, Fahad ; Motlagh, Reza Sari ; Laukhtina, Ekaterina ; Moschini, Marco ; Grossmann, Nico C. ; Nasu, Yasutomo ; Shariat, Shahrokh F. ; Fajkovic, Harun</creatorcontrib><description>This systematic review and meta-analysis aimed to assess and compare the perioperative and oncological outcomes of intracorporeal (ICUD) and extracorporeal (ECUD) urinary diversion following robot-assisted radical cystectomy (RARC). A systematic literature search of articles was performed in PubMed
®
, Web of Science
®
, and Scopus
®
databases according to the Preferred Reporting Items for Systematic Review and Meta-Analysis statement. We included studies that compared patients who underwent RARC with ICUD to those with ECUD. Twelve studies including 3067 patients met the eligibility criteria. There were no significant differences between ICUD and ECUD in overall and major complications, regardless of the period (short-term [≤ 30 days] or mid-term [> 30 days]). Subgroup analyses demonstrated that ICUD performed by high-volume centers exhibited a significantly reduced risk of major complications (short-term: OR 0.57, 95% CI 0.37–0.86,
p
= 0.008, mid-term: OR 0.66, 95% CI 0.46–0.94,
p
= 0.02). Patients who underwent ICUD had lower estimated blood loss (MD -102.3 ml, 95% CI − 132.8 to − 71.8,
p
< 0.00001), less likely to receive blood transfusion rates (OR 0.36, 95% CI 0.20–0.62,
p
= 0.00003); and these findings were consistent in subgroup analyses by low-volume centers (MD-121.6 ml, 95% CI − 160.9 to − 82.3,
p
< 0.00001 and OR 0.36, 95% CI 0.20–0.62,
p
= 0.00003, respectively). ICUD had a higher lymph node yield (MD 3.68, 95% CI 0.80–6.56,
p
= 0.01). Patients receiving ICUD provided comparable complications, superior perioperative outcomes, and similar oncological outcomes compared with ECUD. Centralization of patients may contribute to a reduction of postoperative complications, while maintaining the advantages.</description><identifier>ISSN: 1341-9625</identifier><identifier>EISSN: 1437-7772</identifier><identifier>DOI: 10.1007/s10147-021-01972-2</identifier><identifier>PMID: 34146185</identifier><language>eng</language><publisher>Singapore: Springer Singapore</publisher><subject>Blood transfusion ; Cancer Research ; Lymph nodes ; Medicine ; Medicine & Public Health ; Meta-analysis ; Oncology ; Review ; Review Article ; Robots ; Surgical Oncology ; Systematic review</subject><ispartof>International journal of clinical oncology, 2021-09, Vol.26 (9), p.1587-1599</ispartof><rights>The Author(s) 2021</rights><rights>2021. The Author(s).</rights><rights>The Author(s) 2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c564t-e1c3abd950f67ca081bffd013e030994079ea1c818b66dfc7c621b4c49df80be3</citedby><cites>FETCH-LOGICAL-c564t-e1c3abd950f67ca081bffd013e030994079ea1c818b66dfc7c621b4c49df80be3</cites><orcidid>0000-0002-8377-2457</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10147-021-01972-2$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10147-021-01972-2$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34146185$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Katayama, Satoshi</creatorcontrib><creatorcontrib>Mori, Keiichiro</creatorcontrib><creatorcontrib>Pradere, Benjamin</creatorcontrib><creatorcontrib>Mostafaei, Hadi</creatorcontrib><creatorcontrib>Schuettfort, Victor M.</creatorcontrib><creatorcontrib>Quhal, Fahad</creatorcontrib><creatorcontrib>Motlagh, Reza Sari</creatorcontrib><creatorcontrib>Laukhtina, Ekaterina</creatorcontrib><creatorcontrib>Moschini, Marco</creatorcontrib><creatorcontrib>Grossmann, Nico C.</creatorcontrib><creatorcontrib>Nasu, Yasutomo</creatorcontrib><creatorcontrib>Shariat, Shahrokh F.</creatorcontrib><creatorcontrib>Fajkovic, Harun</creatorcontrib><title>Intracorporeal versus extracorporeal urinary diversion in robot-assisted radical cystectomy: a systematic review and meta-analysis</title><title>International journal of clinical oncology</title><addtitle>Int J Clin Oncol</addtitle><addtitle>Int J Clin Oncol</addtitle><description>This systematic review and meta-analysis aimed to assess and compare the perioperative and oncological outcomes of intracorporeal (ICUD) and extracorporeal (ECUD) urinary diversion following robot-assisted radical cystectomy (RARC). A systematic literature search of articles was performed in PubMed
®
, Web of Science
®
, and Scopus
®
databases according to the Preferred Reporting Items for Systematic Review and Meta-Analysis statement. We included studies that compared patients who underwent RARC with ICUD to those with ECUD. Twelve studies including 3067 patients met the eligibility criteria. There were no significant differences between ICUD and ECUD in overall and major complications, regardless of the period (short-term [≤ 30 days] or mid-term [> 30 days]). Subgroup analyses demonstrated that ICUD performed by high-volume centers exhibited a significantly reduced risk of major complications (short-term: OR 0.57, 95% CI 0.37–0.86,
p
= 0.008, mid-term: OR 0.66, 95% CI 0.46–0.94,
p
= 0.02). Patients who underwent ICUD had lower estimated blood loss (MD -102.3 ml, 95% CI − 132.8 to − 71.8,
p
< 0.00001), less likely to receive blood transfusion rates (OR 0.36, 95% CI 0.20–0.62,
p
= 0.00003); and these findings were consistent in subgroup analyses by low-volume centers (MD-121.6 ml, 95% CI − 160.9 to − 82.3,
p
< 0.00001 and OR 0.36, 95% CI 0.20–0.62,
p
= 0.00003, respectively). ICUD had a higher lymph node yield (MD 3.68, 95% CI 0.80–6.56,
p
= 0.01). Patients receiving ICUD provided comparable complications, superior perioperative outcomes, and similar oncological outcomes compared with ECUD. Centralization of patients may contribute to a reduction of postoperative complications, while maintaining the advantages.</description><subject>Blood transfusion</subject><subject>Cancer Research</subject><subject>Lymph nodes</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Meta-analysis</subject><subject>Oncology</subject><subject>Review</subject><subject>Review Article</subject><subject>Robots</subject><subject>Surgical Oncology</subject><subject>Systematic review</subject><issn>1341-9625</issn><issn>1437-7772</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kUFv1DAQhSNERUvhD3BAlrhwMfXYjp1wQEJVgUqVuMDZcuxJcZXEi51s2Su_vE63lJYDJ3tmvnn206uqV8DeAWP6JAMDqSnjQBm0mlP-pDoCKTTVWvOn5S4k0Fbx-rB6nvMVY6BVzZ9Vh6UvFTT1UfX7fJqTdTFtYkI7kC2mvGSCvx51lxQmm3bEh3Ue4kTCRFLs4kxtziHP6EmyPrjCul0p3RzH3XtiSV6r0c7BkYTbgNfETp6MOFtqJzvsyvKL6qC3Q8aXd-dx9f3T2bfTL_Ti6-fz048X1NVKzhTBCdv5tma90s6yBrq-9wwEMsHaVjLdogXXQNMp5XunneLQSSdb3zesQ3FcfdjrbpZuRO9wdT6YTQpj8WaiDebxZAo_zGXcmkYo2TJVBN7eCaT4c8E8mzFkh8NgJ4xLNryWQta15Lqgb_5Br-KSiuGVUiAECFgpvqdcijkn7O8_A8ysEZt9xKZEbG4jNrwsvX5o437lT6YFEHsgl9F0ienv2_-RvQFwHbaD</recordid><startdate>20210901</startdate><enddate>20210901</enddate><creator>Katayama, Satoshi</creator><creator>Mori, Keiichiro</creator><creator>Pradere, Benjamin</creator><creator>Mostafaei, Hadi</creator><creator>Schuettfort, Victor M.</creator><creator>Quhal, Fahad</creator><creator>Motlagh, Reza Sari</creator><creator>Laukhtina, Ekaterina</creator><creator>Moschini, Marco</creator><creator>Grossmann, Nico C.</creator><creator>Nasu, Yasutomo</creator><creator>Shariat, Shahrokh F.</creator><creator>Fajkovic, Harun</creator><general>Springer Singapore</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-8377-2457</orcidid></search><sort><creationdate>20210901</creationdate><title>Intracorporeal versus extracorporeal urinary diversion in robot-assisted radical cystectomy: a systematic review and meta-analysis</title><author>Katayama, Satoshi ; 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A systematic literature search of articles was performed in PubMed
®
, Web of Science
®
, and Scopus
®
databases according to the Preferred Reporting Items for Systematic Review and Meta-Analysis statement. We included studies that compared patients who underwent RARC with ICUD to those with ECUD. Twelve studies including 3067 patients met the eligibility criteria. There were no significant differences between ICUD and ECUD in overall and major complications, regardless of the period (short-term [≤ 30 days] or mid-term [> 30 days]). Subgroup analyses demonstrated that ICUD performed by high-volume centers exhibited a significantly reduced risk of major complications (short-term: OR 0.57, 95% CI 0.37–0.86,
p
= 0.008, mid-term: OR 0.66, 95% CI 0.46–0.94,
p
= 0.02). Patients who underwent ICUD had lower estimated blood loss (MD -102.3 ml, 95% CI − 132.8 to − 71.8,
p
< 0.00001), less likely to receive blood transfusion rates (OR 0.36, 95% CI 0.20–0.62,
p
= 0.00003); and these findings were consistent in subgroup analyses by low-volume centers (MD-121.6 ml, 95% CI − 160.9 to − 82.3,
p
< 0.00001 and OR 0.36, 95% CI 0.20–0.62,
p
= 0.00003, respectively). ICUD had a higher lymph node yield (MD 3.68, 95% CI 0.80–6.56,
p
= 0.01). Patients receiving ICUD provided comparable complications, superior perioperative outcomes, and similar oncological outcomes compared with ECUD. Centralization of patients may contribute to a reduction of postoperative complications, while maintaining the advantages.</abstract><cop>Singapore</cop><pub>Springer Singapore</pub><pmid>34146185</pmid><doi>10.1007/s10147-021-01972-2</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0002-8377-2457</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| ispartof | International journal of clinical oncology, 2021-09, Vol.26 (9), p.1587-1599 |
| issn | 1341-9625 1437-7772 |
| language | eng |
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| source | SpringerLink Journals |
| subjects | Blood transfusion Cancer Research Lymph nodes Medicine Medicine & Public Health Meta-analysis Oncology Review Review Article Robots Surgical Oncology Systematic review |
| title | Intracorporeal versus extracorporeal urinary diversion in robot-assisted radical cystectomy: a systematic review and meta-analysis |
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