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Retroperitoneal
Versus Transperitoneal Laparoscopic Partial Nephrectomy: A Systematic Review and Meta-analysis△- Affiliations：
1. 1Department of Urology, Shaoxing Branch, the First Affiliated Hospital of Zhejiang University School of Medicine (Shaoxing Second Hospital), Shaoxing, Zhejiang 312000, China
2. 2Department of Public Health, Tashan Community Health Service Center, Yuecheng District, Shaoxing 312000, Zhejiang, China
- Author bio：
*Corresponding author Tel: 86-75-88055555, E-mail: jingsaox@163.com
- Funds：
DOI：
中图分类号：-
网络出版日期：2015-08-20，
纸质出版日期：2015-08
- Accepted：
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Retroperitoneal
Versus Transperitoneal Laparoscopic Partial Nephrectomy: A Systematic Review and Meta-analysis△[J]. 中国医学科学杂志（英文版）, 2015,30(4):239-244.Fu Jing, Ye Shan, Ye Hua-jian. Retroperitoneal
Versus Transperitoneal Laparoscopic Partial Nephrectomy: A Systematic Review and Meta-analysis△[J]. Chinese medical sciences journal, 2015, 30(4): 239-244.Retroperitoneal
Versus Transperitoneal Laparoscopic Partial Nephrectomy: A Systematic Review and Meta-analysis△[J]. 中国医学科学杂志（英文版）, 2015,30(4):239-244. DOI：Fu Jing, Ye Shan, Ye Hua-jian. Retroperitoneal
Versus Transperitoneal Laparoscopic Partial Nephrectomy: A Systematic Review and Meta-analysis△[J]. Chinese medical sciences journal, 2015, 30(4): 239-244. DOI：
摘要
Abstract
Objective
To review published literatures comparing the safety and effectiveness of retroperitoneal laparoscopic partial nephrectomy (RLPN) with transperitoneal laparoscopic partial nephrectomy (TLPN) and provide reference for clinical work.
Methods
The search strategy was performed to identify relevant papers from the Cochrane Central Register of Controlled Trials
EMBASE
MEDLINE
Google Scholar
China Hospital Knowledge Database
Wangfang Chinese Periodical Database
and VIP Chinese Periodical Database. All papers comparing RLPN with TLPN were included from 2000 to 2015. Two to three reviewers independently screened
evaluated
and extracted the included papers. A Meta-analysis was executed by using Review Manager 5.3 software. The interesting outcomes were tumor size
operating time
estimated blood loss
warm ischaemia time
length of hospital stay
positive margin rate
open conversion rate
overall complication rate
and recurrence rate.
Results
The literature search obtained 378 papers
then 10 of them were ultimately met the inclusion criteria and included in the systematic review. Finally
6 of the 10 papers were included in the Meta-analysis. RLPN had significantly less operating time [
P
= 0.01
mean difference (
MD
)=-33.68
95% confidence interval (
CI
) within (-60.35
-7.01)] and shorter length of hospital stay [
P
<
0.0001
MD
=-1.47
95%
CI
within (-2.18
-0.76)] than TLPN. Significant differences were not found between RLPN and TLPN in other outcomes.
Conclusions
RLPN may be equally safe and be faster than TLPN. Each center can choose a modality according to your own operating habits and experience.
关键词
Keywords
references
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