{"title":"达芬奇机器人与雨果机器人前列腺根治术围手术期疗效比较：系统回顾与荟萃分析。","authors":"Si Ge, Zuoping Wang, Lei Zheng, Yunxiang Li, Lijian Gan, Zhiqiang Zeng, Chunyang Meng, Kangsen Li, Jiakai Ma, Deyu Wang, Yuan Ren","doi":"10.1016/j.ejso.2025.109596","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To compare the safety and efficacy of radical prostatectomy with DaVinci robot and Hugo robot.</p><p><strong>Methods: </strong>The system searches Embase, PubMed, Cochrane library, and Web of Science 4 database. The search time ranges from database creation to June 2024. Stata17 was used for statistical analysis.</p><p><strong>Results: </strong>A total of 5 studies were conducted, including 816 patients. The results showed that there was no difference in age, preoperative prostate volume, preoperative PSA level, operation time, estimated blood loss, length of stay, overall complications, urinary incontinence, lymph node yield, and positive margin between DaVinci robot and Hugo robot radical prostatectomy. However, the BMI of DaVinci group was larger than that of Hugo (Effect = 0.47, 95%Cl [0.03, 0.91], P < 0.05).</p><p><strong>Conclusion: </strong>The BMI of the DaVinci group seems to be larger, and Hugo robotic radical prostatectomy seems to be as effective as DaVinci robotic radical prostatectomy. But more well-designed studies are needed to assess the oncology outcomes and cost-effectiveness of both. In addition to this, the accumulation of surgeon experience and the transfer of robotic skills are worthy of further attention.</p>","PeriodicalId":11522,"journal":{"name":"Ejso","volume":"51 5","pages":"109596"},"PeriodicalIF":3.5000,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Comparison of perioperative outcomes of DaVinci robot and Hugo robot radical prostatectomy: A systematic review and meta-analysis.\",\"authors\":\"Si Ge, Zuoping Wang, Lei Zheng, Yunxiang Li, Lijian Gan, Zhiqiang Zeng, Chunyang Meng, Kangsen Li, Jiakai Ma, Deyu Wang, Yuan Ren\",\"doi\":\"10.1016/j.ejso.2025.109596\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To compare the safety and efficacy of radical prostatectomy with DaVinci robot and Hugo robot.</p><p><strong>Methods: </strong>The system searches Embase, PubMed, Cochrane library, and Web of Science 4 database. The search time ranges from database creation to June 2024. Stata17 was used for statistical analysis.</p><p><strong>Results: </strong>A total of 5 studies were conducted, including 816 patients. The results showed that there was no difference in age, preoperative prostate volume, preoperative PSA level, operation time, estimated blood loss, length of stay, overall complications, urinary incontinence, lymph node yield, and positive margin between DaVinci robot and Hugo robot radical prostatectomy. However, the BMI of DaVinci group was larger than that of Hugo (Effect = 0.47, 95%Cl [0.03, 0.91], P < 0.05).</p><p><strong>Conclusion: </strong>The BMI of the DaVinci group seems to be larger, and Hugo robotic radical prostatectomy seems to be as effective as DaVinci robotic radical prostatectomy. But more well-designed studies are needed to assess the oncology outcomes and cost-effectiveness of both. In addition to this, the accumulation of surgeon experience and the transfer of robotic skills are worthy of further attention.</p>\",\"PeriodicalId\":11522,\"journal\":{\"name\":\"Ejso\",\"volume\":\"51 5\",\"pages\":\"109596\"},\"PeriodicalIF\":3.5000,\"publicationDate\":\"2025-01-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Ejso\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.ejso.2025.109596\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ONCOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ejso","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.ejso.2025.109596","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ONCOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
目的：比较达芬奇机器人和雨果机器人在根治性前列腺切除术中的安全性和有效性。方法：系统检索Embase、PubMed、Cochrane图书馆和Web of Science 4数据库。搜索时间范围从数据库创建到2024年6月。采用Stata17进行统计分析。结果：共进行了5项研究，包括816例患者。结果显示，达芬奇机器人与雨果机器人前列腺根治术患者在年龄、术前前列腺体积、术前PSA水平、手术时间、预估失血量、住院时间、总并发症、尿失禁、淋巴结产量、阳性切缘等方面均无差异。但DaVinci组BMI大于Hugo组（Effect = 0.47, 95%Cl [0.03, 0.91]， P）结论：DaVinci组BMI似乎更大，Hugo机器人前列腺根治术似乎与DaVinci机器人前列腺根治术一样有效。但是需要更多精心设计的研究来评估这两种方法的肿瘤学结果和成本效益。除此之外，外科医生经验的积累和机器人技能的转移也值得进一步关注。
Comparison of perioperative outcomes of DaVinci robot and Hugo robot radical prostatectomy: A systematic review and meta-analysis.
Objective: To compare the safety and efficacy of radical prostatectomy with DaVinci robot and Hugo robot.
Methods: The system searches Embase, PubMed, Cochrane library, and Web of Science 4 database. The search time ranges from database creation to June 2024. Stata17 was used for statistical analysis.
Results: A total of 5 studies were conducted, including 816 patients. The results showed that there was no difference in age, preoperative prostate volume, preoperative PSA level, operation time, estimated blood loss, length of stay, overall complications, urinary incontinence, lymph node yield, and positive margin between DaVinci robot and Hugo robot radical prostatectomy. However, the BMI of DaVinci group was larger than that of Hugo (Effect = 0.47, 95%Cl [0.03, 0.91], P < 0.05).
Conclusion: The BMI of the DaVinci group seems to be larger, and Hugo robotic radical prostatectomy seems to be as effective as DaVinci robotic radical prostatectomy. But more well-designed studies are needed to assess the oncology outcomes and cost-effectiveness of both. In addition to this, the accumulation of surgeon experience and the transfer of robotic skills are worthy of further attention.
期刊介绍：
JSO - European Journal of Surgical Oncology ("the Journal of Cancer Surgery") is the Official Journal of the European Society of Surgical Oncology and BASO ~ the Association for Cancer Surgery.
The EJSO aims to advance surgical oncology research and practice through the publication of original research articles, review articles, editorials, debates and correspondence.
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