Extraperitoneal robot-assisted radical prostatectomy: Comparison with transperitoneal technique

Critical appraisal of literature comparing minimally invasive extraperitoneal and transperitoneal radical prostatectomy: A systematic review and meta-analysis

“…In all, 12 studies compared laparoscopic E-RP and laparoscopic T-RP [8] , [9] , [10] , [13] , [14] , [15] , [17] , [20] , [21] , [22] , [23] , [24] . Eight studies compared robotic E-RP and robotic T-RP [3] , [7] , [11] , [12] , [16] , [18] , [19] , [25] . Only one study was a randomised control trial comparing robotic E-RP and robotic T-RP [3] , and 19 were observational comparative studies [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] , [19] , [20] , [21] , [22] , [23] , [24] , [25] ( Table 1 [3] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] , [19] , [20] , [21] , [22] , [23] , [24] , [25] ).…”

“…Operative time: All 20 studies reported on operative time [3] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] , [19] , [20] , [21] , [22] , [23] , [24] , [25] . The mean (SD) operative times ranged between 133.7 (27) and 267.6 (70.57) min for laparoscopic E-RP and between 173 and 350 min for laparoscopic T-RP.…”

“…2 B). In all, 10 studies [8] , [9] , [10] , [11] , [13] , [14] , [15] , [17] , [21] , [23] (nine laparoscopic and one robotic) reported on BTR between the two groups. There was no statistical difference in the BTR between the cohorts on meta-analysis for both the laparoscopic (OR 0.92, 95% CI 0.54, 1.55; P = 0.74) and robotic groups (OR 1.44, 95% CI 0.13, 16.34; P = 0.77) ( Fig.…”

“…LOS: Data from nine studies [8] , [11] , [12] , [15] , [16] , [21] , [22] , [23] , [25] (five laparoscopic and four robotic) on mean LOS were considered suitable for meta-analysis. The meta-analysis favoured the E-RP cohort, which had a shorter LOS for both the laparoscopic (MD −0.30, 95% CI −0.35, −0.24; P < 0.001) and robotic groups (MD −1.09, 95% CI −1.47, −0.70; P < 0.001) ( Fig.…”

“…In all, 17 studies reported on complications [3] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [16] , [17] , [19] , [20] , [21] , [22] , [23] , [24] . Only three studies adopted a complication grading system, which was the Clavien–Dindo grading system in all of them [11] , [16] , [21] . The assumed grading of the individual complications is shown in Table 2 , Table 3 .…”