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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 1,165 - 1,177 (13page)
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초록· 키워드
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Purpose: To systematically update evidence on the clinical efficacy and safety of robot-assisted radical prostatectomy (RARP) versusretropubic radical prostatectomy (RRP) in patients with prostate cancer.
Materials and Methods: Electronic databases, including ovidMEDLINE, ovidEMBASE, the Cochrane Library, KoreaMed, KMbase, and others, were searched, collecting data from January 1980 to August 2013. The quality of selected systematic reviews was assessed using the revised assessment of multiple systematic reviews and the modified Cochrane Risk of Bias tool for non-randomized studies.
Results: A total of 61 studies were included, including 38 from two previous systematic reviews rated as best available evidence and 23 additional studies that were more recent. There were no randomized controlled trials. Regarding safety, the risk of complications was lower for RARP than for RRP. Among functional outcomes, the risk of urinary incontinence was lower and potency rate was significantlyhigher for RARP than for RRP. Regarding oncologic outcomes, positive margin rates were comparable between groups, and although biochemical recurrence (BCR) rates were lower for RARP than for RRP, recurrence-free survival was similar after long-term follow up.
Conclusion: RARP might be favorable to RRP in regards to post-operative complications, peri-operative outcomes, and functional outcomes. Positive margin and BCR rates were comparable between the two procedures. As most of studies were of low quality, the results presented should be interpreted with caution, and further high quality studies controlling for selection, confounding, and selective reporting biases with longer-term follow-up are needed to determine the clinical efficacy and safety of RARP.
목차
등록된 정보가 없습니다.
참고문헌 (91)
참고문헌 신청
Yates DR / 2011 / From Leonardo to da Vinci: the history of robot-assisted surgery in urology / BJU Int 108:1708~1713
나군호 / 2009 / Robot-Assisted Laparoscopic Radical Prostatectomy / Investigative and Clinical Urology 50(2):97~104
Heidenreich A / 2011 / EAU guidelines on prostate cancer. Part 1: screening, diagnosis, and treatment of clinically localised disease / Eur Urol 59:61~71
Hakimi AA / 2007 / Minimally invasive approaches to prostate cancer: a review of the current literature / Urol J 4:130~137
Kang DC / 2010 / Low quality of evidence for robot-assisted laparoscopic prostatectomy: results of a systematic review of the published literature / Eur Urol 57:930~937
나군호 / 2009 / Robot-Assisted Laparoscopic Radical Prostatectomy / Investigative and Clinical Urology 50(2):97~104
Heidenreich A / 2011 / EAU guidelines on prostate cancer. Part 1: screening, diagnosis, and treatment of clinically localised disease / Eur Urol 59:61~71
Hakimi AA / 2007 / Minimally invasive approaches to prostate cancer: a review of the current literature / Urol J 4:130~137
Kang DC / 2010 / Low quality of evidence for robot-assisted laparoscopic prostatectomy: results of a systematic review of the published literature / Eur Urol 57:930~937
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