新医学2025，Vol.56Issue(7)：692-705,14.DOI:10.12464/j.issn.0253-9802.2025-0044
机器人辅助腹腔镜与传统腹腔镜方式治疗输尿管梗阻的meta分析
Meta-analysis of robot-assisted laparoscopy versus traditional laparoscopy in the treatment of ureteral obstruction
摘要
Abstract
Objective To compare the efficacy of robot-assisted laparoscopic surgery and traditional laparoscopic surgery in the treatment of ureteral obstruction through a meta-analysis.Methods A comprehensive literature search was conducted in CNKI,Wanfang Data,VIP,CBM,PubMed,Embase,Cochrane Library,and Web of Science,covering publications from inception to August 8,2024.The Chinese and English search terms included"Ureter""Obstruction""Robot-Assisted Surgery"and"Robotic Surgical Procedure".Intraoperative blood loss and other surgical outcomes were compared between the two approaches.Results A total of 30 studies involving 2 314 patients were included.The results of meta-analysis showed that the robotic group had significantly reduced intraoperative blood loss[WMD(95%CI)=-5.44(-10.64,-0.24)mL,P=0.040],shorter operative time[WMD=-16.47(-27.49,-5.44)min,P=0.003],reduced length of hospital stay[WMD=-0.55(-0.65,-0.45)d,P<0.001],shorter duration of drainage tube placement[WMD=-1.04(-1.67,-0.41)d,P=0.001],decreased anastomosis time[WMD=-11.26(-21.98,-0.54)min,P=0.040],and shorter suture time[WMD=-19.72(-33.76,-5.67)min,P=0.006]compared with the traditional laparoscopic group.The robotic group also demonstrated a higher surgical success rate[OR=2.42(1.36,4.32),P=0.003]and higher hospitalization costs[WMD=33,756.24(25,689.01,41,823.47)RMB,P<0.001].No significant differences were observed in complication rate[OR(95%CI)=0.79(0.57,1.09),P=0.144],reoperation rate[OR(95%CI)=1.13(0.50,2.55),P=0.762],or ureteral stent retention time[WMD(95%CI)=0.00(-1.12,1.13)d,P=0.994]between the two groups.Conclusion Robotic-assisted laparoscopic surgery has been shown to significantly reduce intraoperative blood loss,shorten operative time,hospital stay,drainage duration,anastomosis time,and suturing time,while improving surgical success rates.It is particularly suitable for complex and technically demanding procedures that require precision,offering substantial clinical value despite its relatively high cost.关键词
机器人/机器人辅助腹腔镜手术/腹腔镜手术/输尿管梗阻/Meta分析Key words
Robot/Robot-assisted laparoscopic surgery/Operative laparoscopy/Ureteral obstruction/Meta-analysis引用本文复制引用
雷必秀,黄燕,王朗,黄潇乐,张立元..机器人辅助腹腔镜与传统腹腔镜方式治疗输尿管梗阻的meta分析[J].新医学,2025,56(7):692-705,14.基金项目
深圳市医疗卫生三名工程项目(SZSM202103006) （SZSM202103006）
