Acute kidney injury after robot-assisted laparoscopic prostatectomy: A meta-analysis

IF 2.3 3区医学 Q2 SURGERY

International Journal of Medical Robotics and Computer Assisted Surgery Pub Date : 2024-04-03 DOI:10.1002/rcs.2630

Deepak Chandramohan, Raghunandan Konda, Ashwini Pujari, Sreekant Avula, Sujith Kumar Palleti, Nihar Jena, Roopa Naik, Atul Bali

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Abstract

Background

We investigated the rates of acute kidney injury (AKI) post robot-assisted laparoscopic prostatectomy (RALP).

Methods

A comprehensive search was conducted to identify studies that reported the rates of AKI post-RALP. A random effects model was used, and the pooled rates of AKI were calculated.

Results

We identified 10 studies with 60,937 patients to be included. The mean age was 65.1 years. The mean anaesthesia time was 234.3 min (95% CI: 177.8–290.9). The mean operation time was 212.2 min (95% CI: 188.7–235.6). The mean estimated blood loss was 314.1 mL (95% CI: 153–475.3). The mean intraoperative IV fluids administered were 1985 mL (95% CI: 1516.3–2453.7). The pooled rate of AKI post RALP was 7.2% (95% CI 19–23.9).

Conclusions

The rates of AKI after RALP are significant. Further studies are needed to detect the risk factors for AKI and to determine the rates of chronic kidney disease post-RALP.

Abstract Image

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机器人辅助腹腔镜前列腺切除术后的急性肾损伤：荟萃分析

背景我们调查了机器人辅助腹腔镜前列腺切除术（RALP）术后急性肾损伤（AKI）的发生率。方法对报告 RALP 术后 AKI 发生率的研究进行了全面检索。采用随机效应模型，并计算出AKI的汇总率。结果我们确定了 10 项研究，共纳入 60,937 名患者。平均年龄为 65.1 岁。平均麻醉时间为 234.3 分钟（95% CI：177.8-290.9）。平均手术时间为 212.2 分钟（95% CI：188.7-235.6 分钟）。估计平均失血量为 314.1 毫升（95% CI：153-475.3）。术中平均静脉输液量为 1985 毫升（95% CI：1516.3-2453.7）。RALP 术后的 AKI 总发生率为 7.2% (95% CI 19-23.9)。结论 RALP 后的 AKI 发生率很高。需要进一步研究来检测 AKI 的风险因素，并确定 RALP 术后慢性肾病的发病率。

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来源期刊

International Journal of Medical Robotics and Computer Assisted Surgery 医学-外科

CiteScore

4.50

自引率

12.00%

发文量

131

审稿时长

6-12 weeks

期刊介绍： The International Journal of Medical Robotics and Computer Assisted Surgery provides a cross-disciplinary platform for presenting the latest developments in robotics and computer assisted technologies for medical applications. The journal publishes cutting-edge papers and expert reviews, complemented by commentaries, correspondence and conference highlights that stimulate discussion and exchange of ideas. Areas of interest include robotic surgery aids and systems, operative planning tools, medical imaging and visualisation, simulation and navigation, virtual reality, intuitive command and control systems, haptics and sensor technologies. In addition to research and surgical planning studies, the journal welcomes papers detailing clinical trials and applications of computer-assisted workflows and robotic systems in neurosurgery, urology, paediatric, orthopaedic, craniofacial, cardiovascular, thoraco-abdominal, musculoskeletal and visceral surgery. Articles providing critical analysis of clinical trials, assessment of the benefits and risks of the application of these technologies, commenting on ease of use, or addressing surgical education and training issues are also encouraged. The journal aims to foster a community that encompasses medical practitioners, researchers, and engineers and computer scientists developing robotic systems and computational tools in academic and commercial environments, with the intention of promoting and developing these exciting areas of medical technology.