Length of hospital stay and procedure time after partial nephrectomy or percutaneous thermal ablation: A systematic review and meta-analysis.

IF 1.9 4区医学 Q3 UROLOGY & NEPHROLOGY

Cuaj-Canadian Urological Association Journal Pub Date : 2024-10-07 DOI:10.5489/cuaj.8906

Maryam Kandi, Patrick O Richard, Philippe D Violette, Ashwini Sreekanta, Steven Hanna, Rachel Couban, Julian Daza, Russell Leong, Haseeb Faisal, Divyalakshmi Tamilselvan, Jeremy Steen, Wang-Choi Tang, Gordon Guyatt

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引用次数: 0

Abstract

Introduction: This systematic review addressed the length of hospital stay (LOS) and procedure time in patients with small renal masses (SRM) undergoing open, conventional laparoscopic (OPN), and robot-assisted partial nephrectomy (RAPN), as well as percutaneous thermal ablation (PTA) in different geographic areas.

Methods: We conducted a comprehensive search in databases (MEDLINE, EMBASE, CINAHL) until July 2023, and we applied random-effect meta-analysis, with evidence certainty assessed by the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) framework.

Results: We screened 3456 titles and abstracts, ultimately identifying 60 eligible studies. For the length of LOS (days) following OPN, our pooled estimates revealed means of 5.7 in North America, 7.1 in Europe, and 13.4 in Asia; following laparoscopic partial nephrectomy, means were 3.1, 5.4, and 5.8, respectively; for RAPN, means were 2.7, 3.8, and 7.1; and for PTA, means were 1.2, 1.6, and 1.6. Regarding procedure time (minutes) after OPN, means were 187 in North America, 132 in Europe, and 184 in Asia; after laparoscopic partial nephrectomy, means were 198, 127, and 200; after RAPN, means were 189, 150, and 192; and for PTA, mean was 144 in North America and no studies addressed procedure time in Europe and Asia.

Conclusions: Our study provides the most trustworthy available estimates of LOS and procedure time for patients undergoing invasive procedures for the management of SRM. These findings have emphasized the need for context-specific considerations when informing patients and making treatment decisions.

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肾部分切除术或经皮热消融术后的住院时间和手术时间：系统回顾和荟萃分析。

导言：本系统综述探讨了在不同地区接受开腹、传统腹腔镜（OPN）和机器人辅助肾部分切除术（RAPN）以及经皮热消融术（PTA）的小肾肿块（SRM）患者的住院时间（LOS）和手术时间：我们对截至 2023 年 7 月的数据库（MEDLINE、EMBASE、CINAHL）进行了全面检索，并采用随机效应荟萃分析法，通过建议评估、发展和评价分级（GRADE）框架评估证据的确定性：我们筛选了 3456 篇标题和摘要，最终确定了 60 项符合条件的研究。关于OPN术后的LOS时间（天数），我们的汇总估计值显示，北美的平均值为5.7天，欧洲为7.1天，亚洲为13.4天；腹腔镜肾部分切除术后的平均值分别为3.1天、5.4天和5.8天；RAPN术后的平均值分别为2.7天、3.8天和7.1天；PTA术后的平均值分别为1.2天、1.6天和1.6天。关于OPN术后的手术时间（分钟），北美的平均值为187分钟，欧洲为132分钟，亚洲为184分钟；腹腔镜肾部分切除术后的平均值分别为198分钟、127分钟和200分钟；RAPN术后的平均值分别为189分钟、150分钟和192分钟；PTA术后，北美的平均值为144分钟，欧洲和亚洲没有研究涉及手术时间：我们的研究为接受侵入性手术治疗 SRM 的患者提供了最可靠的 LOS 和手术时间估计值。这些发现强调，在告知患者和做出治疗决定时，需要根据具体情况进行考虑。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cuaj-Canadian Urological Association Journal 医学-泌尿学与肾脏学

CiteScore

2.80

自引率

10.50%

发文量

167

审稿时长

>12 weeks

期刊介绍： CUAJ is a a peer-reviewed, open-access journal devoted to promoting the highest standard of urological patient care through the publication of timely, relevant, evidence-based research and advocacy information.