Urological and sexual function after robotic and laparoscopic surgery for rectal cancer: A systematic review, meta-analysis and meta-regression

Ian Jun Yan Wee; Li Jen Kuo; James Chi Yong Ngu

doi:10.1002/rcs.2164

Urological and sexual function after robotic and laparoscopic surgery for rectal cancer: A systematic review, meta-analysis and meta-regression

Ian Jun Yan Wee, Li Jen Kuo, James Chi Yong Ngu

Research output: Contribution to journal › Article › peer-review

16 Citations (Scopus)

Abstract

Background: This systematic review sought to compare the urogenital functions after laparoscopic (LAP) and robotic (ROB) surgery for rectal cancer. Methods: This study conformed to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Results: Twenty-six studies (n = 2709 for ROB, n = 2720 for LAP) were included. There was a lower risk of 30-day urinary retention in the ROB group (risk ratios 0.78, 95% confidence interval [CI] 0.61–0.99), but the long-term risk was comparable (p = 0.460). Meta-regression showed a small, positive relationship between age and risk of 30-day urinary retention in both the ROB (p = 0.034) and LAP groups (p = 0.004). The International Prostate Symptom Score was better in the ROB group at 3 months (mean difference [MD] −1.58, 95% CI −3.10 to −0.05). The International Index of Erectile Function score was better in the ROB group at 6 months (MD 4.06, 95% CI 2.38 – 5.74). Conclusion: While robotics may improve urogenital function after rectal surgery, the quality of evidence is low based on the Grading of Recommendations, Assessment, Development and Evaluation approach.

Original language	English
Pages (from-to)	1-8
Number of pages	8
Journal	International Journal of Medical Robotics and Computer Assisted Surgery
Volume	17
Issue number	1
DOIs	https://doi.org/10.1002/rcs.2164
Publication status	Published - Feb 2021

Keywords

laparoscopy
rectal surgery
robotics
sexual function
urological function

ASJC Scopus subject areas

Surgery
Biophysics
Computer Science Applications

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1002/rcs.2164

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Urological and sexual function after robotic and laparoscopic surgery for rectal cancer: A systematic review, meta-analysis and meta-regression. / Wee, Ian Jun Yan; Kuo, Li Jen; Ngu, James Chi Yong.
In: International Journal of Medical Robotics and Computer Assisted Surgery, Vol. 17, No. 1, 02.2021, p. 1-8.

Research output: Contribution to journal › Article › peer-review

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abstract = "Background: This systematic review sought to compare the urogenital functions after laparoscopic (LAP) and robotic (ROB) surgery for rectal cancer. Methods: This study conformed to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Results: Twenty-six studies (n = 2709 for ROB, n = 2720 for LAP) were included. There was a lower risk of 30-day urinary retention in the ROB group (risk ratios 0.78, 95% confidence interval [CI] 0.61–0.99), but the long-term risk was comparable (p = 0.460). Meta-regression showed a small, positive relationship between age and risk of 30-day urinary retention in both the ROB (p = 0.034) and LAP groups (p = 0.004). The International Prostate Symptom Score was better in the ROB group at 3 months (mean difference [MD] −1.58, 95% CI −3.10 to −0.05). The International Index of Erectile Function score was better in the ROB group at 6 months (MD 4.06, 95% CI 2.38 – 5.74). Conclusion: While robotics may improve urogenital function after rectal surgery, the quality of evidence is low based on the Grading of Recommendations, Assessment, Development and Evaluation approach.",

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Urological and sexual function after robotic and laparoscopic surgery for rectal cancer: A systematic review, meta-analysis and meta-regression

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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