SynthesisJournal of robotic surgery2025
Robotic-assisted ureteroenteric reimplantation for ureteroenteric stricture after radical cystectomy: a systematic review and dual meta-analysis.
Synthesis in Journal of robotic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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1 citing paper in PubMed.
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Authors and funding
4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectiveBenign ureteroenteric stricture (UES) is a well-documented long-term complication that can occur after radical cystectomy with urinary diversion (UD). This meta-analysis evaluates the safety and feasibility of Robotic-assisted Ureteroenteric Reimplantation (RUER), with a focus on distinguishing outcomes between Open Ureteroenteric Reimplantation (OUER) and RUER.
methodsWe performed an extensive search across multiple databases, including PubMed, Scopus, and Web of Science, to identify studies that assessed outcomes for RUER alone or in comparison to OUER. Relevant data were systematically extracted and recorded in an Excel sheet. Data analysis was performed using OpenMeta [Analyst] and Review Manager Software.
resultsThis review included 277 UES patients (244 RUER, 33 OUER) with 289 and 35 reimplantations, respectively. RUER had 91.7% success rate and a 7.1% stricture recurrence rate. Intraoperative complications, Clavien-Dindo ≥3 complications, conversion to open approach, and hospital readmission rates were 2.3%, 9.5%, 2.5%, and 7.8%, respectively. Compared to OUER, RUER showed similar success (RR =1.01, p=0.83) and stricture recurrence rates (RR = 0.89, p=0.72) but significantly lower intraoperative (RR =0.13, p=0.01), postoperative (RR = 0.53, p = 0.004), and Clavien-Dindo ≥3 complications (RR =0.27, p =0.01). RUER significantly reduced hospital stay (MD = -3.18 days, p = 0.0002) but showed no significant reduction in operative time (MD= -24.98 min, p=0.29).
conclusionsRUER offers comparable success to OUER with significantly lower complication rates and shorter hospital stays, making it a safe and feasible minimally invasive alternative for strictures ranging from 1 to 3 cm.
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