Background
Methods
Database searching strategy
Inclusion and exclusion criteria
Data extraction
Quality evaluation
Statistical methods
Results
Description of the studies
References | Design | Approach | Number | Age (years) | BMI (Kg/m2) | Tumor diameter (cm) | Stage | ||||
---|---|---|---|---|---|---|---|---|---|---|---|
Ia1 (LVSI) | Ia2 | Ib1 | Ib2 | IIa | |||||||
Bogani et al. [31] | Propensity-matched cohort | Laparoscopic | 65 | 48.9 ± 13.5 | 25.1 ± 5.2 | - | - | - | - | - | - |
Open | 65 | 50.9 ± 14 | 25.9 ± 6.1 | - | - | - | - | - | - | ||
Chen et al. [20] | Retrospective cohort | Laparoscopic | 32 | 51.2 ± 11.9 | 23.2 ± 3.4 | - | - | - | - | - | - |
Open | 44 | 51.9 ± 11.3 | 24.9 ± 4.6 | - | - | - | - | - | - | ||
Ditto et al. [25] | Propensity-matched cohort | Laparoscopic | 60 | 46 ± 12.5 | 24.3 ± 2.9 | - | - | 13 | 47 | - | - |
Open | 60 | 45.5 ± 15.75 | 24.0 ± 4.3 | - | - | 10 | 50 | - | - | ||
Frumovitz et al. [26] | Retrospective cohort | Laparoscopic | 35 | 40.8 ± 8.75 | 28.1 ± 5.6 | - | 2 | 5 | 28 | 0 | - |
Open | 54 | 42.5 ± 10.25 | 28.2 ± 7.25 | - | 3 | 8 | 42 | 1 | - | ||
Ghezzi et al. [27] | cohort | Laparoscopic | 50 | 47 ± 13.5 | 23 ± 4.4 | 2.6 ± 0.9 | - | 7 | 30 | 6 | 7 |
Open | 48 | 53 ± 11.8 | 25 ± 6.0 | 3.0 ± 1.0 | - | 2 | 26 | 13 | 7 | ||
Lee et al. [21] | Retrospectivecohort | Laparoscopic | 24 | 48.4 ± 7.25 | 23.4 ± 3.55 | - | - | 5 | 13 | 2 | 4 |
Open | 48 | 50.2 ± 8.25 | 23.9 ± 4.7 | - | - | 10 | 26 | 4 | 8 | ||
Li et al. [22] | Retrospectivecohort | Laparoscopic | 90 | 42 ± 9 | - | 2.8 ± 1.4 | - | 60 | 12 | 18 | |
Open | 35 | 44 ± 11 | - | 2.6 ± 1.5 | - | 14 | 8 | 13 | |||
Lim et al. [23] | Prospectivecohort | Laparoscopic | 18 | 47.8 ± 8.8 | 23.9 ± 4.4 | 2.9 ± 1.5 | - | 2 | 13 | 3 | 0 |
Open | 30 | 47.0 ± 8.5 | 22.4 ± 4 | 3 ± 1.2 | - | 1 | 23 | 4 | 2 | ||
Malzoni et al. [28] | Retrospectivecohort | Laparoscopic | 65 | 40.5 ± 7.7 | 26.0 ± 4 | 5 | 21 | 39 | - | - | |
Open | 62 | 42.7 ± 8.6 | 29.0 ± 4 | 3 | 11 | 48 | - | - | |||
Nam et al. [24] | Retrospectivematched cohort | Laparoscopic | 263 | 46.4 | 23.2 | 1.8 ± 0.55 | - | 36 | 197 | 25 | 5 |
Open | 263 | 46.5 | 23.9 | 1.8 ± 0.75 | - | 40 | 194 | 21 | 8 | ||
Toptas et al. [29] | Retrospectivecohort | Laparoscopic | 22 | - | - | 2.1 ± 1.5 | - | 9 | 13 | - | - |
Open | 46 | - | - | 2.6 ± 1.07 | - | 7 | 39 | - | |||
Zakashansky et al. [30] | Retrospectivematched cohort | Laparoscopic | 30 | 48.3 ± 12.25 | - | - | 1 | 8 | 17 | 2 | 2 |
Open | 30 | 46.6 ± 11.75 | - | - | 1 | 6 | 19 | 2 | 2 |
Study | Quality indicators from Newcastle-Ottawa scale | Score | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
Selection | Comparability | Exposure/outcome | ||||||||
1 | 2 | 3 | 4 | 5a | 5b | 6 | 7 | 8 | ||
Bogani et al. [31] | Yes | NO | Yes | Yes | Yes | Yes | Yes | Yes | Yes | 9 |
Chen et al. [20] | Yes | Yes | Yes | Yes | Yes | Yes | Yes | No | Yes | 8 |
Ditto et al. [25] | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | 9 |
Frumovitz et al. [26] | Yes | Yes | No | Yes | Yes | Yes | Yes | No | Yes | 7 |
Ghezzi et al. [27] | Yes | Yes | No | Yes | Yes | Yes | Yes | No | Yes | 7 |
Lee et al. [21] | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | 9 |
Li et al. [22] | Yes | Yes | Yes | Yes | Yes | No | Yes | No | No | 6 |
Lim et al. [23] | Yes | Yes | Yes | Yes | Yes | No | Yes | No | Yes | 7 |
Malzoni et al. [28] | Yes | Yes | No | Yes | Yes | Yes | Yes | Yes | Yes | 8 |
Nam et al. [24] | Yes | Yes | Yes | Yes | Yes | No | Yes | Yes | Yes | 8 |
Toptas et al. | Yes | Yes | Yes | Yes | Yes | Yes | Yes | No | Yes | 8 |
Zakashansky et al. [30] | Yes | Yes | Yes | Yes | Yes | Yes | Yes | No | No | 7 |
References | Approach | Number | Operative time (min) | Blood loss (ml) | Transfusion rate (%) | Nodal counts | Duration of hospital stay | Removal of foley catheter | Surgical margins positive | 5-years disease free survival, (%) | 5-years overall survival, (%) |
---|---|---|---|---|---|---|---|---|---|---|---|
Bogani et al. [31] | Laparoscopic | 65 | 245 ± 72.2 | 200 ± 297.5 | 4 (6) | 23.2 ± 8.2 | 4 ± 3.3 | -- | -- | 83 % | 89 % |
Open | 65 | 259.5 ± 69.6 | 500 ± 475 | 14 (22) | 27.4 ± 17.2 | 8 ± 1.8 | -- | -- | 80 % | 83 % | |
Chen et al. [20] | Laparoscopic | 32 | 292.8 ± 65.2 | 225.0 ± 164.1 | 8 (25.0) | 29.7 ± 15.4 | 9.0 ± 2.7 | -- | -- | -- | -- |
Open | 44 | 302.9 ± 76.4 | 1139.0 ± 656.8 | 33 (75.0) | 27.8 ± 11.0 | 11.2 ± 3.3 | -- | -- | -- | -- | |
Ditto et al. [25] | Laparoscopic | 60 | 215.9 ± 61.6 | 50 ± 112.5 | 1 (2) | 25.4 ± 10.0 | 4 ± 2 | -- | -- | -- | -- |
Open | 60 | 175.2 ± 32.1 | 200 ± 112.5 | 3 (5) | 34.6 ± 13.5 | 6 ± 2.8 | -- | -- | -- | -- | |
Frumovitz et al. [26] | Laparoscopic | 35 | -- | 319.0 ± 492.0 | 11 (31.4) | -- | -- | 13.5 ± 4.5 | 3 (8.6) | -- | -- |
Open | 54 | -- | 548.0 ± 387.5 | 15 (27.8) | -- | -- | 13 ± 9.3 | 2 (3.7) | -- | -- | |
Ghezzi et al. [27] | Laparoscopic | 50 | -- | -- | 0 | 21 ± 10.3 | 6 ± 2.8 | -- | 3 (6.0) | -- | -- |
Open | 48 | -- | -- | 4 (8) | 23 ± 10.8 | 10 ± 7.0 | -- | 3 (6.2) | -- | -- | |
Lee et al. [21] | Laparoscopic | 24 | 334.8 ± 52.4 | 414.3 ± 69.2 | 5 (20.8) | 26.3 ± 11.8 | -- | -- | 0 | 90.5 | -- |
Open | 48 | 326.8 ± 53.8 | 836.0 ± 315.8 | 23 (47.9) | 26.8 ± 13.6 | -- | -- | 0 | 93.3 | -- | |
Li et al. [22] | Laparoscopic | 90 | 263.0 ± 67.6 | 369.8 ± 249.9 | -- | 21.3 ± 8.4 | -- | 10.7 ± 7.2 | -- | -- | -- |
Open | 35 | 217.2 ± 71.6 | 455.1 ± 338.1 | -- | 18.8 ± 9.5 | -- | 8.6 ± 6.8 | -- | -- | ||
Lim et al. [23] | Laparoscopic | 18 | 308.0 ± 66.0 | 425 ± 225 | -- | 17 ± 7.5 | 5.5 ± 1.5 | 19.5 ± 10.3 | -- | -- | |
Open | 30 | 240.0 ± 90.0 | 500 ± 1455 | -- | 21.0 ± 11.8 | 6 ± 6.5 | 21.0 ± 11.8 | -- | -- | ||
Malzoni et al. [28] | Laparoscopic | 65 | 196.0 ± 14.5 | 55.0 ± 12.5 | -- | 23.5 ± 5.1 | -- | 10 ± 2 | -- | 92.4 | -- |
Open | 62 | 152.0 ± 19.8 | 145.0 ± 41.3 | -- | 25.2 ± 6.2 | -- | 13 ± 2.5 | -- | 93.6 | -- | |
Nam et al. [24] | Laparoscopic | 263 | 246.8 ± 84.8 | 379.6 ± 350.0 | 76 (28.9) | -- | -- | 7.2 ± 1.5 | 1 (0.4) | 92.8 | 95.2 |
Open | 263 | 247.2 ± 86.3 | 541.1 ± 730.0 | 106 (40.3) | -- | -- | 7.5 ± 4.3 | 2 (0.8) | 94.4 | 96.4 | |
Toptas et al. 2014 | Laparoscopic | 22 | -- | -- | -- | -- | -- | -- | 1 (4.5) | -- | -- |
Open | 46 | -- | -- | -- | -- | -- | -- | 1 (2.2) | -- | -- | |
Zakashansky et al. [30] | Laparoscopic | 30 | 318.5 ± 66.0 | 200.0 ± 125.0 | 0 | 31.0 ± 12.8 | -- | -- | -- | -- | -- |
Open | 30 | 242.5 ± 69.5 | 520.0 ± 375.0 | 5 (16.7) | 21.8 ± 8.5 | -- | -- | -- | -- | -- |
References | Approach | Number | Intra-operative complication | ||||
---|---|---|---|---|---|---|---|
Bladder injury | Urethral injury | Bowel injury | Vascular injury | Others | |||
Bogani et al. [31] | Laparoscopic | 65 | 1 | 1 | 0 | 0 | 1 |
Open | 65 | 0 | 0 | 0 | 2 | 1 | |
Chen et al. [20] | Laparoscopic | 32 | 1 | 0 | 0 | 0 | 0 |
Open | 44 | 0 | 2 | 0 | 1 | 0 | |
Ditto et al. [25] | Laparoscopic | 60 | 0 | 0 | 0 | 0 | 0 |
Open | 60 | 0 | 0 | 0 | 0 | 0 | |
Frumovitz et al. [26] | Laparoscopic | 35 | 1 | 0 | 0 | 3 | 0 |
Open | 54 | 1 | 0 | 0 | 0 | 0 | |
Ghezzi et al. [27] | Laparoscopic | 50 | 3 | 1 | 0 | 0 | 0 |
Open | 48 | 2 | 0 | 1 | 2 | 0 | |
Lee et al. [21] | Laparoscopic | 24 | 0 | 1 | 0 | 2 | 0 |
Open | 48 | 2 | 1 | 0 | 3 | 0 | |
Li et al. [22] | Laparoscopic | 90 | 4 | 0 | 0 | 4 | 0 |
Open | 35 | 0 | 0 | 0 | 1 | 0 | |
Lim et al. [23] | Laparoscopic | 18 | 0 | 0 | 0 | 0 | 0 |
Open | 30 | 0 | 0 | 0 | 0 | 0 | |
Malzoni et al. [28] | Laparoscopic | 65 | 1 | 0 | 0 | 0 | 2 |
Open | 62 | 0 | 0 | 0 | 0 | 0 | |
Nam et al. [24] | Laparoscopic | 263 | 9 | 6 | 2 | 2 | 0 |
Open | 263 | 11 | 3 | 0 | 0 | 1 | |
Zakashansky et al. [30] | Laparoscopic | 30 | 2 | 0 | 0 | 0 | 0 |
Open | 30 | 0 | 0 | 1 | 1 | 0 | |
Total | Laparoscopic | 732 | 22 (3.0) | 9 (1.2) | 2 (0.3) | 11 (1.5) | 3 (0.4) |
Open | 739 | 16 (2.2) | 6 (0.8) | 2 (0.3) | 10 (1.4) | 2 (0.3) | |
P Value | - | - | 0.309 | 0.425 | 0.992 | 0.809 | 0.6465 |