Comparison of perioperative outcomes of selective arterial clipping guided by near-infrared fluorescence imaging using indocyanine green versus undergoing standard robotic-assisted partial nephrectomy: a systematic review and meta-analysis

Background: This study employs a meta-analytic approach to investigate the impact of robotic-assisted partial nephrectomy, with and without near-infrared fluorescence imaging (NIRF-RAPN vs S-RAPN), on patients’ perioperative outcomes and postoperative changes in renal function. Materials and methods: The authors conducted a comprehensive and rigorous systematic review and cumulative meta-analysis of primary outcomes following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses), AMSTAR (Assessing the Methodological Quality of Systematic Reviews) Guidelines, and Risk-of-Bias Tool (RoB2). To ensure a thorough search, the authors systematically searched five major databases, including Medline, PubMed, Cochrane Library, Scopus, and Web of Science, from databases’ inception to April 2023. Results: No significant differences were found between the two groups in terms of age (P=0.19), right side (P=0.54), BMI (P=0.39), complexity score (P=0.89), tumor size (P=0.88), operating time (P=0.39), estimated blood loss (P=0.47), length of stay (P=0.87), complications (P=0.20), transfusion (P=0.36), and positive margins (P=0.38). However, it is noteworthy that the NIRF-RAPN group exhibited significant reductions in warm ischemia time (P=0.001), the percentage change in estimated glomerular filtration rate at discharge (P=0.01) compared to the S-RAPN group. Conclusion: This meta-analysis provides evidence that the group undergoing NIRF-RAPN showed a statistically significant protective effect on the estimated glomerular filtration rate (eGFR).

Authors
Zhou Lin 1 , Zhou Junjie 1 , Shuai Hui 1 , Xu Qian 1 , Tan Ying 1 , Luo Jia 1 , Xu Pengjun 1 , Duan Xi2 , Mao Xiaorong3 , Wang Shanshan4 , Wu Tao 1
Number of issue
2
Language
English
Pages
1234-1244
Status
Published
Volume
110
Year
2024
Organizations
  • 1 Department of Urology
  • 2 Department of Dermatology, Affiliated Hospital of North Sichuan Medical College, Shunqing, Nanchong
  • 3 Nursing Research Center, Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of China, Qingyang District, Chengdu, Sichuan
  • 4 School of Nursing, The Hong Kong Polytechnic University, Hong Kong, People’s Republic of China
Date of creation
01.07.2024
Date of change
01.07.2024
Short link
https://repository.rudn.ru/en/records/article/record/109988/
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