1. Transperitoneal versus retroperitoneal approaches of pyeloplasty in management of ureteropelvic junction obstruction: A meta-analysis
- Author
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Ni Lu, Mingzhen Zhou, Zhufeng Peng, Pan Song, Mengxuan Shu, Qiang Dong, Caixia Pei, Zirui Wang, and Luchen Yang
- Subjects
Pyeloplasty ,medicine.medical_specialty ,RD1-811 ,medicine.medical_treatment ,Ureteropelvic junction ,Cochrane Library ,Kidney ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Humans ,Kidney Pelvis ,Retroperitoneal approach ,Ureteropelvic junction obstruction ,business.industry ,Open surgery ,General surgery ,Transperitoneal ,Retroperitoneal ,Meta-analysis ,Treatment Outcome ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Urologic Surgical Procedures ,Operative time ,Laparoscopy ,030211 gastroenterology & hepatology ,Surgery ,Ureter ,business ,Hospital stay ,Ureteral Obstruction - Abstract
The aim of this study was to evaluate the benefits and safety of transperitoneal and retroperitoneal pyeloplasty for ureteropelvic junction obstruction by a meta-analysis. We searched the databases including PubMed, Cochrane Library and Embase database from their inception to December 1st, 2020. Relevant literatures comparing retroperitoneal pyeloplasty with transperitoneal pyeloplasty were identified. A meta-analysis was conducted with Revman 5.3. The main outcomes included success rate, operative time, hospital stay, conversion rate of open surgery, overall complications, and detailed postoperative complications/indicators. 15 studies with 1881 patients were included. The results revealed that there were no significant differences between two approaches in success rate [OR = 1.51, 95%CI (0.94, 2.41), p = 0.09], hospital stay [MD = 0.21, 95%CI (−0.12, 0.54), p = 0.21] and overall complications [OR = 1.07, 95%CI (0.76, 1.50), p = 0.69]. The retroperitoneal approach was associated with longer operative time [MD = −26.91, 95%CI (−40.97, −12.84), p
- Published
- 2022