1. Systematic review and meta-analysis of ureteral stent for risk factors of restenosis after laparoscopic pyeloplasty
- Author
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Qiang Feng, Yu Wang, Li Lijun, Ming-xing Qiu, and Baisheng Gong
- Subjects
medicine.medical_specialty ,medicine.medical_treatment ,Urology ,Subgroup analysis ,Constriction, Pathologic ,Postoperative Complications ,Ureter ,Restenosis ,Risk Factors ,medicine ,Humans ,Kidney Pelvis ,Retrospective Studies ,Advanced and Specialized Nursing ,business.industry ,Stent ,medicine.disease ,Confidence interval ,Treatment Outcome ,Anesthesiology and Pain Medicine ,medicine.anatomical_structure ,Strictly standardized mean difference ,Meta-analysis ,Relative risk ,Urologic Surgical Procedures ,Laparoscopy ,Stents ,business ,Ureteral Obstruction - Abstract
BACKGROUND Laparoscopic pyeloplasty (LP) has been widely used to treat ureteropelvic junction obstruction (UPJO); however, no previous series of reports has focused on analyzing the factors that influence the complications and outcomes of LP. In this study, we analyzed the risk factors related to complications of LP, especially that of restenosis. The aim of this study is to perform meta-analysis of relevant comparative studies to analyze the risk factors of restenosis after LP treatment with ureteral stent as of 30 April 2021. METHODS A systematic search was conducted in April 2021. The evaluation results included operation time (OT), intraoperative blood loss (IBL), anastomotic tension (AT), postoperative drainage (PD), and ectopic blood vessels (EBV). Relative risk (RR) and standardized mean difference (SMD) were extrapolated with a 95% confidence interval (CI). Subgroup analysis was performed based on research design and technology. RESULTS After screening, 7 studies were included, incorporating a total of 979 patients with PUJO treated by LP. Analysis revealed the likelihood of risk factors as follows: OT [mean difference (MD) -3.16, 95% CI: -7.18 to 0.85; P=0.12], IBL (MD -3.16, 95% CI: -7.18 to 0.85; P=0.12), AT (RR 3.86, 95% CI: 2.96 to 5.02; P
- Published
- 2021