Abstract：
This meta-analysis aimed to compare perioperative outcome measures between the AirSeal system and conventional insufflation system in robot-assisted laparoscopic prostatectomy. Up to May 2024, comprehensive searches were conducted across various prominent databases worldwide, such as PubMed, Embase, and Google Scholar, focusing solely on English-language materials. Reviews and protocols devoid of published data were excluded, along with conference abstracts and articles unrelated to the study\'s aims. Primary outcome measures encompassed operative duration and hospitalization length, while secondary outcome measures included estimated blood loss and complications. The meta-analysis included five cohort studies, encompassing a total of 1503 patients. In comparison to the conventional insufflation system group, the AirSeal group displayed shorter operative times (WMD - 15.62, 95% CI - 21.87 to - 9.37; p < 0.00001) and reduced hospital stays (WMD - 0.45, 95% CI - 0.60 to - 0.30; p < 0.00001). Fewer major complications (OR 0.15, 95% CI 0.03 to 0.66; p = 0.01). Notably, there were no significant differences observed in estimated blood loss or overall complications between the two groups. Compared to conventional insufflation systems, employing the AirSeal system in robot-assisted laparoscopic radical prostatectomy appears to potentially decrease operative time and hospital length of stay without a concurrent rise in estimated blood loss or complication rates.
摘要：
这项荟萃分析旨在比较AirSeal系统和常规充气系统在机器人辅助腹腔镜前列腺切除术中的围手术期结果。截至2024年5月，在全球各种著名数据库中进行了全面搜索，比如PubMed,Embase,和谷歌学者，只专注于英语材料。没有公开数据的评论和协议被排除在外，以及与研究目的无关的会议摘要和文章。主要结局指标包括手术时间和住院时间，而次要结局指标包括估计的失血量和并发症。荟萃分析包括五项队列研究，共包括1503名患者。与常规吹气系统组相比，AirSeal组的手术时间缩短(WMD-15.62,95%CI-21.87至-9.37;p<0.00001),住院时间缩短(WMD-0.45,95%CI-0.60至-0.30;p<0.00001)。主要并发症较少（OR0.15，95％CI0.03至0.66；p=0.01）。值得注意的是,两组间的估计失血量或总体并发症无显著差异.与传统的吹气系统相比，在机器人辅助腹腔镜根治性前列腺切除术中采用AirSeal系统似乎有可能减少手术时间和住院时间,而不会同时增加估计的失血量或并发症发生率.
