比较开放式输尿管再植(OUR)的疗效和安全性,腹腔镜输尿管再植(LUR)和机器人辅助腹腔镜输尿管再植(RALUR)。本文回顾了R3.5.0软件制作的带有\"gemtc\"程序包和基于贝叶斯模型的JAGS3.4.0软件。在包括PubMed在内的数据库中进行了全面搜索,WebofScience,Embase,科克伦图书馆,Cnki,煤层气和万方数据。比较我们的研究,选择了LUR或RALUR。通过结果排名得出的结论摘要。共纳入29项研究的3949名患者。我们的成功率,LUR和RALUR为97.72%,94.68%和95.82%。LUR和RALUR的OR(95%CI)分别为0.76(0.42,1.7)和0.76(0.30,2.6),分别,与我们相比。我们的并发症发生率,LUR和RALUR为12.78%,7.94%和16.32%。LUR和RALUR的OR(95%CI)分别为0.28(0.16,0.48)和0.61(0.24,1.3),分别,与我们相比。手术时间LUR和RALUR的MD(95%CI)分别为22(2,40)和46(7.5,84),分别,与我们相比。住院的LUR和RALUR的MD(95%CI)为-3.6(-4.5,-2.7)和-1.1(-2.9,0.58),分别,与我们相比。我们的成功率没有显着差异,LUR,还有RALUR.RALUR和我们的并发症发生率和住院时间相似,与RALUR和OUR相比,LUR的并发症更少,出院时间更快。与LUR和RALUR相比,OUR的手术时间明显较少。
To compare the efficacy and safety between open ureteral replantation (OUR), laparoscopic ureteral replantation (LUR) and robot-assisted laparoscopic ureteral replantation (RALUR). This review produced by the R3.5.0 software with \"gemtc\" program package and JAGS3.4.0 software based on the Bayesian model. A comprehensive search was done in databases including PubMed, Web of Science, Embase, Cochrane library, Cnki, CBM and WANFANG DATA. Studies that compared OUR, LUR OR RALUR were selected. Summary of Conclusions by ranking of Outcomes. A total of 3949 patients from 29 studies were included. The success rate in OUR, LUR and RALUR was 97.72%, 94.68% and 95.82%. The OR (95% CI) of LUR and RALUR was 0.76 (0.42,1.7) and 0.76 (0.30, 2.6), respectively, compared with OUR. The rate of complications in OUR, LUR and RALUR was 12.78%, 7.94% and 16.32%. The OR (95% CI) of LUR and RALUR was 0.28 (0.16, 0.48) and 0.61 (0.24,1.3), respectively, compared with OUR. The MD (95% CI) of LUR and RALUR for operation time was 22 (2,40) and 46 (7.5,84), respectively, compared with OUR. The MD (95% CI) of LUR and RALUR for hospital stay was - 3.6 (- 4.5, - 2.7) and - 1.1 (- 2.9, 0.58), respectively, compared with OUR. There is no significant difference in the success rates of OUR, LUR, and RALUR. RALUR and OUR has similar complication rates and time of hospital stay, while LUR has fewer complications and faster time to discharge compared to RALUR and OUR. The operative time of OUR is significantly less compared to LUR and RALUR.