Wound infection in robotic‐assisted radical prostatectomy compared with retropubic radical prostate surgery: A meta‐analysis

• Published in: International wound journal Vol. 20; no. 9; pp. 3550 - 3557
• Main Authors: Zhu, Wei, Wu, Lingfeng, Xie, Wenhua, Zhang, Gaoyue, Gu, Yanqin, Hou, Yansong, He, Yi
• Format: Journal Article
• Language: English
• Published: Oxford John Wiley & Sons, Inc 01.11.2023; Blackwell Publishing Ltd
• Subjects: Bias; Ergonomics; Infections; Investigations; Laparoscopy; Meta-analysis; Original; Prostate cancer; Robotic surgery; United States > US; Sweden; Egypt
• ISSN: 1742-4801; 1742-481X
• DOI: 10.1111/iwj.14228

Abstract A meta‐analysis investigation was executed to measure the wound infection (WI) in robotic‐assisted radical prostatectomy (RRP) compared with retropubic radical prostate surgery (RRPS). A comprehensive literature investigation till February 2023 was applied, and 1197 interrelated investigations were reviewed. The 19 chosen investigations enclosed 107 153 individuals with prostate cancer (PC) at the starting point. 72 008 of them were utilising RRP, and 35 145 were utilising RRPS. Odds ratio (OR) in addition to 95% confidence intervals (CIs) was utilised to compute the value of the WI in RRP compared with RRPS by the dichotomous approaches and a fixed or random model. RRP had significantly lower surgical site wound infection (SSWI) (OR, 0.33; 95% CI, 0.21–0.52, P  < .001) and infected lymphoceles (ILs) (OR, 0.45; 95% CI, 0.22–0.92, P  = .03) compared with RRPS in individuals with PC. RRP had significantly lower SSWI and ILs compared with RRPS in individuals with PC. However, care must be exercised when dealing with its values because of the low sample size of some of the nominated investigations for the meta‐analysis.