Acute kidney injury after robot-assisted laparoscopic prostatectomy: A meta-analysis.
- Resource Type
- Academic Journal
- Authors
- Chandramohan D; Department of Internal Medicine/Nephrology, University of Alabama at Birmingham, Birmingham, Alabama, USA.; Konda R; Department of Internal Medicine/Nephrology, University of Alabama at Birmingham, Birmingham, Alabama, USA.; Pujari A; Department of Internal Medicine/Nephrology, University of Alabama at Birmingham, Birmingham, Alabama, USA.; Avula S; Department of Internal Medicine/Endocrinology, University of Minnesota Twin Cities, Minneapolis, Minnesota, USA.; Palleti SK; Department of Internal Medicine/Nephrology, Louisiana State University, Shreveport, Louisiana, USA.; Jena N; Department of Internal Medicine/Cardiovascular Medicine, Trinity Health Oakland/Wayne State University, Pontiac, Michigan, USA.; Naik R; Department of Medicine, Geisinger Health, Wilkes-Barre, Pennsylvania, USA.; Bali A; Department of Medicine, Geisinger Health, Wilkes-Barre, Pennsylvania, USA.
- Source
- Publisher: Wiley Country of Publication: England NLM ID: 101250764 Publication Model: Print Cited Medium: Internet ISSN: 1478-596X (Electronic) Linking ISSN: 14785951 NLM ISO Abbreviation: Int J Med Robot Subsets: MEDLINE
- Subject
- Language
- English
Background: We investigated the rates of acute kidney injury (AKI) post robot-assisted laparoscopic prostatectomy (RALP).
Methods: A comprehensive search was conducted to identify studies that reported the rates of AKI post-RALP. A random effects model was used, and the pooled rates of AKI were calculated.
Results: We identified 10 studies with 60,937 patients to be included. The mean age was 65.1 years. The mean anaesthesia time was 234.3 min (95% CI: 177.8-290.9). The mean operation time was 212.2 min (95% CI: 188.7-235.6). The mean estimated blood loss was 314.1 mL (95% CI: 153-475.3). The mean intraoperative IV fluids administered were 1985 mL (95% CI: 1516.3-2453.7). The pooled rate of AKI post RALP was 7.2% (95% CI 19-23.9).
Conclusions: The rates of AKI after RALP are significant. Further studies are needed to detect the risk factors for AKI and to determine the rates of chronic kidney disease post-RALP.
(© 2024 The Authors. The International Journal of Medical Robotics and Computer Assisted Surgery published by John Wiley & Sons Ltd.)