Cirurgia Curativa para Cancro da Próstata Localizado – Prostatectomia Radical Assistida por Robot Versus Laparoscópica: Uma Revisão Sistemática de Revisões Sobre Resultados de Eficácia e Segurança Perioperatória
DOI:
https://doi.org/10.24915/aup.261Palavras-chave:
Laparoscopia, Neoplasiasda Prostata/cirurgia, Procedimentos Cirúrgicos Robóticos, ProstatectomiaResumo
Introdução: Foram publicadas várias revisões sistemáticas que comparam a prostatectomia radical laparoscópica (PRL) com a prostatectomia radical assistida por robot (PRAR), tendo produzido resultados heterogéneos. O nosso objetivo foi sintetizar a evidência.
Métodos: Foi realizada uma pesquisa na PubMed para identificar revisões sistemáticas, com ou sem meta-análises, que compravassem PRL e PRAR. Foram extraídos e analisados dados relativos a parâmetros perioperatórios, complicações e resultados oncológicos.
Resultados: Os resultados intraoperatórios e pós-operatórios parecem, de um modo geral, comparáveis entre as duas abordagens. A maioria dos estudos demonstra vantagens da PRAR no tempo operatório, na perda de sangue estimada e nas taxas de transfusão. As taxas de complicações e de margens cirúrgicas positivas tendem a ser semelhantes. A PRAR parece oferecer uma vantagem significativa relativamente à curva de aprendizagem dos cirurgiões, embora associada a custos superiores.
Conclusão: Embora ambas as técnicas apresentem resultados comparáveis, a abordagem robótica revela benefícios perioperatórios modestos.
Protocolo do Estudo: Base de dados PROSPERO (Número de Registo: CRD42025630631).
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Direitos de Autor (c) 2023 Portuguese Association of Urology
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