What do systematic reviews say?

Robotic‐assisted laparoscopic vs open radical cystectomy

Robotic‐assisted laparoscopic showed no clear difference in time to recurrence (here: recurrence rate at 5 years) compared with open radical cystectomy (low certainty).

• Robotic versus open radical cystectomy for bladder cancer in adults 2019 · Cochrane Headline outcomes only
  HR 1.05 [0.77, 1.43]
  2 studies · 277 participants
  Low

Robotic‐assisted laparoscopic vs open radical cystectomy

Robotic‐assisted laparoscopic showed no clear difference in major postoperative complications compared with open radical cystectomy (low certainty).

• Robotic versus open radical cystectomy for bladder cancer in adults 2019 · Cochrane Headline outcomes only
  RR 1.06 [0.76, 1.48]
  5 studies · 541 participants
  Low

Robotic‐assisted laparoscopic vs open radical cystectomy

It is very uncertain whether robotic‐assisted laparoscopic changes minor postoperative complications compared with open radical cystectomy (very low certainty).

• Robotic versus open radical cystectomy for bladder cancer in adults 2019 · Cochrane Headline outcomes only
  RR 0.82 [0.58, 1.17]
  4 studies · 423 participants
  Very low

Robotic‐assisted laparoscopic vs open radical cystectomy

Robotic‐assisted laparoscopic probably leads to lower transfusion rate compared with open radical cystectomy (moderate certainty).

• Robotic versus open radical cystectomy for bladder cancer in adults 2019 · Cochrane Headline outcomes only
  RR 0.58 [0.43, 0.8]
  2 studies · 326 participants
  Moderate

Robotic‐assisted laparoscopic vs open radical cystectomy

• Robotic versus open radical cystectomy for bladder cancer in adults 2019 · Cochrane Headline outcomes only
  no estimate extracted
  5 studies · 541 participants
  Low

Robotic‐assisted laparoscopic vs open radical cystectomy

• Robotic versus open radical cystectomy for bladder cancer in adults 2019 · Cochrane Headline outcomes only
  no estimate extracted
  3 studies · 270 participants
  Low

Robotic‐assisted laparoscopic vs open radical cystectomy

Robotic‐assisted laparoscopic showed no clear difference in positive margins assessed through pathological evaluation of… compared with open radical cystectomy (low certainty).

• Robotic versus open radical cystectomy for bladder cancer in adults 2019 · Cochrane Headline outcomes only
  RR 1.16 [0.56, 2.4]
  5 studies · 541 participants
  Low

Laparaoscopic radical prostatectomy and robotic‐assisted laparoscopic radical prostatectomy vs open radical prostatectomy

The review found no eligible studies for this question.

• Laparoscopic and robotic‐assisted versus open radical prostatectomy for the treatment of localised prostate cancer 2017 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found

Laparaoscopic radical prostatectomy and robotic‐assisted laparoscopic radical prostatectomy vs open radical prostatectomy

• Laparoscopic and robotic‐assisted versus open radical prostatectomy for the treatment of localised prostate cancer 2017 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 248 participants
  Moderate

Laparaoscopic radical prostatectomy and robotic‐assisted laparoscopic radical prostatectomy vs open radical prostatectomy

• Laparoscopic and robotic‐assisted versus open radical prostatectomy for the treatment of localised prostate cancer 2017 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 248 participants
  Moderate

Laparaoscopic radical prostatectomy and robotic‐assisted laparoscopic radical prostatectomy vs open radical prostatectomy

The review found no eligible studies for this question.

• Laparoscopic and robotic‐assisted versus open radical prostatectomy for the treatment of localised prostate cancer 2017 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found

Laparaoscopic radical prostatectomy and robotic‐assisted laparoscopic radical prostatectomy vs open radical prostatectomy

The review found no eligible studies for this question.

• Laparoscopic and robotic‐assisted versus open radical prostatectomy for the treatment of localised prostate cancer 2017 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found

Laparaoscopic radical prostatectomy and robotic‐assisted laparoscopic radical prostatectomy vs open radical prostatectomy

Laparaoscopic radical prostatectomy and robotic‐assisted… showed no clear difference in overall surgical complications (short‐term) compared with open radical prostatectomy (low certainty).

• Laparoscopic and robotic‐assisted versus open radical prostatectomy for the treatment of localised prostate cancer 2017 · Cochrane Headline outcomes only
  RR 0.41 [0.16, 1.04]
  1 study · 308 participants
  Low

Posterior reconstruction vs no posterior reconstruction

Posterior reconstruction showed no clear difference in urinary continence within 1 week after catheter removal MCID: 5%… compared with no posterior reconstruction (low certainty).

• Posterior musculofascial reconstruction in robotic‐assisted laparoscopic prostatectomy for the treatment of clinically… 2021 · Cochrane Headline outcomes only
  RR 1.25 [0.9, 1.73]
  5 studies · 498 participants
  Low

Posterior reconstruction vs no posterior reconstruction

Posterior reconstruction showed no clear difference in urinary continence 3 months after surgery MCID: 5% absolute difference compared with no posterior reconstruction (low certainty).

• Posterior musculofascial reconstruction in robotic‐assisted laparoscopic prostatectomy for the treatment of clinically… 2021 · Cochrane Headline outcomes only
  RR 0.98 [0.84, 1.14]
  6 studies · 842 participants
  Low

Posterior reconstruction vs no posterior reconstruction

Posterior reconstruction showed no clear difference in serious adverse events compared with no posterior reconstruction (moderate certainty).

• Posterior musculofascial reconstruction in robotic‐assisted laparoscopic prostatectomy for the treatment of clinically… 2021 · Cochrane Headline outcomes only
  RR 0.75 [0.29, 1.92]
  5 studies · 835 participants
  Moderate

Posterior reconstruction vs no posterior reconstruction

Posterior reconstruction showed no clear difference in urinary continence 6 months after surgery MCID: 5% absolute difference compared with no posterior reconstruction (moderate certainty).

• Posterior musculofascial reconstruction in robotic‐assisted laparoscopic prostatectomy for the treatment of clinically… 2021 · Cochrane Headline outcomes only
  RR 1.01 [0.97, 1.05]
  5 studies · 741 participants
  Moderate

Posterior reconstruction vs no posterior reconstruction

Posterior reconstruction showed no clear difference in urinary continence 12 months after surgery MCID: 5% absolute… compared with no posterior reconstruction (low certainty).

• Posterior musculofascial reconstruction in robotic‐assisted laparoscopic prostatectomy for the treatment of clinically… 2021 · Cochrane Headline outcomes only
  RR 1.02 [0.98, 1.07]
  3 studies · 602 participants
  Low

Posterior reconstruction vs no posterior reconstruction

It is very uncertain whether posterior reconstruction changes potency recovery 12 months after surgery MCID: 5% absolute difference compared with no posterior reconstruction (very low certainty).

• Posterior musculofascial reconstruction in robotic‐assisted laparoscopic prostatectomy for the treatment of clinically… 2021 · Cochrane Headline outcomes only
  RR 1.02 [0.82, 1.26]
  2 studies · 308 participants
  Very low

Posterior reconstruction vs no posterior reconstruction

Posterior reconstruction showed no clear difference in positive surgical margins MCID: 5% absolute difference compared with no posterior reconstruction (low certainty).

• Posterior musculofascial reconstruction in robotic‐assisted laparoscopic prostatectomy for the treatment of clinically… 2021 · Cochrane Headline outcomes only
  RR 1.24 [0.65, 2.33]
  3 studies · 517 participants
  Low