Table 5.
Evidence summary
| Outcome | Number of reviews | Favored approach | Effect size | I2 | AMSTAR-2 summary |
|---|---|---|---|---|---|
| WIT | 4 | Open in 1, Equal in 3 | MD = 0.13, Hedge = 0.07 |
0% 55.26% |
Moderate, Moderate to low, Low |
| CIT | 5 | Open in all | MD = 4.78, MD = 5.18, Hedge = 0.353 |
11% 35.6% |
Moderate, Moderate to low, Low |
| Rewarming time | 5 | Open in all | MD = 20.83, MD = 11.24, Hedge = 0.41 |
59.42% 61% |
Moderate, Moderate to low, Low |
| Total ischemia time | 3 | Open in all | MD = 17.82, MD = 16.51 | 86% | Moderate to low, Low |
| Blood loss | 5 | Robot in 4, Equal in 1 | MD = −16.06, MD = −54.74, MD = −53.68, Hedge = 0.398 |
19.9% 32% |
Moderate, Moderate to low, Low |
| Blood transfusion | 2 | Robot in 1, Equal in 1 | RR = 0.49 | 0% | Moderate to low |
| Delayed Graft function | 5 | Equal in 4, Robot in 1 | RR = 1.10, RR = 0.99, RR = 0.927, RR = 1.23 | 0% | Moderate, Moderate to low, Low |
| SSI | 6 | Robot in all | RR = 0.22, RR = 0.15, RR = 0.331, RR = 0.31 |
0% 26.01% |
Moderate, Moderate to low, Low |
| Hospital stay | 5 | Robot in 2, Equal in 3 | MD = −2.03, MD = 1.69, MD = 3.07, Hedge = 0.088 |
65% 76% |
Moderate, Moderate to low, Low |
| Graft rejection | 4 | Open in 1, Equal in 3 |
RR = 1.16, RR = 1.06, RR = 1.215, RR = 0.96 |
0% | Moderate, Moderate to low |
| Graft failure | 2 | Equal in all | RR = 0.94 | 0% | Moderate to low, Low |
| All cause mortality | 1 | Equal in all | RR = 1.16 | 0% | Moderate to low |
| Operation time | 5 | Open in 3, Equal in 2 | MD = 24.28, MD = 6.47, Hedge = 0.127 | 47.40% | Moderate, Moderate to low, Low |
| Incision length | 3 | Robot in all | MD = −9.13, Hedge = 0.567 | 58.82% | Moderate, Low |
| Incisional hernia | 3 | Open in 2, Equal in 1 | NA | NA | Moderate, Low |
| Lymphocele | 3 | Robot in all | RR = 0.20, RR = 0.468, RR = 0.16 | 0% | Moderate, Moderate to low |
| Venous thrombosis | 2 | Open in 1, Equal in 1 | RR = 0.588 | 0% | Moderate |
| Arterial stenosis | 2 | Open in 1, Equal in 1 | RR = 0.588 | 0% | Moderate |
| Ureter leak | 2 | Robot in all | NA | NA | Moderate |
| UTI | 1 | Open in all | NA | 0% | Moderate |
| Pain | 4 | Robot in all | MD = −1.38, MD = −1.45, Hedge = −0.45 | 1.18% | Moderate, Moderate to low, Low |
| Ileus rate | 1 | Open in all | RR = 3.30 | NA | Moderate to low |
| Hospital readmission | 1 | Equal in all | RR = 1.09 | NA | Moderate to low |
| Arterial anastomosis time | 2 | Equal in 2, Open in 1 | MD = 2.33, Hedge = 0.167 | 88.82% | Moderate to low, Low |
| Venous anastomosis time | 2 | Equal in 2, Open in 1 | MD = 2.89, Hedge = 0.207 | 88% | Moderate to low, Low |
| Ureteral anastomosis time | 2 | Equal in 2, Open in 2 | MD = 3.88, Hedge = 0.247 | 83.91% | Moderate to low, Low |
WIT: Warm ischemia time; CIT: Cold ischemia time; SSI: Surgical site infections; UTI: Urinary tract infection