Table 6. Overall analysis of complications comparing LRC and ORC.
Outcome of interest | No. of studies | No. of patients, LRC/ORC | OR (95% CI) | p-value | Study heterogeneity | Egger’s test (p value) | |||
Chi2 | df | I2 | p-value | ||||||
Overall complications | 12 | 456/434 | 0.60 [0.44, 0.80] | <0.001 | 11.10 | 11 | 1% | 0.43 | 0.50 |
Major complications | 12 | 456/434 | 1.04 [0.69, 1.55] | 0.86 | 8.07 | 11 | 0% | 0.71 | 0.28 |
Minor complications | 12 | 456/434 | 0.45 [0.33, 0.62] | <0.001 | 18.39 | 11 | 40% | 0.07 | 0.11 |
1. Infectious disease | 11 | 406/384 | 0.31 [0.20, 0.49] | <0.001 | 9.80 | 10 | 0% | 0.46 | 0.52 |
Wound infection | 8 | 323/304 | 0.24 [0.10, 0.57] | 0.001 | 3.36 | 7 | 0% | 0.85 | 0.23 |
Pulmonary infection | 7 | 334/299 | 0.31 [0.14, 0.69] | 0.004 | 0.26 | 6 | 0% | 1.00 | 0.10 |
UTI | 9 | 381/348 | 0.76 [0.40, 1.44] | 0.40 | 5.05 | 8 | 0% | 0.88 | 0.92 |
GI infection | 3 | 88/81 | 0.35 [0.08, 1.55] | 0.17 | 2.06 | 2 | 3% | 0.36 | 0.50 |
Systemic sepsis | 3 | 115/105 | 0.15 [0.03, 0.87] | 0.03 | 0.40 | 2 | 0% | 0.82 | 0.11 |
2. Wound Dehiscence | 6 | 182/188 | 0.64 [0.21, 1.92] | 0.43 | 2.11 | 5 | 0% | 0.83 | 0.02 |
3. Neurologic | 3 | 81/76 | 0.86 [0.24, 3.05] | 0.82 | 2.16 | 2 | 7% | 0.34 | 0.06 |
4. Renal fistula/leak | 7 | 291/269 | 0.63 [0.31, 1.27] | 0.19 | 3.01 | 6 | 0% | 0.81 | 0.92 |
5. Ureteric obstruction | 4 | 229/189 | 1.90 [0.79, 4.54] | 0.15 | 4.89 | 4 | 18% | 0.30 | 0.48 |
6. GI fistula/leak | 5 | 246/201 | 1.17 [0.39, 3.52] | 0.78 | 3.43 | 4 | 0% | 0.49 | 0.50 |
7. Ileus | 10 | 399/376 | 0.54 [0.31, 0.94] | 0.03 | 7.37 | 9 | 0% | 0.60 | 0.45 |
8. Thromboembolic DVT/PE | 5 | 174/164 | 0.43 [0.14, 1.35] | 0.15 | 1.78 | 4 | 0% | 0.75 | 0.17 |
CI = Confidence interval; OR, odds ratio; LRC = laroscopic radical cystectomy; ORC = open radical cystectomy; UTI = urinary tract infection;
GI = gastrointestinal; DVT = deep vein thrombosis; PE = pulmonary embolus.
*Statistically significant results are shown in bold.