Acute kidney injury after robot‐assisted laparoscopic prostatectomy: A meta‐analysis

Abstract

AbstractBackgroundWe investigated the rates of acute kidney injury (AKI) post robot‐assisted laparoscopic prostatectomy (RALP).MethodsA 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.ResultsWe 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).ConclusionsThe 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.