دورية أكاديمية
Laparoscopic versus robotic adrenalectomy: A comprehensive meta-analysis.
| العنوان: | Laparoscopic versus robotic adrenalectomy: A comprehensive meta-analysis. |
|---|---|
| المؤلفون: | Economopoulos KP; Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA; Society of Junior Doctors, Athens, Greece. Electronic address: economopoulos@sni.gr., Mylonas KS; Society of Junior Doctors, Athens, Greece; Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece., Stamou AA; Society of Junior Doctors, Athens, Greece; University of Athens, School of Medicine, Athens, Greece., Theocharidis V; Society of Junior Doctors, Athens, Greece; University of Athens, School of Medicine, Athens, Greece., Sergentanis TN; Society of Junior Doctors, Athens, Greece; Department of Hygiene, Epidemiology and Medical Statistics, School of Medicine, University of Athens, Athens, Greece., Psaltopoulou T; Department of Hygiene, Epidemiology and Medical Statistics, School of Medicine, University of Athens, Athens, Greece., Richards ML; Department of Surgery, Mayo Clinic, Rochester, MN, USA. |
| المصدر: | International journal of surgery (London, England) [Int J Surg] 2017 Feb; Vol. 38, pp. 95-104. Date of Electronic Publication: 2016 Dec 30. |
| نوع المنشور: | Journal Article; Meta-Analysis; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wolters Kluwer Health, Inc Country of Publication: United States NLM ID: 101228232 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1743-9159 (Electronic) Linking ISSN: 17439159 NLM ISO Abbreviation: Int J Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2023- : [Philadelphia] : Wolters Kluwer Health, Inc. Original Publication: London : Surgical Associates Ltd., c2004- |
| مواضيع طبية MeSH: | Adrenalectomy/*methods , Laparoscopy/*methods , Robotics/*methods, Humans ; Intraoperative Complications ; Length of Stay ; Operative Time ; Postoperative Complications |
| مستخلص: | Background: The benefit of robotic adrenalectomy (RA) compared to laparoscopic adrenalectomy (LA) is still debatable. The purpose of this paper was to systematically review and synthesize all available evidence comparing RA to LA so as to evaluate which procedure provides superior clinical outcomes. Methods: A systematic literature search of PubMed and Scopus databases was performed with respect to the PRISMA statement (end-of-search date: January 31, 2016). Data on perioperative variables were extracted by three independent reviewers. Data were pooled using a random-effects model. Results: Twenty-seven studies were included in this review (13 comparative and 14 non-comparative). Overall, 1162 patients underwent adrenalectomy (747 treated with RA and 415 with LA). There was no significant difference between the robotic and the laparoscopic groups for intraoperative complications (OR: 1.20; 95%CI, 0.33-4.38), postoperative complications (OR: 0.69; 95% CI, 0.36-1.31), mortality (OR: 0.42; 95%CI, 0.07-2.72), conversion to laparotomy (OR: 0.51; 95%CI, 0.21-1.23), conversion to laparotomy or laparoscopy (OR: 0.73; 95%CI, 0.32-1.69) and blood loss (WMD: -9.78; 95%, -22.10 to 2.53). For patients treated with RA, there was a significantly shorter hospital stay (WMD: -0.40; 95% CI, -0.64 to -0.17) and a significantly longer operating time (WMD: 15.60; 95%CI, 2.12 to 29.08). Conclusions: Robotic adrenalectomy is a safe and feasible procedure with similar clinical outcomes as the laparoscopic approach in selected patient populations. High quality RCTs as well as uniform and detailed reporting of outcomes are needed to determine the role and cost-effectiveness of robotic adrenal surgery in the years to come. (Copyright © 2016 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Laparoscopic adrenalectomy; Meta-analysis; Robot-assisted adrenalectomy; Robotic adrenalectomy |
| تواريخ الأحداث: | Date Created: 20170104 Date Completed: 20170306 Latest Revision: 20181202 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1016/j.ijsu.2016.12.118 |
| PMID: | 28043926 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1743-9159 |
|---|---|
| DOI: | 10.1016/j.ijsu.2016.12.118 |