Laparoscopic renal surgery is here to stay
| Autor: | Angus Chin On Luk, Rajadoss Muthu Krishna Pandian, Rakesh Heer |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Pyeloplasty
medicine.medical_specialty Laparoscopic/open/robotic renal surgery Urology medicine.medical_treatment BMI body mass index (L)(LESS-)DN (laparoscopic) (laparoendoscopic single-site-) donor nephrectomy Upper Tract Surgery WIT warm ischaemia time 030232 urology & nephrology MEDLINE 03 medical and health sciences 0302 clinical medicine Blood loss medicine NOTES natural orifice transluminal endoscopic surgery RCT randomised controlled trial Partial nephrectomy Donor nephrectomy LOS length of hospital stay (L)(O)(RA)PN (laparoscopic) (open) (robot-assisted) partial nephrectomy eGFR estimated GFR (L)(O)(RA)RN (laparoscopic) (open) (robot-assisted) radical nephrectomy Radical nephrectomy business.industry General surgery Renal surgery Diseases of the genitourinary system. Urology PUJO PUJ obstruction 030220 oncology & carcinogenesis RC870-923 Complication business Hospital stay human activities BMI - Body mass index (L)(O)(RA)PY (laparoscopic) (open) (robot-assisted) pyeloplasty |
| Zdroj: | Arab Journal of Urology Arab Journal of Urology, Vol 16, Iss 3, Pp 314-320 (2018) |
| ISSN: | 2090-598X |
| Popis: | Objectives: To review the current literature comparing the outcomes of renal surgery via open, laparoscopic and robotic approaches. Materials and methods: A comprehensive literature search was performed on PubMed, MEDLINE and Ovid, to look for studies comparing outcomes of renal surgery via open, laparoscopic, and robotic approaches. Results: Limited good-quality evidence suggests that all three approaches result in largely comparable functional and oncological outcomes. Both laparoscopic and robotic approaches result in less blood loss, analgesia requirement, with a shorter hospital stay and recovery time, with similar complication rates when compared with the open approach. Robotic renal surgeries have not shown any significant clinical benefit over a laparoscopic approach, whilst the associated cost is significantly higher. Conclusion: With the high cost and lack of overt clinical benefit of the robotic approach, laparoscopic renal surgery will likely continue to remain relevant in treating various urological pathologies. Keywords: Laparoscopic/open/robotic renal surgery, Radical nephrectomy, Donor nephrectomy, Partial nephrectomy, Pyeloplasty |
| Databáze: | OpenAIRE |
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