Systematic Review of Surgical Approaches for Adrenal Tumors: Lateral Transperitoneal versus Posterior Retroperitoneal and Laparoscopic versus Robotic Adrenalectomy
Joint Authors
Chai, Young Jun
Kwon, Hyungju
Yu, Hyeong Won
Kim, Su-jin
Choi, June Young
Lee, Kyu Eun
Youn, Yeo-Kyu
Source
International Journal of Endocrinology
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-12-17
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
Background.
Laparoscopic lateral transperitoneal adrenalectomy (LTA) has been the standard method for resecting benign adrenal gland tumors.
Recently, however, laparoscopic posterior retroperitoneal adrenalectomy (PRA) has been more popular as an alternative method.
This systematic review evaluates current evidence on adrenalectomy techniques, comparing laparoscopic LTA with PRA and laparoscopic adrenalectomy with robotic adrenalectomy.
Methods.
PubMed, Embase, and ISI Web of Knowledge databases were searched systematically for studies comparing surgical outcomes of laparoscopic LTA versus PRA and laparoscopic versus robotic adrenalectomy.
The studies were evaluated according to the PRISMA statement.
Results.
Eight studies comparing laparoscopic PRA and LTA showed that laparoscopic PRA was superior or at least comparable to laparoscopic LTA in operation time, blood loss, pain score, hospital stay, and return to normal activity.
Conversion rates and complication rates were similar.
Six studies comparing robotic and laparoscopic adrenalectomy found that outcomes and complications were similar.
Conclusion.
Laparoscopic PRA was more effective than LTA, especially in reducing operation time and hospital stay, but there was no evidence showing that robotic adrenalectomy was superior to laparoscopic adrenalectomy.
Cost reductions and further technical advances are needed for wider application of robotic adrenalectomy.
American Psychological Association (APA)
Chai, Young Jun& Kwon, Hyungju& Yu, Hyeong Won& Kim, Su-jin& Choi, June Young& Lee, Kyu Eun…[et al.]. 2014. Systematic Review of Surgical Approaches for Adrenal Tumors: Lateral Transperitoneal versus Posterior Retroperitoneal and Laparoscopic versus Robotic Adrenalectomy. International Journal of Endocrinology،Vol. 2014, no. 2014, pp.1-11.
https://search.emarefa.net/detail/BIM-1036619
Modern Language Association (MLA)
Chai, Young Jun…[et al.]. Systematic Review of Surgical Approaches for Adrenal Tumors: Lateral Transperitoneal versus Posterior Retroperitoneal and Laparoscopic versus Robotic Adrenalectomy. International Journal of Endocrinology No. 2014 (2014), pp.1-11.
https://search.emarefa.net/detail/BIM-1036619
American Medical Association (AMA)
Chai, Young Jun& Kwon, Hyungju& Yu, Hyeong Won& Kim, Su-jin& Choi, June Young& Lee, Kyu Eun…[et al.]. Systematic Review of Surgical Approaches for Adrenal Tumors: Lateral Transperitoneal versus Posterior Retroperitoneal and Laparoscopic versus Robotic Adrenalectomy. International Journal of Endocrinology. 2014. Vol. 2014, no. 2014, pp.1-11.
https://search.emarefa.net/detail/BIM-1036619
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1036619