Robot assisted adrenalectomy: a handy tool or glorified obsession?
Identifieur interne : 003B84 ( Ncbi/Merge ); précédent : 003B83; suivant : 003B85Robot assisted adrenalectomy: a handy tool or glorified obsession?
Auteurs : Mrinal PahwaSource :
- Gland Surgery [ 2227-684X ] ; 2015.
Abstract
Robotic surgery has recently expanded its horizon in urology apart from radical prostatectomy, one of them being adrenalectomy. Till now, laparoscopic adrenalectomy has established itself as the procedure of choice for benign adrenal disorders. Brandao
Url:
DOI: 10.3978/j.issn.2227-684X.2015.05.01
PubMed: 26312212
PubMed Central: 4523626
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PMC:4523626Le document en format XML
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<front><div type="abstract" xml:lang="en"><p>Robotic surgery has recently expanded its horizon in urology apart from radical prostatectomy, one of them being adrenalectomy. Till now, laparoscopic adrenalectomy has established itself as the procedure of choice for benign adrenal disorders. Brandao <italic>et al</italic>
. have recently accomplished a thorough systematic review and meta-analysis of nine trials comparing laparoscopic and robotic adrenalectomy. There was no significant difference between the two groups in terms of conversion rate [odds ratio (OR): 0.82; 95% CI, 0.39-1.75; P=0.61] and operative time (WMD: 5.88; 95% CI, −6.02 to 17.79; P=0.33). There was a significantly longer hospital stay in the conventional laparoscopic group (WMD: −0.43; 95% CI, −0.56 to −0.30; P<0.00001), as well as a higher estimated blood loss (WMD: −18.21; 95% CI, −29.11 to −7.32; P=0.001). There was also no statistically significant difference in terms of postoperative complication rate. The authors seem to support the use of robot for adrenalectomy. However, robotic surgery suffers from cost issues and some technical drawbacks that limit its use in routine practice. Larger and appropriately powered randomized controlled trials are needed to establish and justify its use for performing adrenalectomy.</p>
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<pmc article-type="editorial"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Gland Surg</journal-id>
<journal-id journal-id-type="iso-abbrev">Gland Surg</journal-id>
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<article-id pub-id-type="doi">10.3978/j.issn.2227-684X.2015.05.01</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Editorial</subject>
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<title-group><article-title>Robot assisted adrenalectomy: a handy tool or glorified obsession?</article-title>
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<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Pahwa</surname>
<given-names>Mrinal</given-names>
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<aff id="aff1">Department of Urology and Renal Transplantation, Sir Ganga Ram Hospital, New Delhi,<country>India</country>
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<author-notes><corresp id="cor1"><italic>Correspondence to:</italic>
Mrinal Pahwa. Department of Urology and Renal Transplantation, Sir Ganga Ram Hospital, New Delhi, India. Email: <email xlink:href="drmrinalpahwa@gmail.com">drmrinalpahwa@gmail.com</email>
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<pub-date pub-type="epub-ppub"><month>8</month>
<year>2015</year>
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<pmc-comment>Fake ppub date generated by PMC from publisher
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<pub-date pub-type="ppub"><month>8</month>
<year>2015</year>
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<volume>4</volume>
<issue>4</issue>
<fpage>279</fpage>
<lpage>282</lpage>
<history><date date-type="received"><day>22</day>
<month>4</month>
<year>2015</year>
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<date date-type="accepted"><day>29</day>
<month>4</month>
<year>2015</year>
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<permissions><copyright-statement>2015 Gland Surgery. All rights reserved.</copyright-statement>
<copyright-year>2015</copyright-year>
<copyright-holder>Gland Surgery.</copyright-holder>
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<abstract><p>Robotic surgery has recently expanded its horizon in urology apart from radical prostatectomy, one of them being adrenalectomy. Till now, laparoscopic adrenalectomy has established itself as the procedure of choice for benign adrenal disorders. Brandao <italic>et al</italic>
. have recently accomplished a thorough systematic review and meta-analysis of nine trials comparing laparoscopic and robotic adrenalectomy. There was no significant difference between the two groups in terms of conversion rate [odds ratio (OR): 0.82; 95% CI, 0.39-1.75; P=0.61] and operative time (WMD: 5.88; 95% CI, −6.02 to 17.79; P=0.33). There was a significantly longer hospital stay in the conventional laparoscopic group (WMD: −0.43; 95% CI, −0.56 to −0.30; P<0.00001), as well as a higher estimated blood loss (WMD: −18.21; 95% CI, −29.11 to −7.32; P=0.001). There was also no statistically significant difference in terms of postoperative complication rate. The authors seem to support the use of robot for adrenalectomy. However, robotic surgery suffers from cost issues and some technical drawbacks that limit its use in routine practice. Larger and appropriately powered randomized controlled trials are needed to establish and justify its use for performing adrenalectomy.</p>
</abstract>
<kwd-group kwd-group-type="author"><title>Keywords: </title>
<kwd>Robotic assisted</kwd>
<kwd>robotic</kwd>
<kwd>adrenalectomy</kwd>
<kwd>laparoscopic adrenalectomy</kwd>
<kwd>phaeochromocytoma</kwd>
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