Laparoscopic renal surgery is here to stay
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, la...
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| Main Authors: | , , |
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| Format: | article |
| Language: | EN |
| Published: |
Taylor & Francis Group
2018
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| Subjects: | |
| Online Access: | https://doaj.org/article/41a958f4f82a402f9cff9a34c6db1b68 |
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| Summary: | 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 |
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