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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Autores principales:	Angus Chin On Luk, Rajadoss Muthu Krishna Pandian, Rakesh Heer
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2018
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/41a958f4f82a402f9cff9a34c6db1b68
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spelling	oai:doaj.org-article:41a958f4f82a402f9cff9a34c6db1b682021-12-02T12:24:08ZLaparoscopic renal surgery is here to stay2090-598X10.1016/j.aju.2018.01.003https://doaj.org/article/41a958f4f82a402f9cff9a34c6db1b682018-09-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X18300081https://doaj.org/toc/2090-598XObjectives: 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, PyeloplastyAngus Chin On LukRajadoss Muthu Krishna PandianRakesh HeerTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss 3, Pp 314-320 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Angus Chin On Luk Rajadoss Muthu Krishna Pandian Rakesh Heer Laparoscopic renal surgery is here to stay
description	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
format	article
author	Angus Chin On Luk Rajadoss Muthu Krishna Pandian Rakesh Heer
author_facet	Angus Chin On Luk Rajadoss Muthu Krishna Pandian Rakesh Heer
author_sort	Angus Chin On Luk
title	Laparoscopic renal surgery is here to stay
title_short	Laparoscopic renal surgery is here to stay
title_full	Laparoscopic renal surgery is here to stay
title_fullStr	Laparoscopic renal surgery is here to stay
title_full_unstemmed	Laparoscopic renal surgery is here to stay
title_sort	laparoscopic renal surgery is here to stay
publisher	Taylor & Francis Group
publishDate	2018
url	https://doaj.org/article/41a958f4f82a402f9cff9a34c6db1b68
work_keys_str_mv	AT anguschinonluk laparoscopicrenalsurgeryisheretostay AT rajadossmuthukrishnapandian laparoscopicrenalsurgeryisheretostay AT rakeshheer laparoscopicrenalsurgeryisheretostay
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Laparoscopic renal surgery is here to stay

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