scholarly journals Robotic Versus Laparoscopic Adrenalectomy: Systemic Review

2021 ◽  
pp. 59-70
Author(s):  
Emad Rezkallah ◽  
Wael Elsaify ◽  
Andrew Elsaify ◽  
Grace Lim
Keyword(s):  
Clinical Outcomes ◽  
Laparoscopic Adrenalectomy ◽  
Minimal Invasive Surgery ◽  
Intraoperative Complications ◽  
Laparoscopic Approach ◽  
Minimal Invasive ◽  
Systemic Review ◽  
Adrenal Surgery ◽  
Operative Complications ◽  
Robotic Adrenalectomy

Background: Minimal invasive surgery has become the standard for most surgical procedures now. Many studies have tried to compare robotic versus laparoscopic to adrenalectomy. Objectives: The aim of this study is to review most of the available studies comparing robotic to laparoscopic adrenalectomy to evaluate which procedure provides the superior clinical outcomes. Methods: A systematic literature search of ScienceDirect and PubMed databases. The perioperative clinical outcomes were collected by two independent reviewers. We used Random-effects (DerSimonian-Laird) models to get the pooled effect estimates. Results: 18 studies were eligible in our study. 10 of them were prospective and 8 were retrospective. A total of 1376 patients underwent adrenalectomy, 592 (43.02%) were treated with RA and 784 (56.9%) with the LA technique. There were no significant differences between both groups regarding the conversion rate (Odds ratio: 0.70, 95% CI 0.31-1.57, P= 0.65), intraoperative complications (OR: 2.18, 95% CI 0.49- 9.71, P= 0.28), post-operative complications (OR: 0.83, 95% CI: 0.55-1.24, P= 0.49), and mortality (OR: 0.42, 95% CI: 0.07-2.72, P= 0.98). However, robotic adrenalectomy was associated with longer operative times (MD: 9.89 min, 95% CI: -2.79 to 22.58), shorter hospital stay (MD: -0.33, 95% CI: -0.46 to -0.21) with less blood loss (MD: -25.34, 95% CI: -36.77 to -13.91). Conclusions: We proved that robotic adrenalectomy has equal safety and feasibility with similar clinical outcomes when compared with laparoscopic approach. However, better well-designed studies are required to determine the role and cost-effectiveness of robotic adrenal surgery.

scholarly journals Laparoscopic Removal of Gossypiboma

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Zeki Özsoy ◽  
Ismail Okan ◽  
Emin Daldal ◽  
Mehmet Fatih Dasıran ◽  
Yavuz Selim Angın ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Foreign Body ◽  
Emergency Room ◽  
Acute Abdomen ◽  
Invasive Surgery ◽  
Minimal Invasive Surgery ◽  
Foreign Body Reaction ◽  
Laparoscopic Approach ◽  
Minimal Invasive ◽  
Laparoscopic Removal

Gossypiboma is defined as a mass caused by foreign body reaction developed around the retained surgical item in the operative area. When diagnosed, it should be removed in symptomatic patients. Minimal invasive surgery should be planned for the removal of the retained item. The number of cases treated by laparoscopic approach is rare in the literature. We present a case of forty-year-old woman referred to emergency room with acute abdomen diagnosed as gossypiboma and treated successfully with laparoscopic surgery.

scholarly journals VP020 ENDOSCOPIC PREPERITONEAL APPROACH IN STRANGULATED INGUINAL HERNIA

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Jorge Zárate Gómez ◽  
Pedro Álvarez de Sierra Hernández ◽  
David Fernández Luengas ◽  
Silvia Conde Someso ◽  
Guillermo Supelano Eslait ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Intestinal Ischemia ◽  
Minimal Invasive Surgery ◽  
Bowel Resection ◽  
Laparoscopic Approach ◽  
Minimal Invasive ◽  
Radiological Findings ◽  
Incarcerated Inguinal Hernia ◽  
Multiple Treatment ◽  
Preperitoneal Approach

Abstract Aim According to the clinical sympthoms and radiological findings minimal invasive surgery can be an option to repair an strangulated inguinal hernia. Material and Methods We present the different ways we have used in our Hospital to treat incarcerated inguinal hernia combining endoscopic preperitoneal and laparoscopic approach Results Multiple treatment schemes are possible for inguinal incarcerated hernia. The choice must be made according to the surgeońs experience, patient´s characteristic and the risk of intestinal ischemia. Laparoscopy combined with preperitoneal endoscopic inguinal repair allows us to explore and to treat possible complications of intestinal ischemia with no need of laparotomy. Conclusions Laparoendoscopic techniques are an option to consider when treating an incarcerated inguinal hernia, even if bowel resection is needed. Thanks to laparoscopic approach, laparotomy can be avoided in many cases.

Minimal invasive surgery for intracardiac tumors – report of 19 consecutive patients

2010 ◽  
Vol 58 (S 01) ◽  
Author(s):  
T Bossert ◽  
P Krieg ◽  
T Sandhaus ◽  
P Kley-Madaus ◽  
K Hekmat
Keyword(s):  
Invasive Surgery ◽  
Minimal Invasive Surgery ◽  
Minimal Invasive ◽  
Intracardiac Tumors

scholarly journals Characteristics of Moyamoya Disease in the Older Population: Is It Possible to Define a Typical Presentation and Optimal Therapeutical Management?

2021 ◽  
Vol 10 (11) ◽  
pp. 2287
Author(s):  
Ignazio G. Vetrano ◽  
Anna Bersano ◽  
Isabella Canavero ◽  
Francesco Restelli ◽  
Gabriella Raccuia ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Perioperative Complications ◽  
Artery Bypass ◽  
Superficial Temporal Artery ◽  
Brain Perfusion ◽  
Temporal Artery ◽  
Minimal Invasive ◽  
Operative Complications ◽  
Surgical Options ◽  
Post Operative Complications

Whereas several studies have been so far presented about the surgical outcomes in terms of mortality and perioperative complications for elderly patients submitted to neurosurgical treatments, the management of elderly moyamoya patients is unclear. This review aims to explore the available data about the clinical manifestation, characteristics, and outcome after surgery of older patients with moyamoya arteriopathy (MA). We found only two articles strictly concerning elderly patients with MA. We have also evaluated other reported adult series of moyamoya patients, including elderly cases in their analysis. Patients with MA above 50 years old may be considered a peculiar subset in which patients are often presenting with ischemic symptoms and a higher Suzuki grade. Conservative treatment may be proposed in asymptomatic or stable cases due to their fragility and possible increase of post-operative complications, while the best surgical options in symptomatic cases are still under investigation, although we believe that a minimal invasive superficial temporal artery—middle cerebral artery bypass could be considered the treatment of choice for the immediate effect on brain perfusion with a limited rate of post-operative complications.

scholarly journals Head Stabilization during Minimal Invasive Surgery Tasks: An Uncontrolled Manifold Analysis

2015 ◽  
Vol 3 ◽  
pp. 1434-1441
Author(s):  
Kostas Gianikellis ◽  
Francisco M. Sánchez-Margallo ◽  
Andreas Skiadopoulos ◽  
Juan A. Sánchez-Margallo ◽  
Javier Hermoso de Mendoza Aranda
Keyword(s):  
Invasive Surgery ◽  
Minimal Invasive Surgery ◽  
Minimal Invasive ◽  
Uncontrolled Manifold ◽  
Head Stabilization ◽  
Uncontrolled Manifold Analysis

457: Combinated Peroneal and Tibial Block for Hallux Valgus Minimal Invasive Surgery

2008 ◽  
Vol 33 (5) ◽  
pp. e107-e107
Author(s):  
C GRACIA ◽  
J MASDEU ◽  
A LARRUY ◽  
J SANTOS ◽  
L BLANCO ◽  
...  
Keyword(s):  
Hallux Valgus ◽  
Invasive Surgery ◽  
Minimal Invasive Surgery ◽  
Minimal Invasive

Clinical Outcomes in Patients Undergoing Laparoscopic Adrenalectomy for Unilateral Aldosterone Producing Adenoma: Partial Versus Total Adrenalectomy

2014 ◽  
Vol 28 (9) ◽  
pp. 1103-1106 ◽  
Author(s):  
Sheng-Fu Chen ◽  
Shih-Chieh Chueh ◽  
Shuo-Meng Wang ◽  
Vin-Cent Wu ◽  
Yeong-Shiau Pu ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Laparoscopic Adrenalectomy ◽  
Total Adrenalectomy ◽  
Aldosterone Producing Adenoma

scholarly journals Role for laparoscopic adrenalectomy in patients with Cushing's syndrome

2007 ◽  
Vol 51 (8) ◽  
pp. 1349-1354 ◽  
Author(s):  
William F. Young, Jr. ◽  
Geoffrey B. Thompson
Keyword(s):  
Surgical Management ◽  
Cushing’S Syndrome ◽  
Patient Selection ◽  
Laparoscopic Adrenalectomy ◽  
Laparoscopic Approach ◽  
Cushing's Syndrome ◽  
Open Adrenalectomy ◽  
The Past ◽  
Tissue Handling

Laparoscopic adrenalectomy is one of the most clinically important advances in the past 2 decades for the treatment of adrenal disorders. When compared to open adrenalectomy, laparoscopic adrenalectomy is equally safe, effective, and curative; it is more successful in shortening hospitalization and convalescence and has less long-term morbidity. The laparoscopic approach to the adrenal is the procedure of choice for the surgical management of cortisol-producing adenomas and for patients with corticotropin (ACTH) dependent Cushing's syndrome for whom surgery failed to remove the source of ACTH. The keys to successful laparoscopic adrenalectomy are appropriate patient selection, knowledge of anatomy, delicate tissue handling, meticulous hemostasis, and experience with the technique of laparoscopic adrenalectomy.

scholarly journals Comparison of Clinical Outcomes between Retroperitoneal Laparoscopic Adrenalectomy and Open Adrenalectomy

2009 ◽  
Vol 45 (2) ◽  
pp. 116 ◽  
Author(s):  
Hyang-Sik Choi ◽  
Bo Sung Shin ◽  
Duck Hyun Nam ◽  
Chang Min Im ◽  
Sung Il Jung ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Laparoscopic Adrenalectomy ◽  
Open Adrenalectomy
Sign in / Sign up

Export Citation Format

Share Document