Laparoendoscopic single-site adrenalectomy versus multi-port laparoendoscopic adrenalectomy: A systemic review and meta-analysis.

Annals of Medicine and Surgery
Jeng-Cheng WuTing-En Tai

Abstract

To investigate the outcomes of laparoendoscopic single-site adrenalectomy (LESS-A) compared to multi-port laparoendoscopic adrenalectomy (m-LA). Studies comparing LESS-A with m-LA were identified from PubMed, Embase, and Cochrane Library before June 2020. Post-operative pain, resumption outcomes, and perioperative outcomes were analyzed. We conducted meta-analyses using the Mantel-Haenszel method with random-effects model. Subset analyses were conducted according to peritoneal and retroperitoneal approaches. A small study effect was illustrated using funnel plots and Egger's test. One randomized controlled trial (RCT) and nineteen retrospective cohort studies involving 1554 patients were included for analyzed. Pooled analysis showed that LESS-A had significantly lower postoperative pain scores (MD -0.77, 95%CI -1.45 to -0.10) and less pain medication used (RR 0.74, 95%CI 0.60 to 0.91) compared to m-LA. Besides, LESS-A had significantly shorter hospital stays (MD -0.75, 95%CI -1.18 to -0.33), shorter duration of oral intake resumption (MD -0.33, 95%CI -0.60 to -0.06), and better cosmetic satisfaction (SMD 1.15, 95%CI 0.21 to -2.09). As for perioperative outcomes, LESS-A led to significant longer operative time (MD 13.43, 95%CI 4...Continue Reading

References

Oct 1, 1992·The New England Journal of Medicine·M GagnerE Bolté
Jul 29, 1998·The Journal of Urology·H N WinfieldA C Novick
Feb 25, 1999·World Journal of Surgery·C D SmithJ R Amerson
Sep 30, 2005·Journal of Endourology·Daisaku HiranoKiyoki Okada
Nov 23, 2006·Journal of the American College of Surgeons·Florence E TurrentineR Scott Jones
Aug 13, 2008·Nature Clinical Practice. Gastroenterology & Hepatology·Henrik Kehlet
Sep 23, 2008·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Jennifer M J SchreinemakersInne H M Borel Rinkes
Nov 17, 2009·Journal of Endourology·Byong Chang JeongHyeon Hoe Kim
Jul 16, 2011·Surgical Endoscopy·Fatih TuncaSerdar Tezelman
Dec 8, 2011·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Ha Na KwakChan Heun Park
Mar 7, 2012·World Journal of Surgery·Óscar VidalLaureano Fernandez-Cruz
Jul 18, 2012·Nature Reviews. Gastroenterology & Hepatology·Sjoerd H W van BreeGuy E Boeckxstaens
Dec 21, 2012·Wideochirurgia i inne techniki mało inwazyjne = Videosurgery and other miniinvasive techniques·Virgilijus BeišaKęstutis Strupas
May 17, 2014·Urology Annals·Deepraj S BhandarkarRamya R Behera
Jan 7, 2015·Wideochirurgia i inne techniki mało inwazyjne = Videosurgery and other miniinvasive techniques·Milan HoraPiotr Chlosta
Apr 8, 2015·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Arman ArghamiMelanie L Richards
May 20, 2016·Surgical Endoscopy·Keishiro FukumotoMototsugu Oya
Nov 9, 2016·Surgical Endoscopy·Shonan ShoMasha J Livhits
Feb 25, 2017·Surgical Endoscopy·Marcos-Tobias MachadoCarlos Alberto Bezerra
Jan 4, 2019·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Orhan AgcaogluSerdar Tezelman
Apr 2, 2019·Archivio italiano di urologia, andrologia : organo ufficiale [di] Società italiana di ecografia urologica e nefrologica·João André CarvalhoArnaldo José Figueiredo
Oct 16, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Wei ChenJian-Ming Guo
Apr 2, 2021·International Journal of Surgery·Matthew J PageDavid Moher

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