Suture techniques during laparoscopic and robot-assisted partial nephrectomy: a systematic review and quantitative synthesis of peri-operative outcomes

BJU International
Riccardo BertoloYoung Academic Urologists (YAU) Kidney Cancer working group of the European Urological Association (EAU)

Abstract

To summarize the available evidence on renorrhaphy techniques and to assess their impact on peri-operative outcomes after minimally invasive partial nephrectomy (MIPN). A systematic review of the literature was performed in January 2018 without time restrictions, using MEDLINE, Cochrane and Web of Science databases according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement recommendations. Studies providing sufficient details on renorrhaphy techniques during laparoscopic or robot-assisted partial nephrectomy and comparative studies focused on peri-operative outcomes were included in qualitative and quantitative analyses, respectively. Overall, 67 and 19 studies were included in the qualitative and quantitative analyses, respectively. The overall quality of evidence was low. Specific tumour features (i.e. size, hilar location, anatomical complexity, nearness to renal sinus and/or urinary collecting system), surgeon's experience, robot-assisted technology, as well as the aim of reducing warm ischaemia time and the amount of devascularized renal parenchyma preserved represented the key factors driving the evolution of the renorrhaphy techniques during MIPN over the past decade. Quantitative synth...Continue Reading

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Citations

Feb 26, 2019·International Journal of Urology : Official Journal of the Japanese Urological Association·Julien DagenaisJihad Kaouk
Dec 4, 2019·World Journal of Urology·Kashyap ShatagopamChandru P Sundaram
Sep 12, 2019·Annals of the Royal College of Surgeons of England·T WigginsY Koak
Aug 1, 2020·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Riccardo CampiUNKNOWN European Society of Residents in Urology (ESRU) and the EAU Young Academic Urologists (YAU) Renal Cancer group
Jul 26, 2019·World Journal of Urology·Alessandro AntonelliUNKNOWN AGILE Group (Italian Group for Advanced Laparo-Endoscopic Surgery)
Mar 21, 2021·Current Opinion in Urology·Daniele CignoliUmberto Capitanio
Oct 9, 2021·Current Urology Reports·P MacekA R Rodriguez
Oct 9, 2021·International Journal of Urology : Official Journal of the Japanese Urological Association·Riccardo BertoloUNKNOWN AGILE Group (Italian Group for Advanced Laparo-Endoscopic Surgery)
Nov 6, 2021·International Journal of Urology : Official Journal of the Japanese Urological Association·Riccardo CampiUNKNOWN European Association of Urology (EAU) Young Academic Urologists (YAU) Renal Cancer Working Group

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