Comparison of Perioperative Outcomes of Robotic-Assisted vs Laparoscopic Adrenalectomy for Pheochromocytoma: A Meta-Analysis

To compare the efficacy and safety of robotic-assisted adrenalectomy (RA) and standard laparoscopic adrenalectomy (LA) for pheochromocytoma (PHEO). We systematically searched the Cochrane Library, PubMed, Embase, and Science databases for studies published through January 2021. Controlled trials on...

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Bibliographic Details
Published in:Frontiers in oncology 2021-09, Vol.11, p.724287-724287
Main Authors: Xia, Zhongyou, Li, Jinze, Peng, Lei, Yang, Xiaoying, Xu, Yulai, Li, Xianhui, Li, Yunxiang, Zhang, Zongping, Wu, Ji
Format: Article
Language:English
Subjects:
adrenalectomy
laparoscopic
meta-analysis
Oncology
pheochromocytoma
robotic
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Summary:To compare the efficacy and safety of robotic-assisted adrenalectomy (RA) and standard laparoscopic adrenalectomy (LA) for pheochromocytoma (PHEO). We systematically searched the Cochrane Library, PubMed, Embase, and Science databases for studies published through January 2021. Controlled trials on RA and LA for PHEOs were included. The meta-analysis was conducted with the Review Manager 5.4 software. Four studies with 386 patients were included in the analysis. There were no significant differences in OT (WMD: 0.16; 95% CI: -28.50 to 28.82; I = 89%; P = 0.99), transfusion rate (OR: 0.70; 95% CI: 0.07 to 7.07; I = 64%; P = 0.77), conversion rate (OR: 0.44; 95% CI: 0.07 to 2.88; I = 0%; P = 0.39), complication rate (OR: 1.06; 95% CI: 0.62 to 1.82; I = 0%; P = 0.84) among patients undergoing RA and LA. However, compared with patients who underwent LA, patients who underwent RA had a shorter LOS (OR: -0.50; 95% CI: -0.55 to 0.45; I = 31%; P
ISSN:2234-943X
2234-943X
DOI:10.3389/fonc.2021.724287