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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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| Published in: | Frontiers in oncology 2021-09, Vol.11, p.724287-724287 |
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| container_title | Frontiers in oncology |
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| creator | Xia, Zhongyou Li, Jinze Peng, Lei Yang, Xiaoying Xu, Yulai Li, Xianhui Li, Yunxiang Zhang, Zongping Wu, Ji |
| description | 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 |
| doi_str_mv | 10.3389/fonc.2021.724287 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_07b8a1d015e7415ebabbdcc28c995cae</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_07b8a1d015e7415ebabbdcc28c995cae</doaj_id><sourcerecordid>2579090733</sourcerecordid><originalsourceid>FETCH-LOGICAL-c528t-5acd812a70b8a01c043bda397aed4a867214446757e3763c91be163baff4fdae3</originalsourceid><addsrcrecordid>eNpVkstr3DAQxk1paUKae09Fx1681cuW3UPBLH0EtiSUFnoTY3mcVbA9ruRdWOgfX202DYkOkpiZ7zd6fFn2VvCVUlX9oafJrSSXYmWklpV5kZ1LqXRea_X75ZP9WXYZ4x1Poyy44Op1dqZ0yTUv5Xn2d03jDMFHmhj17AaDpxkDLH6P7Hq3OBoxHjM_qKXFu7yJ0ccFO7aPbANJStHR7B1ruoATDOgWGg-sp8ButkhuG2gkd0hB-Mga9h0XyJtUd0iYN9mrHoaIlw_rRfbry-ef62_55vrr1brZ5K6Q1ZIX4LpKSDC8rYALx7VqO1C1Aew0VKWRQmtdmsKgMqVytWhRlKqFvtd9B6gusqsTtyO4s3PwI4SDJfD2PkDh1kJIlxvQcpN6iI6LAo1OUwtt2zknK1fXhbtnfTqx5l07YudwWgIMz6DPM5Pf2lva20pXopYmAd4_AAL92WFc7Oijw2GACWkXrSxMzWtulEql_FTq0ivHgP1jG8Ht0QP26AF79IA9eSBJ3j093qPg_4-rf4Jhsa0</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2579090733</pqid></control><display><type>article</type><title>Comparison of Perioperative Outcomes of Robotic-Assisted vs Laparoscopic Adrenalectomy for Pheochromocytoma: A Meta-Analysis</title><source>PMC (PubMed Central)</source><creator>Xia, Zhongyou ; Li, Jinze ; Peng, Lei ; Yang, Xiaoying ; Xu, Yulai ; Li, Xianhui ; Li, Yunxiang ; Zhang, Zongping ; Wu, Ji</creator><creatorcontrib>Xia, Zhongyou ; Li, Jinze ; Peng, Lei ; Yang, Xiaoying ; Xu, Yulai ; Li, Xianhui ; Li, Yunxiang ; Zhang, Zongping ; Wu, Ji</creatorcontrib><description>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<0.01), less EBL (WMD: -0.85; 95% CI: -13.56 to -2.54; I
= 44%; P<0.01), and fewer IHD (OR: 0.34; 95% CI: 0.17 to 0.70; I
= 0%; P<0.01).
The RA for pheochromocytoma achieve better outcomes over LA in terms of safety and efficacy.</description><identifier>ISSN: 2234-943X</identifier><identifier>EISSN: 2234-943X</identifier><identifier>DOI: 10.3389/fonc.2021.724287</identifier><identifier>PMID: 34604062</identifier><language>eng</language><publisher>Switzerland: Frontiers Media S.A</publisher><subject>adrenalectomy ; laparoscopic ; meta-analysis ; Oncology ; pheochromocytoma ; robotic</subject><ispartof>Frontiers in oncology, 2021-09, Vol.11, p.724287-724287</ispartof><rights>Copyright © 2021 Xia, Li, Peng, Yang, Xu, Li, Li, Zhang and Wu.</rights><rights>Copyright © 2021 Xia, Li, Peng, Yang, Xu, Li, Li, Zhang and Wu 2021 Xia, Li, Peng, Yang, Xu, Li, Li, Zhang and Wu</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c528t-5acd812a70b8a01c043bda397aed4a867214446757e3763c91be163baff4fdae3</citedby><cites>FETCH-LOGICAL-c528t-5acd812a70b8a01c043bda397aed4a867214446757e3763c91be163baff4fdae3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8481927/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8481927/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,882,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34604062$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Xia, Zhongyou</creatorcontrib><creatorcontrib>Li, Jinze</creatorcontrib><creatorcontrib>Peng, Lei</creatorcontrib><creatorcontrib>Yang, Xiaoying</creatorcontrib><creatorcontrib>Xu, Yulai</creatorcontrib><creatorcontrib>Li, Xianhui</creatorcontrib><creatorcontrib>Li, Yunxiang</creatorcontrib><creatorcontrib>Zhang, Zongping</creatorcontrib><creatorcontrib>Wu, Ji</creatorcontrib><title>Comparison of Perioperative Outcomes of Robotic-Assisted vs Laparoscopic Adrenalectomy for Pheochromocytoma: A Meta-Analysis</title><title>Frontiers in oncology</title><addtitle>Front Oncol</addtitle><description>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<0.01), less EBL (WMD: -0.85; 95% CI: -13.56 to -2.54; I
= 44%; P<0.01), and fewer IHD (OR: 0.34; 95% CI: 0.17 to 0.70; I
= 0%; P<0.01).
The RA for pheochromocytoma achieve better outcomes over LA in terms of safety and efficacy.</description><subject>adrenalectomy</subject><subject>laparoscopic</subject><subject>meta-analysis</subject><subject>Oncology</subject><subject>pheochromocytoma</subject><subject>robotic</subject><issn>2234-943X</issn><issn>2234-943X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpVkstr3DAQxk1paUKae09Fx1681cuW3UPBLH0EtiSUFnoTY3mcVbA9ruRdWOgfX202DYkOkpiZ7zd6fFn2VvCVUlX9oafJrSSXYmWklpV5kZ1LqXRea_X75ZP9WXYZ4x1Poyy44Op1dqZ0yTUv5Xn2d03jDMFHmhj17AaDpxkDLH6P7Hq3OBoxHjM_qKXFu7yJ0ccFO7aPbANJStHR7B1ruoATDOgWGg-sp8ButkhuG2gkd0hB-Mga9h0XyJtUd0iYN9mrHoaIlw_rRfbry-ef62_55vrr1brZ5K6Q1ZIX4LpKSDC8rYALx7VqO1C1Aew0VKWRQmtdmsKgMqVytWhRlKqFvtd9B6gusqsTtyO4s3PwI4SDJfD2PkDh1kJIlxvQcpN6iI6LAo1OUwtt2zknK1fXhbtnfTqx5l07YudwWgIMz6DPM5Pf2lva20pXopYmAd4_AAL92WFc7Oijw2GACWkXrSxMzWtulEql_FTq0ivHgP1jG8Ht0QP26AF79IA9eSBJ3j093qPg_4-rf4Jhsa0</recordid><startdate>20210916</startdate><enddate>20210916</enddate><creator>Xia, Zhongyou</creator><creator>Li, Jinze</creator><creator>Peng, Lei</creator><creator>Yang, Xiaoying</creator><creator>Xu, Yulai</creator><creator>Li, Xianhui</creator><creator>Li, Yunxiang</creator><creator>Zhang, Zongping</creator><creator>Wu, Ji</creator><general>Frontiers Media S.A</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20210916</creationdate><title>Comparison of Perioperative Outcomes of Robotic-Assisted vs Laparoscopic Adrenalectomy for Pheochromocytoma: A Meta-Analysis</title><author>Xia, Zhongyou ; Li, Jinze ; Peng, Lei ; Yang, Xiaoying ; Xu, Yulai ; Li, Xianhui ; Li, Yunxiang ; Zhang, Zongping ; Wu, Ji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c528t-5acd812a70b8a01c043bda397aed4a867214446757e3763c91be163baff4fdae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>adrenalectomy</topic><topic>laparoscopic</topic><topic>meta-analysis</topic><topic>Oncology</topic><topic>pheochromocytoma</topic><topic>robotic</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Xia, Zhongyou</creatorcontrib><creatorcontrib>Li, Jinze</creatorcontrib><creatorcontrib>Peng, Lei</creatorcontrib><creatorcontrib>Yang, Xiaoying</creatorcontrib><creatorcontrib>Xu, Yulai</creatorcontrib><creatorcontrib>Li, Xianhui</creatorcontrib><creatorcontrib>Li, Yunxiang</creatorcontrib><creatorcontrib>Zhang, Zongping</creatorcontrib><creatorcontrib>Wu, Ji</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Frontiers in oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Xia, Zhongyou</au><au>Li, Jinze</au><au>Peng, Lei</au><au>Yang, Xiaoying</au><au>Xu, Yulai</au><au>Li, Xianhui</au><au>Li, Yunxiang</au><au>Zhang, Zongping</au><au>Wu, Ji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of Perioperative Outcomes of Robotic-Assisted vs Laparoscopic Adrenalectomy for Pheochromocytoma: A Meta-Analysis</atitle><jtitle>Frontiers in oncology</jtitle><addtitle>Front Oncol</addtitle><date>2021-09-16</date><risdate>2021</risdate><volume>11</volume><spage>724287</spage><epage>724287</epage><pages>724287-724287</pages><issn>2234-943X</issn><eissn>2234-943X</eissn><abstract>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<0.01), less EBL (WMD: -0.85; 95% CI: -13.56 to -2.54; I
= 44%; P<0.01), and fewer IHD (OR: 0.34; 95% CI: 0.17 to 0.70; I
= 0%; P<0.01).
The RA for pheochromocytoma achieve better outcomes over LA in terms of safety and efficacy.</abstract><cop>Switzerland</cop><pub>Frontiers Media S.A</pub><pmid>34604062</pmid><doi>10.3389/fonc.2021.724287</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | adrenalectomy laparoscopic meta-analysis Oncology pheochromocytoma robotic |
| title | Comparison of Perioperative Outcomes of Robotic-Assisted vs Laparoscopic Adrenalectomy for Pheochromocytoma: A Meta-Analysis |
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