Evidence map›Paper›PMID 26923920›Full record

ArticleWorld journal of urology2016

Impact of novel techniques on minimally invasive adrenal surgery: trends and outcomes from a contemporary international large series in urology.

Nicola Pavan, Riccardo Autorino, Hak Lee, Francesco Porpiglia, Yinghao Sun, Francesco Greco, S Jeff Chueh, Deok Hyun Han, Luca Cindolo, Matteo Ferro and 24 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in World journal of urology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Review
  10. Imaging guided percutaneous renal biopsy: do it or not?Acta bio-medica : Atenei Parmensis · 2020
    Article
  11. Review
  12. Robot-assisted adrenalectomy: current perspectives.Robotic surgery (Auckland) · 2017
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

34 authors.

Nicola PavanUniversity Hospitals Urology Institute, Case Western Reserve University, 27100 Chardon Rd, Richmond Heights, OH, 44143, USA.
Riccardo AutorinoUniversity Hospitals Urology Institute, Case Western Reserve University, 27100 Chardon Rd, Richmond Heights, OH, 44143, USA. ricautor@gmail.com.
Hak LeeDepartment of Urology, University of California San Diego Health System, La Jolla, CA, USA.
Francesco PorpigliaDepartment of Urology, San Luigi Hospital, University of Turin, Turin, Italy.
Yinghao SunDepartment of Urology, Changhai Hospital, Second Military Medical University, Shanghai, People's Republic of China.
Francesco GrecoDepartment of Urology, Romolo Hospital, Rocca di Neto, Italy.
S Jeff ChuehGlickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA.
Deok Hyun HanDepartment of Urology, Samsung Medical Center, Seoul, Italy.
Luca CindoloDepartment of Urology, S. Pio Da Pietralcina Hospital, Vasto, Italy.
Matteo FerroDepartment of Urology, European Institute of Oncology, Milan, Italy.
Xiang ChenXiangya Hospital Central South University, Changsha, China.
Anibal BrancoDepartment of Urology, Cruz Vermelha Hospital, Curitiba, Brazil.
Paolo FornaraDepartment of Urology, Martin-Luther-University, Halle Saale, Germany.
Chun-Hou LiaoDepartment of Urology, Medical College, National Taiwan University, Taipei City, Taiwan.
Akira MiyajimaDepartment of Urology, Keio University School of Medicine, Tokyo, Japan.
Iason KyriazisDepartment of Urology, University of Patras, Patras, Greece.
Marco PuglisiGuy's and St Thomas' Hospitals, London, UK.
Cristian FioriDepartment of Urology, San Luigi Hospital, University of Turin, Turin, Italy.
Bo YangDepartment of Urology, Changhai Hospital, Second Military Medical University, Shanghai, People's Republic of China.
Guo FeiDepartment of Urology, Changhai Hospital, Second Military Medical University, Shanghai, People's Republic of China.
Vincenzo AltieriDepartment of Urology, Romolo Hospital, Rocca di Neto, Italy.
Byong Chang JeongDepartment of Urology, Samsung Medical Center, Seoul, Italy.
Francesco BerardinelliDepartment of Urology, S. Pio Da Pietralcina Hospital, Vasto, Italy.
Luigi SchipsDepartment of Urology, S. Pio Da Pietralcina Hospital, Vasto, Italy.
Ottavio De CobelliDepartment of Urology, European Institute of Oncology, Milan, Italy.
Zhi ChenXiangya Hospital Central South University, Changsha, China.
Georges-Pascal HaberGlickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA.
Yao HeXiangya Hospital Central South University, Changsha, China.
Mototsugu OyaDepartment of Urology, Keio University School of Medicine, Tokyo, Japan.
Evangelos LiatsikosDepartment of Urology, University of Patras, Patras, Greece.
Luis BrandaoGlickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA.
Benjamin ChallacombeGuy's and St Thomas' Hospitals, London, UK.
Jihad KaoukGlickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA.
Ithaar DarweeshDepartment of Urology, University of California San Diego Health System, La Jolla, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate contemporary international trends in the implementation of minimally invasive adrenalectomy and to assess contemporary outcomes of different minimally invasive techniques performed at urologic centers worldwide.

methodsA retrospective multinational multicenter study of patients who underwent minimally invasive adrenalectomy from 2008 to 2013 at 14 urology institutions worldwide was included in the analysis. Cases were categorized based on the minimally invasive adrenalectomy technique: conventional laparoscopy (CL), robot-assisted laparoscopy (RAL), laparoendoscopic single-site surgery (LESS), and mini-laparoscopy (ML). The rates of the four treatment modalities were determined according to the year of surgery, and a regression analysis was performed for trends in all surgical modalities.

resultsOverall, a total of 737 adrenalectomies were performed across participating institutions and included in this analysis: 337 CL (46 % of cases), 57 ML (8 %), 263 LESS (36 %), and 80 RA (11 %). Overall, 204 (28 %) operations were performed with a retroperitoneal approach. The overall number of adrenalectomies increased from 2008 to 2013 (p = 0.05). A transperitoneal approach was preferred in all but the ML group (p < 0.001). European centers mostly adopted CL and ML techniques, whereas those from Asia and South America reported the highest rate in LESS procedures, and RAL was adopted to larger extent in the USA. LESS had the fastest increase in utilization at 6 %/year. The rate of RAL procedures increased at slower rates (2.2 %/year), similar to ML (1.7 %/year). Limitations of this study are the retrospective design and the lack of a cost analysis.

conclusionsSeveral minimally invasive surgical techniques for the management of adrenal masses are successfully implemented in urology institutions worldwide. CL and LESS seem to represent the most commonly adopted techniques, whereas ML and RAL are growing at a slower rate. All the MIS techniques can be safely and effectively performed for a variety of adrenal disease.

Indexed as

International CooperationAdrenalectomyAdrenal Gland DiseasesFemaleFollow-Up StudiesHumansLaparoscopyMaleMiddle AgedRetrospective StudiesRoboticsTime FactorsTreatment OutcomeUrologyAdrenalectomyLaparoscopyLESSMinimally invasiveOutcomesRobotic

Identifiers

PMID26923920

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.