Evidence map›Paper›PMID 28233094›Full record

ArticleSurgical endoscopy2017

Laparoendoscopic single-site retroperitoneoscopic adrenalectomy: bilateral step-by-step technique.

Marcos-Tobias Machado, Igor Nunes-Silva, Eduardo Fernandes da Costa, Alexandre Kyoshi Hidaka, Eliney Ferreira Faria, Hamilton Zampolli, Carlos Alberto Bezerra

Abstract read
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Surgical Indications and Techniques for Adrenalectomy.Sisli Etfal Hastanesi tip bulteni · 2020
    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

7 authors.

Marcos-Tobias MachadoUrology Division, ABC Medical School, Santo André, SP, Brazil.
Igor Nunes-SilvaUrology Division, Arnaldo Vieira de Carvalho Cancer Institute- IAVC, São Paulo, SP, Brazil.
Eduardo Fernandes da CostaInstitute of Urology, ABC Medical School, Santo André, Brazil. Eduardo.fcosta42@gmail.com.
Alexandre Kyoshi HidakaABC Medical School, Santo André, Brazil.
Eliney Ferreira FariaUrology Division, Hospital de Câncer de Barretos, Barretos, SP, Brazil.
Hamilton ZampolliUrology Division, Arnaldo Vieira de Carvalho Cancer Institute- IAVC, São Paulo, SP, Brazil.
Carlos Alberto BezerraUrology Division, ABC Medical School, Santo André, SP, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic adrenalectomy is the gold standard surgical approach for small benign adrenal tumors [1]. Several surgical approaches were developed in order to overcome the difficulty to access the adrenal glands, located in the upper retroperitoneum space [2-4]. Laparoendoscopic single-site posterior retroperitoneoscopic adrenalectomy (LESS-PRA) is an emerging technique that reduced the multiple trocar-related trauma and improved cosmetic outcomes while minimizing postoperative morbidity [5-8]. The aim of this study was to describe our step-by-step technique for LESS-PRA and to compare our perioperative outcomes with the conventional 3-port lateral retroperitoneoscopic adrenalectomy (LRA).

methodsA retrospective review was carried out from February 2008 to January 2016 that included 100 patients with adrenal tumors smaller than 4 cm. Study exclusion criteria were defined as tumor size greater than 4 cm, patients older than 80 years, and body mass index (BMI) greater than 40. A total of 20 patients underwent LESS-PRA and 80 patients underwent 3-port lateral retroperitoneoscopic laparoscopic adrenalectomy. Patient's demographic data and perioperative outcomes were compared and statistically analyzed. The cosmetic satisfaction was evaluated with a visual analog scale.

resultsEstimated blood loss was higher in LRA (100 vs. 50 ml; p = 0.35). Operative time was longer in LESS-PRA than LRA (100.0 vs. 60 min; p < 0.001). Analgesic time necessary for LRA was longer than LESS-PRA (40 vs. 24 h; p < 0.001). Cosmetic satisfaction score was higher in LESS-PRA (9.5 vs. 8.6; p = 0.03). There were no significant differences in perioperative complications and length of hospital stay. No conversion to conventional laparoscopic or open surgery was necessary.

conclusionLESS-PRA presented comparable functional and perioperative outcomes to LRA for small adrenal tumors. Although LESS-PRA was associated with longer operative time, it provided inferior estimated blood loss, analgesic time, and improved cosmetic satisfaction.

Indexed as

AdrenalectomyAdrenal Gland NeoplasmsAdultAgedAnalgesicsFemaleHumansLaparoscopyLength of StayMaleMiddle AgedOperative TimePain MeasurementRetroperitoneal SpaceRetrospective StudiesVideo RecordingAnalgesicsAdrenalectomyLaparoendoscopicLaparoscopyLESSSingle-port surgerySingle-site surgery

Identifiers

PMID28233094

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.