Evidence map›Paper›PMID 41111824›Full record

ReviewCureus2025

Laparoscopic Resection in the Management of Non-adrenal and Non-renal Retroperitoneal Tumors: A Systematic Review.

Alexis Quetzalcoatl Vega Morales, Patricio Xavier Duran S, Elisa Cohen Balas, Andrea Blanco Silva, Melanie Mishel Ponce Saldaña, Milton Fernando Crespo Macias, Yilber Andrés Motta Rojas, Raúl Albarrán Flores, Juan Sebastian Hernández Cedeño

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

9 authors.

Alexis Quetzalcoatl Vega MoralesSpecialization Program in General Surgery, Universidad de Guadalajara, Guadalajara, MEX.
Patricio Xavier Duran SInternal Medicine, Universidad de Cuenca, Cuenca, ECU.
Elisa Cohen BalasMedicine, Universidad Anahuac México North Campus, Huixquilucan de Degollado, MEX.
Andrea Blanco SilvaAnesthesiology and Critical Care, Instituto Mexicano del Seguro Social (IMSS), Mexico City, MEX.
Melanie Mishel Ponce SaldañaMedicine, Universidad de San Martín de Porres, Lima, PER.
Milton Fernando Crespo MaciasGeneral Medicine, Ministry of Health of Chile, Santiago, CHL.
Yilber Andrés Motta RojasGeneral Medicine, Universidad Nacional de Colombia, Bogotá, COL.
Raúl Albarrán FloresGeneral Medicine, Universidad de la Salud del Estado de México, San Cayetano Morelos, MEX.
Juan Sebastian Hernández CedeñoGeneral Medicine, Universidad Católica Santiago de Guayaquil, Guayaquil, ECU.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Retroperitoneal tumors (RPTs) are rare, often presenting late due to their deep anatomical location. Complete surgical excision remains the mainstay of treatment. While open surgery is traditional, advances in minimally invasive techniques have expanded laparoscopic resection to selected non-adrenal, non-renal RPTs. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines, we systematically searched PubMed, ScienceDirect, Google Scholar, and Cochrane Library databases up to August 1, 2025. Eligible studies included adults undergoing laparoscopic resection for large-volume, non-adrenal, non-renal RPTs, reporting perioperative outcomes. Data extraction and ROBINS-I (Risk Of Bias In Non-randomised Studies - of Interventions) quality assessment were performed. Due to heterogeneity, results were synthesized narratively without meta-analysis. Across all included studies, laparoscopic RPT resection demonstrated favorable perioperative outcomes, with a few studies directly comparing it to open surgery and reporting superior perioperative results. Operative time varied, with some reports showing longer durations laparoscopically, though learning curves reduced times substantially. Blood loss was consistently lower in the laparoscopic group, often eliminating the need for transfusions. Complication rates were low, and conversion to open surgery was infrequent. Hospital stays were shorter with earlier ambulation and diet resumption in laparoscopic cases. Feasibility was highest in early-stage and benign tumors, with high completion rates. Oncologic outcomes were comparable, with low recurrence rates in well-selected patients. These findings support the safety, efficacy, and minimally invasive advantages of laparoscopic management for RPTs in appropriately selected cases. Laparoscopic RPT resection offers reduced morbidity, faster recovery, and comparable oncologic outcomes compared to open surgery, making it a safe and effective option in selected patients and experienced surgical settings.

Indexed as

laparoscopic resectionparagangliomaperioperative outcomesretroperitoneal sarcoma surgeryschwannoma

Identifiers

PMID41111824
PMCPMC12529869

What OpenQuestion holds

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LicenceCC BY
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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.