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Robot-assisted vers...
Robot-assisted versus conventional laparoscopic adrenalectomy : Results from the EUROCRINE Surgical Registry
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- Vatansever, Safa (författare)
- Ege University Medical School
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- Nordenström, Erik (författare)
- Lund University,Lunds universitet,Kirurgi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Endokrin- och sarkomkirurgi,Forskargrupper vid Lunds universitet,Surgery (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Endocrine and Sarcoma Surgery,Lund University Research Groups
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- Raffaelli, Marco (författare)
- Policlinico Universitario Agostino Gemelli
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- Brunaud, Laurent (författare)
- University of Lorraine
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- Makay, Özer (författare)
- Ege University Medical School
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- Almquist, Martin (författare)
- Lund University,Lunds universitet,Endokrin- och sarkomkirurgi,Forskargrupper vid Lunds universitet,Endocrine and Sarcoma Surgery,Lund University Research Groups,Skåne University Hospital
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- Barczynski, Marcin (författare)
- Jagiellonian University
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- Bergenfelz, Anders (författare)
- Lund University,Lunds universitet,Endokrin- och sarkomkirurgi,Forskargrupper vid Lunds universitet,Endocrine and Sarcoma Surgery,Lund University Research Groups,Skåne University Hospital
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- Clerici, Thomas (författare)
- Kantonsspital St Gallen
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- Hansen, Marit H. (författare)
- University Hospital of North Norway
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- Iacobone, Maurizio (författare)
- University of Padova
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- Palazzo, Fausto F. (författare)
- Hammersmith Hospital
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- Pérez, Nuria M. (författare)
- Hospital Clínico Universitario San Cecilio
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- Riss, Philipp (författare)
- Medical University of Vienna
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van Slycke, Sam (författare)
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- Vriens, Menno R. (författare)
- University Medical Center Utrecht
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(creator_code:org_t)
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- Elsevier BV, 2022
- 2022
- Engelska.
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Ingår i: Surgery (United States). - : Elsevier BV. - 0039-6060. ; 171:5, s. 1224-1230
- Relaterad länk:
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http://dx.doi.org/10...
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
Ämnesord
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- Background: Adrenalectomy is routinely performed via the minimally invasive approach. Safety of adrenalectomy using the robot-assisted technique has been widely demonstrated by several series, but the literature is scarce regarding the comparison of conventional laparoscopic versus robot-assisted approach. We decided to carry out a multicenter study to compare clinical and surgical outcomes between laparoscopic and robotic adrenalectomy. Methods: This is a retrospective case-control study, including data from centers affiliated to the Surgical Registry EUROCRINE. Patients undergoing laparoscopic surgery for adrenal tumors and registered between 2015 and 2018 were included. Robot-assisted versus laparoscopic adrenalectomy was compared. All comparisons were carried out in terms of complication rate, conversion rate and duration of stay. Results: A total of 1,005 patients from 46 clinics underwent robotic or conventional laparoscopic adrenalectomy. Median age was 55 (interquartile range: 45−65) years. Robotic adrenalectomy was performed in 189 (18.8%) patients. According to Clavien-Dindo classification, complication rate was lower in the robotic surgery group (1.6% vs 16.5%, P <.001). Laparoscopic surgery and active hormonal status were significantly correlated with complications, both in univariate and multivariate analysis. There was no significant difference between laparoscopic and robotic surgery groups, in terms of conversion rate (2.1% vs 0.5%, respectively, P =.147). Duration of stay was shorter in the robotic adrenalectomy group (82.1% vs 28.8%, P <.001). Conclusion: Analysis of the EUROCRINE database supports that robotic adrenalectomy resulted in a lower complication rate and shorter duration of stay, compared with laparoscopic adrenalectomy. Granular data to support this is warranted.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
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Vatansever, Safa
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Nordenström, Eri ...
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Raffaelli, Marco
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Brunaud, Laurent
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Makay, Özer
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Almquist, Martin
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Barczynski, Marc ...
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Bergenfelz, Ande ...
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Clerici, Thomas
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Hansen, Marit H.
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Iacobone, Mauriz ...
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Palazzo, Fausto ...
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Pérez, Nuria M.
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Riss, Philipp
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van Slycke, Sam
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Vriens, Menno R.
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