Laparoscopic adrenalectomy (LA) vs open adrenalectomy (OA) for pheochromocytoma (PHEO): A systematic review and meta-analysis
To evaluate the efficacy and safety of laparoscopic adrenalectomy (LA) vs open adrenalectomy (OA) for pheochromocytoma (PHEO). A systematic literature research of PubMed, Ovid, Scopus, and citation lists were performed to identify eligible studies. All studies comparing LA versus OA for PHEO were in...
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| Veröffentlicht in: | European journal of surgical oncology 2020-06, Vol.46 (6), p.991-998 |
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| creator | Li, Jingdong Wang, Yaxuan Chang, Xueliang Han, Zhenwei |
| description | To evaluate the efficacy and safety of laparoscopic adrenalectomy (LA) vs open adrenalectomy (OA) for pheochromocytoma (PHEO).
A systematic literature research of PubMed, Ovid, Scopus, and citation lists were performed to identify eligible studies. All studies comparing LA versus OA for PHEO were included.
Overall, fourteen studies including 743 patients (LA 391; OA 352) were included. LA might have smaller tumor size (WMD -0.92 cm, 95% CI -1.09 to −0.76; p |
| doi_str_mv | 10.1016/j.ejso.2020.02.009 |
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A systematic literature research of PubMed, Ovid, Scopus, and citation lists were performed to identify eligible studies. All studies comparing LA versus OA for PHEO were included.
Overall, fourteen studies including 743 patients (LA 391; OA 352) were included. LA might have smaller tumor size (WMD -0.92 cm, 95% CI -1.09 to −0.76; p < 0.001) and higher body mass index (BMI) (WMD 0.31 kg/m2, 95% CI 0.04 to 0.58; p = 0.02). Compared to OA, LA showed lower estimated blood loss (EBL) (WMD -207.72 ml, 95% CI -311.26, −104.19; p < 0.001), lower transfusion rate (OR 0.25, 95% CI 0.16 to 0.38; p < 0.001), lower hemodynamic instability (HI) (OR 0.61, 95% CI 0.42 to 0.88; p = 0.009), less postoperative complications (OR 0.55, 95% CI 0.34 to 0.89; p = 0.02), less Clavien Dindo score ≥3 complications (OR 0.51, 95% CI 0.27 to 0.97; p = 0.04), shorter return to diet time (WMD -0.76 days, 95% CI -1.27 to −0.25; p = 0.003), and shorter length of hospital stay (WMD -1.76 days, 95% CI -2.94 to −0.58; p < 0.001). The subgroup analysis of studies since 2008 showed consistent results.
LA shows a feasible, safe and superior treatment option for PHEO, because it provides superior perioperative and recovery outcomes without increasing complications.</description><identifier>ISSN: 0748-7983</identifier><identifier>EISSN: 1532-2157</identifier><identifier>DOI: 10.1016/j.ejso.2020.02.009</identifier><identifier>PMID: 32102743</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adrenal Gland Neoplasms - surgery ; Adrenalectomy - methods ; Humans ; Laparoscopic adrenalectomy ; Laparoscopy - methods ; Meta-analysis ; Open adrenalectomy ; Operative Time ; Pheochromocytoma ; Pheochromocytoma - surgery ; Retroperitoneal Space - surgery</subject><ispartof>European journal of surgical oncology, 2020-06, Vol.46 (6), p.991-998</ispartof><rights>2020</rights><rights>Copyright © 2020. Published by Elsevier Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-44c193be188fd7038b43d03987161bfe59620bc0dd6264c58a760d0787a8feb53</citedby><cites>FETCH-LOGICAL-c356t-44c193be188fd7038b43d03987161bfe59620bc0dd6264c58a760d0787a8feb53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ejso.2020.02.009$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32102743$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Jingdong</creatorcontrib><creatorcontrib>Wang, Yaxuan</creatorcontrib><creatorcontrib>Chang, Xueliang</creatorcontrib><creatorcontrib>Han, Zhenwei</creatorcontrib><title>Laparoscopic adrenalectomy (LA) vs open adrenalectomy (OA) for pheochromocytoma (PHEO): A systematic review and meta-analysis</title><title>European journal of surgical oncology</title><addtitle>Eur J Surg Oncol</addtitle><description>To evaluate the efficacy and safety of laparoscopic adrenalectomy (LA) vs open adrenalectomy (OA) for pheochromocytoma (PHEO).
A systematic literature research of PubMed, Ovid, Scopus, and citation lists were performed to identify eligible studies. All studies comparing LA versus OA for PHEO were included.
Overall, fourteen studies including 743 patients (LA 391; OA 352) were included. LA might have smaller tumor size (WMD -0.92 cm, 95% CI -1.09 to −0.76; p < 0.001) and higher body mass index (BMI) (WMD 0.31 kg/m2, 95% CI 0.04 to 0.58; p = 0.02). Compared to OA, LA showed lower estimated blood loss (EBL) (WMD -207.72 ml, 95% CI -311.26, −104.19; p < 0.001), lower transfusion rate (OR 0.25, 95% CI 0.16 to 0.38; p < 0.001), lower hemodynamic instability (HI) (OR 0.61, 95% CI 0.42 to 0.88; p = 0.009), less postoperative complications (OR 0.55, 95% CI 0.34 to 0.89; p = 0.02), less Clavien Dindo score ≥3 complications (OR 0.51, 95% CI 0.27 to 0.97; p = 0.04), shorter return to diet time (WMD -0.76 days, 95% CI -1.27 to −0.25; p = 0.003), and shorter length of hospital stay (WMD -1.76 days, 95% CI -2.94 to −0.58; p < 0.001). The subgroup analysis of studies since 2008 showed consistent results.
LA shows a feasible, safe and superior treatment option for PHEO, because it provides superior perioperative and recovery outcomes without increasing complications.</description><subject>Adrenal Gland Neoplasms - surgery</subject><subject>Adrenalectomy - methods</subject><subject>Humans</subject><subject>Laparoscopic adrenalectomy</subject><subject>Laparoscopy - methods</subject><subject>Meta-analysis</subject><subject>Open adrenalectomy</subject><subject>Operative Time</subject><subject>Pheochromocytoma</subject><subject>Pheochromocytoma - surgery</subject><subject>Retroperitoneal Space - surgery</subject><issn>0748-7983</issn><issn>1532-2157</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kDGP0zAYhi0E4nqFP8CAPPaGhM92YjuIpTodd0iVygCz5dhfdKmaOtjpoQz8dxz1YGBg8vA-3yP5IeQdg5IBkx8OJR5SKDlwKIGXAM0LsmK14AVntXpJVqAqXahGiytyndIBMiFU85pcCc6Aq0qsyK-dHW0MyYWxd9T6iCd7RDeFYaab3faGPiUaRjz9O-3z1IVIx0cM7jGGIbg5L5Zuvj7c7W8-0i1Nc5pwsFP2Rnzq8Se1J08HnGxhs2lOfXpDXnX2mPDt87sm3z_ffbt9KHb7-y-3213hRC2noqoca0SLTOvOKxC6rYQH0WjFJGs7rBvJoXXgveSycrW2SoIHpZXVHba1WJPNxTvG8OOMaTJDnxwej_aE4ZwMF1JKoaVcUH5BXa6SInZmjP1g42wYmCW7OZglu1myG-Bmibom75_953ZA__fkT-cMfLoAmH-ZW0STXI8nh76POanxof-f_zfIppN2</recordid><startdate>202006</startdate><enddate>202006</enddate><creator>Li, Jingdong</creator><creator>Wang, Yaxuan</creator><creator>Chang, Xueliang</creator><creator>Han, Zhenwei</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202006</creationdate><title>Laparoscopic adrenalectomy (LA) vs open adrenalectomy (OA) for pheochromocytoma (PHEO): A systematic review and meta-analysis</title><author>Li, Jingdong ; Wang, Yaxuan ; Chang, Xueliang ; Han, Zhenwei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-44c193be188fd7038b43d03987161bfe59620bc0dd6264c58a760d0787a8feb53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adrenal Gland Neoplasms - surgery</topic><topic>Adrenalectomy - methods</topic><topic>Humans</topic><topic>Laparoscopic adrenalectomy</topic><topic>Laparoscopy - methods</topic><topic>Meta-analysis</topic><topic>Open adrenalectomy</topic><topic>Operative Time</topic><topic>Pheochromocytoma</topic><topic>Pheochromocytoma - surgery</topic><topic>Retroperitoneal Space - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Jingdong</creatorcontrib><creatorcontrib>Wang, Yaxuan</creatorcontrib><creatorcontrib>Chang, Xueliang</creatorcontrib><creatorcontrib>Han, Zhenwei</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of surgical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Jingdong</au><au>Wang, Yaxuan</au><au>Chang, Xueliang</au><au>Han, Zhenwei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic adrenalectomy (LA) vs open adrenalectomy (OA) for pheochromocytoma (PHEO): A systematic review and meta-analysis</atitle><jtitle>European journal of surgical oncology</jtitle><addtitle>Eur J Surg Oncol</addtitle><date>2020-06</date><risdate>2020</risdate><volume>46</volume><issue>6</issue><spage>991</spage><epage>998</epage><pages>991-998</pages><issn>0748-7983</issn><eissn>1532-2157</eissn><abstract>To evaluate the efficacy and safety of laparoscopic adrenalectomy (LA) vs open adrenalectomy (OA) for pheochromocytoma (PHEO).
A systematic literature research of PubMed, Ovid, Scopus, and citation lists were performed to identify eligible studies. All studies comparing LA versus OA for PHEO were included.
Overall, fourteen studies including 743 patients (LA 391; OA 352) were included. LA might have smaller tumor size (WMD -0.92 cm, 95% CI -1.09 to −0.76; p < 0.001) and higher body mass index (BMI) (WMD 0.31 kg/m2, 95% CI 0.04 to 0.58; p = 0.02). Compared to OA, LA showed lower estimated blood loss (EBL) (WMD -207.72 ml, 95% CI -311.26, −104.19; p < 0.001), lower transfusion rate (OR 0.25, 95% CI 0.16 to 0.38; p < 0.001), lower hemodynamic instability (HI) (OR 0.61, 95% CI 0.42 to 0.88; p = 0.009), less postoperative complications (OR 0.55, 95% CI 0.34 to 0.89; p = 0.02), less Clavien Dindo score ≥3 complications (OR 0.51, 95% CI 0.27 to 0.97; p = 0.04), shorter return to diet time (WMD -0.76 days, 95% CI -1.27 to −0.25; p = 0.003), and shorter length of hospital stay (WMD -1.76 days, 95% CI -2.94 to −0.58; p < 0.001). The subgroup analysis of studies since 2008 showed consistent results.
LA shows a feasible, safe and superior treatment option for PHEO, because it provides superior perioperative and recovery outcomes without increasing complications.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>32102743</pmid><doi>10.1016/j.ejso.2020.02.009</doi><tpages>8</tpages></addata></record> |
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| subjects | Adrenal Gland Neoplasms - surgery Adrenalectomy - methods Humans Laparoscopic adrenalectomy Laparoscopy - methods Meta-analysis Open adrenalectomy Operative Time Pheochromocytoma Pheochromocytoma - surgery Retroperitoneal Space - surgery |
| title | Laparoscopic adrenalectomy (LA) vs open adrenalectomy (OA) for pheochromocytoma (PHEO): A systematic review and meta-analysis |
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