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International Journal of Urology
Article . 2014 . Peer-reviewed
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Current status of robotic laparoendoscopic single‐site partial nephrectomy

Authors: Patrick Tuliao; Christos Komninos; Koon Ho Rha;

Current status of robotic laparoendoscopic single‐site partial nephrectomy

Abstract

AbstractRobotic laparoendoscopic single‐site partial nephrectomy is increasingly carried out in an attempt to improve the cosmetic outcome of minimally‐invasive procedures. However, the actual role of this novel technique remains to be determined. The present article reviews evidence and examines updates of robotic laparoendoscopic single‐site partial nephrectomy outcomes reported in more contemporary studies. A comprehensive online systematic search of PubMed, Scopus and Web of Science databases according to Preferred Reporting Items for Systematic Reviews and Meta‐analyses criteria recommendations was carried out in January 2014, identifying data from 2008 to 2014 regarding robotic laparoendoscopic single‐site partial nephrectomy. The majority of medical evidence to date is based on case reports or retrospective studies. Current studies show that robotic laparoendoscopic single‐site partial nephrectomy is a feasible procedure carried out in an acceptable length of operative time, and resulting in a desirable cosmetic outcome and less postoperative pain. However, comparable studies show that robotic laparoendoscopic single‐site partial nephrectomy is inferior to the conventional approach, especially with regard to warm ischemia time. Furthermore, the numerous limitations that exist with the utilization of the current commercial single‐site devices make robotic laparoendoscopic single‐site PN more challenging and more complicated for surgeons compared with conventional procedures. Further significant improvements, along with more studies, are required in order to develop the ideal robotic laparoendoscopic single‐site robotic platform and overcome the current limitations. For the time being, robotic laparoendoscopic single‐site partial nephrectomy procedures could be applicable in patients with low tumor size and complexity, and should not be routinely applied in all cases.

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Keywords

Nephrectomy/adverse effects, renal cell carcinoma, partial nephrectomy, Operative Time, Robotic Surgical Procedures/methods*, Pain, Nephrectomy/methods*, Nephrectomy, Nephrectomy/instrumentation, Robotic Surgical Procedures, 617, Humans, Warm Ischemia, Robotic Surgical Procedures/adverse effects, Laparoscopy/instrumentation, robotics, Pain, Postoperative, laparoendoscopic single-site, Postoperative/etiology, Laparoscopy/adverse effects, Laparoscopy/methods*, Laparoscopy, Robotic Surgical Procedures/instrumentation

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    selected citations
    These citations are derived from selected sources.
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    7
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Average
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
7
Average
Average
Top 10%
Green
bronze