Abstract:
PURPOSE:To assess the efficacy and safety of laparoendoscopic single-site adrenalectomy (LESS-A) and conventional laparoscopic adrenalectomy (LA) as a systematic review and meta-analysis of current evidence. METHODS:We conducted a thorough search for comparative studies that compared LESS-A and conventional LA in the following databases: MEDLINE, EMBASE, and the Cochrane library. Studies were reviewed independently and rated by Newcastle-Ottawa Quality Assessment Scale. The operative time, estimated blood loss in operation, the time to resume oral intake after surgery, postoperative hospital stay, and the visual analog pain scale (VAPS) score were included for analysis to compare the efficacy, while the complications together with the analgesia use were included for analysis to compare the safety. RESULTS:Nine studies with 171 LESS-A cases and 272 conventional LA cases were identified. Although operative time was longer in LESS-A (mean difference [MD] 15.46, 95% confidence interval [CI] 11.18 to 19.74), estimated blood loss (MD 4.72, 95% CI 12.08 to 21.52) and the time to resume oral intake (MD -0.04, 95% CI -0.19 to 0.11) were similar; LESS-A presented a shorter postoperative stay in hospital (MD -0.60, 95% CI -0.86 to -0.35) and lower VAPS score (MD -1.21, 95% CI -1.44 to -0.97). Besides, the risk of minor postoperative complications (risk ratio [RR] 1.74, 95% CI 0.78 to 3.87) was similar. The postoperative analgesia demand in total (RR 0.65, 95% CI 0.52 to 0.81) together with the analgesia usage lasting more than 24 hours after surgery (RR 0.35, 95% CI 0.21 to 0.58) were associated with lower risk in LESS-A, however. CONCLUSIONS:Based on current evidence, the operative time seems to be longer in LESS-A; however, operative blood loss and complications are similar. In addition, LESS-A presents a shorter hospital stay after surgery and more acceptable perception of pain than conventional LA.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Hu Q,Gou Y,Sun C,Xu K,Xia G,Ding Qdoi
10.1089/end.2012.0687subject
Has Abstractpub_date
2013-06-01 00:00:00pages
676-83issue
6eissn
0892-7790issn
1557-900Xjournal_volume
27pub_type
杂志文章,meta分析,评审abstract:INTRODUCTION:Newer generation lithotriptors have been modified to induce less pain. We evaluated factors contributing to post-shock wave lithotripsy (SWL) pain and assessed potential benefits of preemptive analgesia using Rofecoxib, a COX-II inhibitor, and potential effects on stone passage rates. MATERIALS AND METHOD...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2008.0243
更新日期:2009-03-01 00:00:00
abstract:PURPOSE:To evaluate the safety and oncologic efficacy of extravesical laparoscopic stapling of the distal ureter and bladder cuff during nephroureterectomy for pelvicaliceal transitional-cell carcinoma (TCC). PATIENTS AND METHODS:Patients with primary pelvicaliceal TCC and no history of TCC of the bladder or ureter wh...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.0306
更新日期:2007-09-01 00:00:00
abstract:PURPOSE:To assess whether our ureteroscopic real-time navigation system has the possibility to reduce radiation exposure and improve performance of ureteroscopic maneuvers in surgeons of various ages and experience levels. MATERIALS AND METHODS:Our novel ureteroscopic navigation system used a magnetic tracking device ...
journal_title:Journal of endourology
pub_type: 杂志文章,多中心研究
doi:10.1089/end.2015.0054
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The optimal treatment option for ureteral calculi is a controversial issue. In this study, we present our experience of 60 patients, divided into three groups, who were treated using open surgery, laparoscopic surgery, or transureteral lithotripsy (TUL). PATIENTS AND METHODS:We enrolled 60 patie...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2010.0344
更新日期:2011-01-01 00:00:00
abstract::In 2005 we reported in this journal the treatment of cystic nephroma, a rare but presumed benign renal tumor, with percutaneous resection. Initial follow-up confirmed removal of the intra-pelvic portion of the cystic nephroma and persistence of the unresected intra-parenchymal portion. Surveillance with computed tomog...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.0441
更新日期:2008-07-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Percutaneous nephrolithotomy (PCNL) is considered the standard procedure for the removal of large renal calculi. The development of the "minimally invasive PCNL" (mini-PCNL) has reduced the complications of the surgery; it also appears to be associated with less morbidity than the conventional PC...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0361
更新日期:2014-01-01 00:00:00
abstract::Five patients with major (Grade IV) renal trauma required ureteral stent placement to facilitate urinary drainage. Three of these patients had stents placed for recurrent gross hematuria with flank pain. All three had obstructing blood clots present at the time of stent placement. The fourth patient had a stent placed...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1998.12.545
更新日期:1998-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Extrinsic ureteral compression challenges a ureteral stent's ability to facilitate urinary drainage and to protect the kidney. Our purpose was to evaluate the performance of new metallic coil-based ureteral stents in terms of tensile strength and radial compression force. MATERIALS AND METHODS:T...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0332
更新日期:2012-03-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Criteria for determining the durability of the response to transrectal high-intensity focused ultrasound (HIFU) ablation of prostate cancer have been established by calculating progression-free probability. PATIENTS AND METHODS:A series of 82 patients (mean age 71 +/- 5.7 years) with biopsy-prov...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2000.14.519
更新日期:2000-08-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Ascertaining the optimal depth of dilator progression is a crucial factor during tract dilation in percutaneous nephrolithotomy. Dilation is generally guided under fluoroscopy, ultrasonography, or combination of both techniques, and it is still difficult to prevent overdilation causing perforatio...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2012.0710
更新日期:2013-07-01 00:00:00
abstract::Direct extraperitoneal surgery has become the preferred approach to laparoscopic nephrectomy since the introduction of the balloon dilation method. The lateral decubitus position provides good exposure, but the prone position is used at some centers to gain better exposure with the aid of gravity. The open conversion ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2000.14.787
更新日期:2000-12-01 00:00:00
abstract:PURPOSE:To evaluate the efficacy of doxazosin in inducing spontaneous passage of stones in the distal ureter and to compare its efficacy according to the size of the stone. PATIENTS AND METHODS:Seventy-three patients with a mean age of 46.38 +/- 10.17 years who presented with a distal-ureteral stone were divided into ...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2006.0107
更新日期:2007-05-01 00:00:00
abstract::The article entitled, "Mn-porphyrins as novel molecular MRI contrast agents" by Mouraviev et al., published online ahead of print on November 3, 2011 (DOI: 10.1089/end.2011.0133), in its unedited, uncorrected format, is being officially withdrawn from Journal of Endourology. This early version of the manuscript was no...
journal_title:Journal of endourology
pub_type: 撤回出版物
doi:10.1089/end.2011.0133.ret
更新日期:2012-10-01 00:00:00
abstract:PURPOSE:To describe the surgical technique of robot-assisted sacral colpopexy (RASCP) and to assess its feasibility and safety in a high-volume laparoscopic center. PATIENT AND METHODS:12 women with symptomatic urogenital prolapse with or without concomitant urinary stress incontinence were treated with RASCP by one s...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2010.0160
更新日期:2010-12-01 00:00:00
abstract:PURPOSE:The ability to maintain normothermia during surgical procedures is crucial for improvement of the quality of patient care and the outcome of the procedure. We tested the hypothesis of whether one warming protocol is able to maintain normothermic core temperatures equally well in major open and laparoscopic urol...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2007.0324
更新日期:2008-05-01 00:00:00
abstract:PURPOSE:To assess epidemiologic characteristics, clinical and pathologic patterns of presentation, and treatment strategies in a contemporary population with renal masses (RMs). METHODS:The Clinical Research Office of the Endourological Society collected prospective epidemiologic, clinical, and pathologic data on cons...
journal_title:Journal of endourology
pub_type: 杂志文章,多中心研究
doi:10.1089/end.2013.0724
更新日期:2014-07-01 00:00:00
abstract::Standard laparoscopic surgery requires maintenance of the working cavity by continual carbon dioxide insufflation and exaggerated Trendelenburg positioning. Both cardiopulmonary and metabolic adverse effects may result from these maneuvers, which may be avoided by a gasless approach to laparoscopic surgery. We investi...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1995.9.483
更新日期:1995-12-01 00:00:00
abstract:: Objectives: To compare the efficacy, complications, and costs of percutaneous nephrolithotomy (PNL) and extracorporeal shock wave lithotripsy (SWL) in the treatment of a 20 to 30 mm single renal pelvic stone with a density ≤1000 HU. Patients and Me...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0288
更新日期:2020-11-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Innovations in minimally invasive surgery have led to the proposal of incision-free natural orifice translumenal endoscopic surgery (NOTES). The purpose of this manuscript is to describe the initial technique of natural orifice translumenal endoscopic surgical radical prostatectomy (NOTES-RP). M...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0670
更新日期:2009-04-01 00:00:00
abstract:: Objective: To evaluate whether reducing the dose of fluoroscopy to ¼ of standard dose during unilateral ureteroscopy for ureteral stone treatment would impact in a reduction of total radiation emitted and whether this strategy would impact operation time, stone-free rate, ...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2018.0722
更新日期:2019-07-01 00:00:00
abstract:AIM:To evaluate whether the overall safety and efficacy profile of percutaneous surgery for urinary stone disease in older (>70 years) patients might influence the decision for the procedure in the elderly. MATERIALS AND METHODS:A large database was created from our patients (n = 1058) who underwent percutaneous surge...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.0432
更新日期:2008-09-01 00:00:00
abstract:: Introduction: Miniaturization of percutaneous nephrolithotomy (mPCNL) was proposed to decrease postoperative bleeding, as there is decreased parenchymal injury compared with standard percutaneous nephrolithotomy (SPCNL). Published randomized controlled trials (RCTs) evalua...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0533
更新日期:2020-10-12 00:00:00
abstract::Minimal bleeding during endoscopic surgery of the urinary tract may prevent optimum vision. We used neurosurgical patties for dissection during our laparoscopic procedures in the pediatric population and aimed to describe this technique as an alternative to standard ways of dissection during laparoscopic procedures. W...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0435
更新日期:2011-05-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Patients who are undergoing laparoscopic ablative therapy (LAT) are often older with more comorbidities in comparison with patients who are undergoing laparoscopic partial nephrectomy (LPN). A matched control study was performed to compare the surgical and functional outcomes of LPN and LAT. PAT...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0087
更新日期:2011-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Bacterial colonization of indwelling ureteral stents may serve as a nidus for bacteriuria in operations where stents are manipulated. The predictive value of urine cultures in the assessment of stent colonization was examined in 65 patients with indwelling ureteral stents. PATIENTS AND METHODS:P...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1999.13.735
更新日期:1999-12-01 00:00:00
abstract:: Objectives: To investigate the feasibility and efficacy of live renal ultrasonography to guide Double-J ureteral stent placement at the bedside. Patients and Methods: Between April 12 and June 5, 2020, patients presenting with ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0954
更新日期:2020-12-17 00:00:00
abstract:INTRODUCTION:Double-J stents revolutionized the minimally invasive management of ureteral strictures, but have significant morbidity. We compare stent-related symptoms and quality of life between a conventional Double-J stent and a novel thermoexpandable metal segmental ureteral stent (Memokath) in patients with ureter...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0318
更新日期:2010-04-01 00:00:00
abstract:BACKGROUND:Although more than a decade of experience with laparoscopic radical nephrectomy indicates it is an alternative to open surgery for localized renal-cell carcinoma (RCC), the long-term oncologic effectiveness of this procedure remains to be established. MATERIALS AND METHODS:A thorough MEDLINE and PubMed lite...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2005.19.628
更新日期:2005-07-01 00:00:00
abstract:BACKGROUND AND PURPOSE:A crucial step in laparoscopic nephrectomy is control and ligation of the renal pedicle. Commonly, an endovascular gastrointestinal anastomosis (GIA) stapling device, titanium staples, or both is employed for vascular control. Herein, we report on the use of the Hem-o-Lok polymer ligating clip (W...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/0892779041271490
更新日期:2004-06-01 00:00:00
abstract::Cold-knife retrograde endopyelotomy is a simple, safe, and effective therapeutic option for primary and secondary symptomatic ureteropelvic junction obstruction (UPJO). Our long-term success rate with negligible complications demonstrates its durability and safety. Retrograde endopyelotomy should be considered a viabl...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.9828
更新日期:2008-04-01 00:00:00