PMID- 32602759
OWN - NLM
STAT- MEDLINE
DCOM- 20211116
LR  - 20220428
IS  - 1521-0553 (Electronic)
IS  - 0894-1939 (Linking)
VI  - 34
IP  - 11
DP  - 2021 Nov
TI  - Propensity Score Matched Analysis Comparing Robotic-Assisted with Laparoscopic 
      Posterior Retroperitoneal Adrenalectomy.
PG  - 1248-1253
LID - 10.1080/08941939.2020.1770377 [doi]
AB  - OBJECTIVES: To compare the perioperative outcomes between robotic posterior 
      retroperitoneal adrenalectomy (RPRA) with laparoscopic posterior retroperitoneal 
      adrenalectomy (LPRA) for adrenal tumors and to identify which group of patients 
      may benefit from RPRA. METHODS: A total of 401 patients who fulfilled the 
      inclusion criteria were collected and analyzed; among them, 86 and 315 patients 
      underwent RPRA and LPRA, respectively. To adjust for potential baseline 
      confounders, propensity score matching (PSM) was conducted at a 1:1 ratio. 
      Patient demographics and perioperative outcomes were compared between the two 
      groups. RESULTS: After matching, no differences were found between the two groups 
      in patient demographics or tumor characteristics. The median length of 
      postoperative stay (3 vs. 4 days, p = 0.001) was significantly shorter in the 
      RPRA group, but this group also showed a higher median total hospitalization cost 
      (8121.89 vs. 4107.92 $, p < 0.001). There was no difference in the median 
      operative duration (100 vs. 110 min, p = 0.554), median estimated blood loss (50 
      vs. 50 ml, p = 0.730), transfusion rate (p = 0.497) or incidence of postoperative 
      complications (p = 0.428). CONCLUSIONS: According to our research, RPRA leads to 
      a shorter postoperative hospitalization stay but a higher total hospitalization 
      cost than LPRA after propensity score matching.
FAU - Ma, Wenming
AU  - Ma W
AD  - Department of Urology, Ruijin Hospital, Shanghai Jiao Tong University Medical 
      School, Shanghai, China.
FAU - Mao, Yongxin
AU  - Mao Y
AD  - Department of Urology, Ruijin Hospital, Shanghai Jiao Tong University Medical 
      School, Shanghai, China.
FAU - Dai, Jun
AU  - Dai J
AD  - Department of Urology, Ruijin Hospital, Shanghai Jiao Tong University Medical 
      School, Shanghai, China.
FAU - Alimu, Parehe
AU  - Alimu P
AD  - Department of Urology, Ruijin Hospital, Shanghai Jiao Tong University Medical 
      School, Shanghai, China.
FAU - Zhuo, Ran
AU  - Zhuo R
AD  - Department of Urology, Ruijin Hospital, Shanghai Jiao Tong University Medical 
      School, Shanghai, China.
FAU - He, Wei
AU  - He W
AD  - Department of Urology, Ruijin Hospital, Shanghai Jiao Tong University Medical 
      School, Shanghai, China.
FAU - Zhao, Juping
AU  - Zhao J
AD  - Department of Urology, Ruijin Hospital, Shanghai Jiao Tong University Medical 
      School, Shanghai, China.
FAU - Xu, Danfeng
AU  - Xu D
AD  - Department of Urology, Ruijin Hospital, Shanghai Jiao Tong University Medical 
      School, Shanghai, China.
FAU - Sun, Fukang
AU  - Sun F
AD  - Department of Urology, Ruijin Hospital, Shanghai Jiao Tong University Medical 
      School, Shanghai, China.
LA  - eng
PT  - Journal Article
DEP - 20200630
PL  - United States
TA  - J Invest Surg
JT  - Journal of investigative surgery : the official journal of the Academy of 
      Surgical Research
JID - 8809255
SB  - IM
CIN - J Invest Surg. 2021 Nov;34(11):1254-1255. PMID: 32619124
EIN - J Invest Surg. 2021 Nov;34(11):1254-1255. PMID: 32619124
MH  - Adrenalectomy
MH  - Humans
MH  - *Laparoscopy/adverse effects
MH  - Length of Stay
MH  - Propensity Score
MH  - Retroperitoneal Space
MH  - Retrospective Studies
MH  - *Robotic Surgical Procedures/adverse effects
MH  - Treatment Outcome
OTO - NOTNLM
OT  - PSM
OT  - Robotic
OT  - adrenalectomy
OT  - laparoscopic
OT  - posterior
EDAT- 2020/07/01 06:00
MHDA- 2021/11/17 06:00
CRDT- 2020/07/01 06:00
PHST- 2020/07/01 06:00 [pubmed]
PHST- 2021/11/17 06:00 [medline]
PHST- 2020/07/01 06:00 [entrez]
AID - 10.1080/08941939.2020.1770377 [doi]
PST - ppublish
SO  - J Invest Surg. 2021 Nov;34(11):1248-1253. doi: 10.1080/08941939.2020.1770377. 
      Epub 2020 Jun 30.