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Laparoscopic renal surgery is here to stay

Lookup NU author(s): Professor Rakesh Heer



This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND).


© 2018 Arab Association of Urology. Objectives: To review the current literature comparing the outcomes of renal surgery via open, laparoscopic and robotic approaches. Materials and methods: A comprehensive literature search was performed on PubMed, MEDLINE and Ovid, to look for studies comparing outcomes of renal surgery via open, laparoscopic, and robotic approaches. Results: Limited good-quality evidence suggests that all three approaches result in largely comparable functional and oncological outcomes. Both laparoscopic and robotic approaches result in less blood loss, analgesia requirement, with a shorter hospital stay and recovery time, with similar complication rates when compared with the open approach. Robotic renal surgeries have not shown any significant clinical benefit over a laparoscopic approach, whilst the associated cost is significantly higher. Conclusion: With the high cost and lack of overt clinical benefit of the robotic approach, laparoscopic renal surgery will likely continue to remain relevant in treating various urological pathologies.

Publication metadata

Author(s): Luk ACO, Pandian RMK, Heer R

Publication type: Article

Publication status: Published

Journal: Arab Journal of Urology

Year: 2018

Volume: 16

Issue: 3

Pages: 314-320

Print publication date: 01/09/2018

Online publication date: 06/03/2018

Acceptance date: 23/01/2018

Date deposited: 19/03/2018

ISSN (print): 2090-598X

ISSN (electronic): 2090-5998

Publisher: Arab Association of Urology


DOI: 10.1016/j.aju.2018.01.003


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