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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.
Author(s): Luk ACO, Pandian RMK, Heer R
Publication type: Article
Publication status: Published
Journal: Arab Journal of Urology
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
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