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Valveless and conventional insufflation on pneumoperitoneum-related complications in robotic partial nephrectomy: a systematic review and meta-analysis of prospective studies
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Valveless and conventional insufflation on pneumoperitoneum-related complications in robotic partial nephrectomy: a systematic review and meta-analysis of prospective studies
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Valveless and conventional insufflation on pneumoperitoneum-related complications in robotic partial nephrectomy: a systematic review and meta-analysis of prospective studies
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Journal Article
Valveless and conventional insufflation on pneumoperitoneum-related complications in robotic partial nephrectomy: a systematic review and meta-analysis of prospective studies
2024
Overview
Introduction
The use of pneumoperitoneum is an essential step for performing laparoscopic and robotic surgery. Pneumoperitoneum insufflation can cause complications such as pneumothorax, subcutaneous emphysema, and pneumomediastinum. The purpose of this meta-analysis is to compare the safety of using the conventional insufflation system versus a Valveless insufflation system as devices for manufacturing pneumoperitoneum in robotic-assisted nephrectomy.
Methods
A comprehensive literature search was conducted on PUBMED, EMBASE, SCOPUS, and Cochrane, from inception until January 2024. Randomized and nonrandomized prospective studies were included in the meta-analysis, performed by the R+ Rstudio.
Results
Three publications encompassing 478 patients were included. We observed no difference in SCE (OR 0.60, CI 95% 0.27;1.34,
p
= 0.134, I
2
= 0), PNM (OR 0.82, CI 95% 0.24;2.78,
p
= 0.558, I
2
= 0), When comparing groups conventional insufflation system (CIS) versus AirSealTM insufflation system (AIS) with pneumoperitoneum pressure of 15 mmHg or 12 mmHg.
Conclusion
The presented data showed no difference between the AIS when compared with CIS in Pneumoperitoneum insufflation-related complications.
Publisher
BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
Subject
/ Analysis
/ Complications and side effects
/ Humans
/ Insufflation - adverse effects
/ Medicine
/ Methods
/ Nephrectomy - adverse effects
/ Neumoperitoneum insufflation-related complications
/ Patients
/ Pneumoperitoneum, Artificial - adverse effects
/ Pneumoperitoneum, Artificial - methods
/ Postoperative Complications - etiology
/ Postoperative Complications - prevention & control
/ Robotic Surgical Procedures - adverse effects
/ Robotics
/ Surgery
/ Urology
