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10.4293/JSLS.2014.00186 http://scihub22266oqcxt.onion/10.4293/JSLS.2014.00186 C4379861!4379861!25848191     free     free     free Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       JSLS 2015 ; 19 (1): ä Nephropedia Template TP {{tp|p=25848191|t=2015. The Safety and Efficacy of Approaches to Liver Resection: A Meta-Analysis |pdf=|usr=}}{{25848191}} gab.com Text The Safety and Efficacy of Approaches to Liver Resection: A Meta-Analysis JO: JSLS http://www.kidney.de/pget.php?&tw=1&pmid=25848191 #FOAvip Background:: The aim of this study is to compare the safety and efficacy of conventional laparotomy with those of robotic and laparoscopic approaches to hepatectomy. Database:: Independent reviewers conducted a systematic review of publications in PubMed and Embase, with searches limited to comparative articles of laparoscopic hepatectomy with either conventional or robotic liver approaches. Outcomes included total operative time, estimated blood loss, length of hospitalization, resection margins, postoperative complications, perioperative mortality rates, and cost measures. Outcome comparisons were calculated using random-effects models to pool estimates of mean net differences or of the relative risk between group outcomes. Forty-nine articles, representing 3702 patients, comprise this analysis: 1901 (51.35%) underwent a laparoscopic approach, 1741 (47.03%) underwent an open approach, and 60 (1.62%) underwent a robotic approach. There was no difference in total operative times, surgical margins, or perioperative mortality rates among groups. Across all outcome measures, laparoscopic and robotic approaches showed no difference. As compared with the minimally invasive groups, patients undergoing laparotomy had a greater estimated blood loss (pooled mean net change, 152.0 mL; 95% confidence interval, 103.3?200.8 mL), a longer length of hospital stay (pooled mean difference, 2.22 days; 95% confidence interval, 1.78?2.66 days), and a higher total complication rate (odds ratio, 0.5; 95% confidence interval, 0.42?0.57). Conclusion:: Minimally invasive approaches to liver resection are as safe as conventional laparotomy, affording less estimated blood loss, shorter lengths of hospitalization, lower perioperative complication rates, and equitable oncologic integrity and postoperative mortality rates. There was no proven advantage of robotic approaches compared with laparoscopic approaches. Twit Text FOAVip The Safety and Efficacy of Approaches to Liver Resection: A Meta-Analysis ????JSLS http://www.kidney.de/pget.php?&tw=1&pmid=25848191 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=25848191 #FOAvip English Wikipedia <ref>{{Cite pmid|25848191}}</ref> The Safety and Efficacy of Approaches to Liver Resection: A Meta-Analysis #MMPMID25848191 Jackson NR; Hauch A; Hu T; Buell JF; Slakey DP; Kandil E JSLS 2015[Jan]; 19 (1): ä PMID25848191show ga Background:: The aim of this study is to compare the safety and efficacy of conventional laparotomy with those of robotic and laparoscopic approaches to hepatectomy. Database:: Independent reviewers conducted a systematic review of publications in PubMed and Embase, with searches limited to comparative articles of laparoscopic hepatectomy with either conventional or robotic liver approaches. Outcomes included total operative time, estimated blood loss, length of hospitalization, resection margins, postoperative complications, perioperative mortality rates, and cost measures. Outcome comparisons were calculated using random-effects models to pool estimates of mean net differences or of the relative risk between group outcomes. Forty-nine articles, representing 3702 patients, comprise this analysis: 1901 (51.35%) underwent a laparoscopic approach, 1741 (47.03%) underwent an open approach, and 60 (1.62%) underwent a robotic approach. There was no difference in total operative times, surgical margins, or perioperative mortality rates among groups. Across all outcome measures, laparoscopic and robotic approaches showed no difference. As compared with the minimally invasive groups, patients undergoing laparotomy had a greater estimated blood loss (pooled mean net change, 152.0 mL; 95% confidence interval, 103.3?200.8 mL), a longer length of hospital stay (pooled mean difference, 2.22 days; 95% confidence interval, 1.78?2.66 days), and a higher total complication rate (odds ratio, 0.5; 95% confidence interval, 0.42?0.57). Conclusion:: Minimally invasive approaches to liver resection are as safe as conventional laparotomy, affording less estimated blood loss, shorter lengths of hospitalization, lower perioperative complication rates, and equitable oncologic integrity and postoperative mortality rates. There was no proven advantage of robotic approaches compared with laparoscopic approaches. äThe Safety and Efficacy of Approaches to Liver Resection: A Meta-Analy(epmc).pdf DeepDyve Pubget Overpricing