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Transperitoneal Approach versus Retroperitoneal Approach: A Meta-Analysis of Laparoscopic Partial Nephrectomy for Renal Cell Carcinoma

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  • Tong Ren
  • Yan Liu
  • Xiaowen Zhao
  • Shaobin Ni
  • Cheng Zhang
  • Changgang Guo
  • Minghua Ren

Abstract

Objective: To compare the efficiency and safety of the transperitoneal approaches with retroperitoneal approaches in laparoscopic partial nephrectomy for renal cell carcinoma and provide evidence-based medicine support for clinical treatment. Methods: A systematic computer search of PUBMED, EMBASE, and the Cochrane Library was executed to identify retrospective observational and prospective randomized controlled trials studies that compared the outcomes of the two approaches in laparoscopic partial nephrectomy. Two reviewers independently screened, extracted, and evaluated the included studies and executed statistical analysis by using software STATA 12.0. Outcomes of interest included perioperative and postoperative variables, surgical complications and oncological variables. Results: There were 8 studies assessed transperitoneal laparoscopic partial nephrectomy (TLPN) versus retroperitoneal laparoscopic partial nephrectomy (RLPN) were included. RLPN had a shorter operating time (SMD = 1.001,95%confidence interval[CI] 0.609–1.393,P

Suggested Citation

  • Tong Ren & Yan Liu & Xiaowen Zhao & Shaobin Ni & Cheng Zhang & Changgang Guo & Minghua Ren, 2014. "Transperitoneal Approach versus Retroperitoneal Approach: A Meta-Analysis of Laparoscopic Partial Nephrectomy for Renal Cell Carcinoma," PLOS ONE, Public Library of Science, vol. 9(3), pages 1-8, March.
  • Handle: RePEc:plo:pone00:0091978
    DOI: 10.1371/journal.pone.0091978
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