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dc.contributor.authorWest, Alexander
dc.contributor.authorHayes, John
dc.contributor.authorBernstein, D E
dc.contributor.authorKrishnamoorthy, Mahesh
dc.contributor.authorLathers, Steven
dc.contributor.authorTegan, Gary
dc.contributor.authorTeoh, Jeremy Yuen-Chun
dc.contributor.authorDasgupta, Prokar
dc.contributor.authorDecaestecker , Karel
dc.contributor.authorVasdev, Nikhil
dc.date.accessioned2022-02-11T14:15:01Z
dc.date.available2022-02-11T14:15:01Z
dc.date.issued2022-01-30
dc.identifier.citationWest , A , Hayes , J , Bernstein , D E , Krishnamoorthy , M , Lathers , S , Tegan , G , Teoh , J Y-C , Dasgupta , P , Decaestecker , K & Vasdev , N 2022 , ' Clinical outcomes of low‑pressure pneumoperitoneum in minimally invasive urological surgery ' , Journal of robotic surgery . https://doi.org/10.1007/s11701-021-01349-7
dc.identifier.issn1863-2483
dc.identifier.urihttp://hdl.handle.net/2299/25362
dc.description© The Author(s), under exclusive licence to Springer-Verlag London Ltd., part of Springer Nature 2021. This is the accepted manuscript version of an article which has been published in final form at https://doi.org/10.1007/s11701-021-01349-7
dc.description.abstractThe adoption of minimally invasive laparoscopic techniques has revolutionised urological practice. This necessitates a pneumoperitoneum (PNP) and the impact the PNP pressure has on post-operative outcomes is uncertain. During the currentCOVID-19 era guidance has suggested the utilisation of lower PNP pressures to mitigate the risk of intra-operative viral transmission. Review the current literature regarding the impact of pneumoperitoneum pressure, within the field of urology, on post-operative outcomes. A search of the PubMed, Medline and EMBASE databases was undertaken to identify studies that met the inclusion criteria. The Preferred Reporting Items for Systematic Reviews (PRISMA) guidelines were adhered to. Ten studies, that included both randomised controlled trials and retrospective case series reviews, were identified that met the inclusion criteria. The effect of PNP pressure on outcomes following prostatectomy, live donor nephrectomy, partial nephrectomy and a variety of benign upper tract procedures were discussed. Low pressure PNP appears safe when compared to high pressure PNP, potentially reducing post-operative pain and rates of ileus. When compared to general surgery, there is a lack of quality evidence investigating the impact of PNP pressures on outcomes within urology. Low pressure PNP appears non-inferior to high pressure PNP. More research is required to validate this finding, particularly post-cystectomy and nephrectomy.en
dc.format.extent10
dc.format.extent282990
dc.language.isoeng
dc.relation.ispartofJournal of robotic surgery
dc.subjectInsufflation pressure
dc.subjectMinimally invasive surgery
dc.subjectOncology
dc.subjectPneumoperitoneum
dc.subjectUrology
dc.subjectSurgery
dc.subjectHealth Informatics
dc.titleClinical outcomes of low‑pressure pneumoperitoneum in minimally invasive urological surgeryen
dc.contributor.institutionDepartment of Clinical, Pharmaceutical and Biological Science
dc.contributor.institutionExtracellular Vesicle Research Unit
dc.contributor.institutionBasic and Clinical Science Unit
dc.contributor.institutionCentre for Health Services and Clinical Research
dc.contributor.institutionSchool of Life and Medical Sciences
dc.description.statusPeer reviewed
dc.date.embargoedUntil2022-11-29
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85123839974&partnerID=8YFLogxK
rioxxterms.versionofrecord10.1007/s11701-021-01349-7
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue


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