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The following is a summary of “Valveless and conventional insufflation on pneumoperitoneum-related complications in robotic partial nephrectomy: a systematic review and meta-analysis of prospective studies,” published in the November 2024 issue of Urology by Almeida et al.
Pneumoperitoneum is essential for laparoscopic and robotic surgery. However, insufflation can lead to complications like pneumothorax, subcutaneous emphysema, and pneumomediastinum.
Researchers conducted a retrospective study to analyze the safety of conventional vs Valveless insufflation systems for creating pneumoperitoneum in robotic-assisted nephrectomy.
They conducted a comprehensive literature search on PUBMED, EMBASE, SCOPUS, and Cochrane from inception until January 2024. The meta-analysis included randomized and nonrandomized prospective studies, performed using R+ Rstudio.
The results showed that 3 publications encompassing 478 patients revealed no difference in SCE (OR 0.60, CI 95% 0.27;1.34, P = 0.134, I2 = 0) or PNM (OR 0.82, CI 95% 0.24;2.78, P = 0.558, I2 = 0) when comparing conventional insufflation system (CIS) vs AirSealTM insufflation system (AIS) at pneumoperitoneum pressures of 15 mmHg or 12 mmHg.
The study concluded that there was no difference in pneumoperitoneum complications between the AIS and the CIS.
Source: bmcurol.biomedcentral.com/articles/10.1186/s12894-024-01632-3
