800 Laparoscopic partial nephrectomies: a single surgeon series

The Journal of Urology
Inderbir S GillMihir M Desai

Abstract

We hypothesized that from 1999 to 2008 patient and tumor selection criteria, perioperative outcomes, complications and renal function outcomes may have evolved significantly in 800 laparoscopic partial nephrectomies. We retrospectively divided 800 patients who underwent laparoscopic partial nephrectomy for tumor, as done by 1 surgeon, into 3 chronologic eras, including era 1-276 from September 1999 to December 2003, era 2-289 from January 2004 to December 2006 and era 3-235 from January 2007 through November 2008. We evaluated prospectively collected data on tumor characteristics, perioperative outcomes and renal function outcomes. When comparing eras 1 to 3, tumors in the most recent era were larger, more commonly 4 cm or greater, and central, and less often peripheral and less than 4 cm (each p value significant). Despite increasing tumor complexity warm ischemia time was shorter (31.9, 31.6 and 14.4 minutes, respectively, p <0.0001), and the overall rates of postoperative and urological complications were significantly lower in the most recent era. The rate of parenchymal margins positive for cancer was 1%, 1% and 0.6%, respectively. Renal function outcomes were superior in era 3, as reflected by a lesser decrease in the est...Continue Reading

References

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Citations

Apr 25, 2012·Der Urologe. Ausg. A·G Janetschek
Nov 29, 2011·World Journal of Urology·Evangelos LiatsikosJens-Uwe Stolzenburg
Nov 25, 2011·Current Urology Reports·Jose M ReyesRosalia Viterbo
Dec 13, 2012·Current Urology Reports·Varun Sharma, Markus Margreiter
Dec 7, 2010·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·J-J PatardUNKNOWN Oncology Committee of the French Association of Urology (CCAFU)
Jun 18, 2010·The New England Journal of Medicine·Steven C CampbellRobert G Uzzo
Feb 19, 2010·The New England Journal of Medicine·Inderbir S GillMichael A S Jewett
Jan 18, 2011·Journal of Endourology·Ignacio F San FranciscoAndrew A Wagner
Jan 21, 2011·Journal of Endourology·Saad A MirYair Lotan
Jan 19, 2011·Journal of Endourology·Andre K BergerMihir M Desai
Sep 29, 2011·Journal of Endourology·Alfonso FernandezStephen E Pautler
Nov 15, 2011·Journal of Endourology·Hideo SaitoUNKNOWN Japanese Society Of Endourology Laparoscopic Partial Nephrectomy Study Group
Apr 25, 2012·Journal of Endourology·Youssef S TanaghoR Sherburne Figenshau
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Apr 7, 2010·Canadian Urological Association Journal = Journal De L'Association Des Urologues Du Canada·Anil Kapoor
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Nov 12, 2014·Scandinavian Journal of Urology·Harry NisenKimmo Taari
Jan 20, 2016·Journal of Bioenergetics and Biomembranes·Rasa BanieneSonata Trumbeckaite
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