Long-term oncologic and functional outcomes after robot-assisted partial nephrectomy in elderly patients

Minerva urologica e nefrologica = The Italian journal of urology and nephrology
Mihai D VartolomeiOttavio De Cobelli

Abstract

The aim of this study was to assess the long-term oncologic and functional outcomes in elderly patients having undergone robot-assisted partial nephrectomy (RAPN) for renal cancer (RC). Sixty-one patients out of 323 who underwent RAPN for localized RC between July 2009 and March 2016 in our high-volume robotic surgery center (>800 procedures/year), had 70 years or more. Inclusion criteria of the study were age ≥70 years; pathological confirmed RCC and ASA Score ≤3. All patients were stratified according to PADUA classification system in three groups: <7 points, 8-9 points, >10 points. Trifecta was defined as a warm ischemia time (WIT) less then 25 min, negative surgical margins and no perioperative complications. A total of 52 patients were included; median follow-up was 47 months. Median age was 74 yrs. (IQR 72-76.5). Complication rate was 15.4%. Trifecta failure was associated to PADUA Score (P=0.02), and tumor diameter (P=0.04). Renal function was altered in 10 (19.2%) patients before surgery and at last follow-up in 11 (21.1%) patients (CKD stage>2) The DFS, OS and CSS were 89.33%, 90.06% and 94.4%, respectively. In a high-volume center, robot-assisted approach is feasible and safe in surgical fit elderly patients with good ...Continue Reading

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Citations

Jan 5, 2019·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Luca CindoloUNKNOWN AGILE Group (Italian Group For Advanced Laparo-Endoscopic Surgery)
Mar 22, 2019·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Nikolaos GrivasUNKNOWN J-ERUS/YAU Robotic Urology Working Group
Dec 14, 2019·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·J Patrick MershonNoah S Schenkman
Sep 7, 2019·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Carlotta PalumboPierre I Karakiewicz
May 19, 2020·International Urology and Nephrology·A GoujonB Peyronnet
Sep 19, 2019·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Alessandro VecciaRiccardo Autorino
Mar 27, 2021·Minerva Urology and Nephrology·Michele RizzoGiovanni Liguori

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