Margin, ischemia, and complications system to report perioperative outcomes of robotic partial nephrectomy: a European Multicenter Observational Study (EMOS project)

Urology
Giuliana ListaGiorgio Guazzoni

Abstract

To explore the margin, ischemia, and complications (MIC) system achievement rate within a population of patients who were treated with robotic partial nephrectomy (RAPN), at 3 different tertiary care centers, and to determine the factors predicting MIC achievement. The study population consisted of 339 patients who underwent RAPN for cT1 renal tumors at 3 centers. Cancer control was defined as the absence of positive surgical margin. Ideal threshold of warm ischemia time (WIT) was considered ≤20 minutes. Safety was defined as the absence of major complications. The achievement of MIC was considered as the fulfillment of all these 3 outcomes. The primary endpoint was to determine the MIC rate in our study population; the secondary endpoint was to detect factors affecting its achievement. The overall MIC rate was 67%. Median WIT was 17 minutes (range, 7-51 minutes). In 88 cases (26%), WIT was >20 minutes. Positive surgical margins were found in 22 patients (6.5%). Overall postoperative and major complication rates were 14.5% (n = 49) and 3.8% (n = 13). In multivariate logistic regression analysis, continuously coded and categorically coded preoperative aspects and dimensions used for an anatomical scores were an independent predi...Continue Reading

References

Jun 19, 2007·The Journal of Urology·Inderbir S GillAndrew C Novick
Oct 7, 2008·The Cancer Journal·Stephen B RiggsArie S Belldegrun
Aug 7, 2009·European Urology·Frank BeckerMichael Stöckle
Jul 17, 2010·European Urology·Börje LjungbergUNKNOWN European Association of Urology Guideline Group
Sep 10, 2010·European Urology·R Houston ThompsonSteven C Campbell
Dec 6, 2011·European Urology·Martin MarszalekHendrik Van Poppel
Jul 10, 2012·European Urology·Omar M AboumarzoukJihad H Kaouk
Nov 21, 2012·The Journal of Urology·Andrew J HungInderbir S Gill

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Citations

Nov 21, 2015·International Journal of Urology : Official Journal of the Japanese Urological Association·Ryoichi ShirokiHiroshi Toyama
Jan 6, 2016·Current Urology Reports·Adolfo García García, Tania González León
Jan 15, 2016·The Anatomical Record : Advances in Integrative Anatomy and Evolutionary Biology·Gabriela Faria Buys GonçalvesMarco Aurélio Pereira Sampaio
Mar 4, 2015·Urology·Homayoun ZargarJihad H Kaouk
Oct 16, 2015·BJU International·Archie FernandoUNKNOWN British Association of Urological Surgeons (BAUS)
Mar 2, 2018·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Roberto CastellucciLuigi Schips
Jan 19, 2018·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Brendan Hermenigildo DiasDeepak Dubey
Feb 18, 2017·Current Urology Reports·Dean D LaganoskyViraj A Master
Feb 20, 2021·International Journal of Urology : Official Journal of the Japanese Urological Association·Periklis KoukourikisKoon Ho Rha

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