Retroperitoneal Robot-Assisted Versus Open Partial Nephrectomy for cT1 Renal Tumors: A Matched-Pair Comparison of Perioperative and Early Oncological Outcomes

Clinical Genitourinary Cancer
Marco BorghesiEugenio Brunocilla

Abstract

The objective of this study was to compare perioperative and early oncological outcomes of a matched cohort of patients who underwent retroperitoneal robot-assisted partial nephrectomy (RP-RAPN) and open partial nephrectomy (OPN) for clinically localized renal tumors. We performed a retrospective analysis of patients who underwent RP-RAPN and OPN treated at 2 referral centers from January 2011 to December 2015. We focused on the following postoperative outcomes: warm ischemia time (WIT), operative time, blood loss, intra- and postoperative complications, estimated glomerular filtration rate (eGFR), hospital stay, and positive surgical margins. Because of inherent differences between patients in terms of baseline and disease characteristics, we relied on a propensity score-matched analysis to adjust for these differences. Globally, 104 patients were retrospectively evaluated and compared (52 matched individuals). RP-RAPN and OPN groups were comparable in terms of median age, body mass index, Charlson Comorbidity Index, clinical tumor size, preoperative aspects and dimensions used for anatomic classification and radius, exophyic/endophytic, nearness, anterior/posterior location score. Overall median operative time and WIT were si...Continue Reading

Citations

Sep 29, 2018·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Sheng-Han TsaiMarshall L Stoller
Jan 5, 2019·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Riccardo LombardoCosimo De Nunzio
Mar 22, 2019·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Nikolaos GrivasUNKNOWN J-ERUS/YAU Robotic Urology Working Group
Oct 18, 2019·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Lorenzo BianchiEugenio Brunocilla
Jan 25, 2020·Der Urologe. Ausg. A·P Zeuschner, S Siemer
Dec 12, 2021·International Journal of Urology : Official Journal of the Japanese Urological Association·Lorenzo BianchiRiccardo Schiavina

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