Robot-assisted laparoscopic versus open partial nephrectomy in patients with chronic kidney disease: A propensity score-matched comparative analysis of surgical outcomes

International Journal of Urology : Official Journal of the Japanese Urological Association
Toshio TakagiKazunari Tanabe

Abstract

To compare surgical outcomes between robot-assisted laparoscopic partial nephrectomy and open partial nephrectomy in patients with chronic kidney disease. Of 550 patients who underwent partial nephrectomy between 2012 and 2015, 163 patients with T1-2 renal tumors who had an estimated glomerular filtration rate between 30 and 60 mL/min/1.73 m2 , and underwent robot-assisted laparoscopic partial nephrectomy or open partial nephrectomy were retrospectively analyzed. To minimize selection bias between the two surgical methods, patient variables were adjusted by 1:1 propensity score matching. The present study included 75 patients undergoing robot-assisted laparoscopic partial nephrectomy and 88 undergoing open partial nephrectomy. After propensity score matching, 40 patients were included in each operative group. The mean preoperative estimated glomerular filtration rate was 49 mL/min/1.73 m2 . The mean ischemia time was 21 min in robot-assisted laparoscopic partial nephrectomy (warm ischemia) and 35 min in open partial nephrectomy (cold ischemia). Preservation of the estimated glomerular filtration rate 3-6 months postoperatively was not significantly different between robot-assisted laparoscopic partial nephrectomy and open parti...Continue Reading

References

Apr 3, 2009·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Seiichi MatsuoUNKNOWN Collaborators developing the Japanese equation for estimated GFR
Aug 18, 2009·The Journal of Urology·Steven C CampbellUNKNOWN Practice Guidelines Committee of the American Urological Association
Jul 17, 2010·European Urology·Börje LjungbergUNKNOWN European Association of Urology Guideline Group
Apr 3, 2012·European Urology·Jean-Alexandre LongGeorges-Pascal Haber
Apr 10, 2014·International Journal of Urology : Official Journal of the Japanese Urological Association·Toshio TakagiKazunari Tanabe
Jan 13, 2015·International Journal of Urology : Official Journal of the Japanese Urological Association·Kenji OmaeKazunari Tanabe
Jan 21, 2015·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Homayoun ZargarJihad H Kaouk
Aug 27, 2015·International Journal of Urology : Official Journal of the Japanese Urological Association·Tsunenori KondoKazunari Tanabe

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Citations

Mar 22, 2019·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Nikolaos GrivasUNKNOWN J-ERUS/YAU Robotic Urology Working Group
Sep 14, 2020·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Philip ZeuschnerMatthias Saar
Jun 8, 2017·International Journal of Urology : Official Journal of the Japanese Urological Association·Andrea MinerviniMarco Carini
Mar 7, 2020·Langenbeck's Archives of Surgery·Konstantinos PerivoliotisGeorge Tzovaras
Dec 26, 2018·International Journal of Urology : Official Journal of the Japanese Urological Association·Young Dong YuSangchul Lee
Aug 28, 2021·BJU International·Jo-Lynn S TanDaniel A Moon

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