作者
Nicola Longo, Andrea Minervini, A Antonelli, Giampaolo Bianchi, AM Bocciardi, SC Cunico, Chiara Fiori, Ferdinando Fusco, S Giancane, A Mari, Giuseppina Martorana, Vincenzo Mirone, G Morgia, G Novara, F Porpiglia, MR Raspollini, F Rocco, B Rovereto, Riccardo Schiavina, Sergio Serni, Carmine Simeone, Paolo Verze, Alessandro Volpe, V Ficarra, Manuela Carini
发表日期
2014/6/1
期刊
European Journal of Surgical Oncology (EJSO)
卷号
40
期号
6
页码范围
762-768
出版商
WB Saunders
简介
Objectives
To compare simple enucleation (SE) and standard partial nephrectomy (SPN) in terms of surgical results in a multicenter dataset (RECORd Project).
Materials and methods
patients treated with nephron sparing surgery (NSS) for clinical T1 renal tumors between January 2009 and January 2011 were evaluated. Overall, 198 patients who underwent SE were retrospectively matched to 198 patients who underwent SPN. The SPN and SE groups were compared regarding intraoperative, early post-operative and pathologic outcome variables. Multivariable analysis was applied to analyze predictors of positive surgical margin (PSM) status.
Results
SE was associated with similar WIT (18 vs 17.8 min), lower intraoperative blood loss (177 vs 221 cc, p = 0.02) and shorter operative time (121 vs 147 min; p < 0.0001). Surgical approach (laparoscopic vs. open), tumor size and type of indication (elective/relative vs …
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N Longo, A Minervini, A Antonelli, G Bianchi… - European Journal of Surgical Oncology (EJSO), 2014