作者
Carlo Andrea Bravi, Alessandro Larcher, Umberto Capitanio, Andrea Mari, Alessandro Antonelli, Walter Artibani, Maurizio Barale, Roberto Bertini, Pierluigi Bove, Eugenio Brunocilla, Luigi Da Pozzo, Fabrizio Di Maida, Cristian Fiori, Paolo Gontero, Vincenzo Li Marzi, Nicola Longo, Vincenzo Mirone, Emanuele Montanari, Francesco Porpiglia, Riccardo Schiavina, Luigi Schips, Claudio Simeone, Salvatore Siracusano, Carlo Terrone, Carlo Trombetta, Alessandro Volpe, Francesco Montorsi, Vincenzo Ficarra, Marco Carini, Andrea Minervini
发表日期
2021/3/1
期刊
European urology focus
卷号
7
期号
2
页码范围
390-396
出版商
Elsevier
简介
Background
Partial nephrectomy (PN) has a non-negligible perioperative morbidity. Comparative evidence of the available surgical techniques is limited.
Objective
To compare the perioperative outcomes of open, laparoscopic, and robotic PN.
Methods
Data of 2331 patients treated with PN for cT1 renal tumors were extracted from the RECORd2 database, a prospective multicenter project. Multivariable regression models assessed the relationship between surgical technique and surgical margins, warm ischemia time, postoperative complications, and acute kidney injury (AKI). The probability of achieving a modified trifecta (negative margins, warm ischemia time <25 min, and no Clavien–Dindo ≥2 complications) was examined for each surgical approach.
Results
Minimally invasive techniques had lower rate of Clavien–Dindo ≥2 complications than that of open surgery (odds ratio [OR] for robotic surgery: 0.27; 95 …
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CA Bravi, A Larcher, U Capitanio, A Mari, A Antonelli… - European urology focus, 2021