Comparison of 1800 Robotic and Open Partial Nephrectomies for Renal Tumors
Background Only a few studies have compared the outcomes of robotic partial nephrectomy (RPN) and open partial nephrectomy (OPN). This study aimed to compare perioperative and oncologic outcomes of RPN and OPN. Methods The data of all patients who underwent partial nephrectomy from 2006 to 2014 in s...
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| Veröffentlicht in: | Annals of surgical oncology 2016-12, Vol.23 (13), p.4277-4283 |
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| creator | Peyronnet, Benoit Seisen, Thomas Oger, Emmanuel Vaessen, Christophe Grassano, Yohann Benoit, Thibaut Carrouget, Julie Pradère, Benjamin Khene, Zineddine Giwerc, Anthony Mathieu, Romain Beauval, Jean-Baptiste Nouhaud, François-Xavier Bigot, Pierre Doumerc, Nicolas Bernhard, Jean-Christophe Mejean, Arnaud Patard, Jean-Jacques Shariat, Sharokh Roupret, Morgan Bensalah, Karim |
| description | Background
Only a few studies have compared the outcomes of robotic partial nephrectomy (RPN) and open partial nephrectomy (OPN). This study aimed to compare perioperative and oncologic outcomes of RPN and OPN.
Methods
The data of all patients who underwent partial nephrectomy from 2006 to 2014 in six academic departments of urology were retrospectively collected. Perioperative outcomes were compared between OPN and RPN patients. Cancer-specific survival (CSS) and recurrence-free survival (RFS) were estimated using the Kaplan–Meier method and compared using the log-rank test.
Results
The study included 1800 patients: 937 who underwent RPN and 863 who underwent OPN. The patients in the robotic group had smaller tumors (33.1 vs. 39.9 mm;
p
|
| doi_str_mv | 10.1245/s10434-016-5411-0 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_hal_p</sourceid><recordid>TN_cdi_hal_primary_oai_HAL_hal_01414474v1</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1826718065</sourcerecordid><originalsourceid>FETCH-LOGICAL-c472t-399f9152fb6d84cf246bb1b53df0d0a2609069f6f5ce39dbfa6cf0f3593303f13</originalsourceid><addsrcrecordid>eNp1kUtP3TAQha0KVB7tD-imssSGLgIzfiVZoivopbqCCtG15SR2CUri1E6Q-u9xFEBVJVYzOv7meEaHkC8IZ8iEPI8IgosMUGVSIGbwgRyiTIpQBe6lHlSRlUzJA3IU4yMA5hzkR3LA8oRLyQ7Jj43vRxPa6AfqHcUCgN75yk9tTc3Q0NvRDvSnCVNrOnpjx4dg68n3rY3U-UDv7JD0-7n3IX4i-8500X5-qcfk19Xl_Wab7W6_X28udlktcjZlvCxdiZK5SjWFqB0Tqqqwkrxx0IBhCkpQpVNO1paXTeWMqh04LkvOgTvkx-Tb6vtgOj2Gtjfhr_am1duLnV40QIFC5OJpYU9Xdgz-z2zjpPs21rbrzGD9HDUWTOXpaCUTevIf-ujnkM5bKC5yWUCuEoUrVQcfY7DubQMEvYSi11DSEkovoWhIM19fnOeqt83bxGsKCWArENPT8NuGf75-1_UZdw-TtQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1834758076</pqid></control><display><type>article</type><title>Comparison of 1800 Robotic and Open Partial Nephrectomies for Renal Tumors</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Peyronnet, Benoit ; Seisen, Thomas ; Oger, Emmanuel ; Vaessen, Christophe ; Grassano, Yohann ; Benoit, Thibaut ; Carrouget, Julie ; Pradère, Benjamin ; Khene, Zineddine ; Giwerc, Anthony ; Mathieu, Romain ; Beauval, Jean-Baptiste ; Nouhaud, François-Xavier ; Bigot, Pierre ; Doumerc, Nicolas ; Bernhard, Jean-Christophe ; Mejean, Arnaud ; Patard, Jean-Jacques ; Shariat, Sharokh ; Roupret, Morgan ; Bensalah, Karim</creator><creatorcontrib>Peyronnet, Benoit ; Seisen, Thomas ; Oger, Emmanuel ; Vaessen, Christophe ; Grassano, Yohann ; Benoit, Thibaut ; Carrouget, Julie ; Pradère, Benjamin ; Khene, Zineddine ; Giwerc, Anthony ; Mathieu, Romain ; Beauval, Jean-Baptiste ; Nouhaud, François-Xavier ; Bigot, Pierre ; Doumerc, Nicolas ; Bernhard, Jean-Christophe ; Mejean, Arnaud ; Patard, Jean-Jacques ; Shariat, Sharokh ; Roupret, Morgan ; Bensalah, Karim ; French Comittee of Urologic Oncology (CCAFU) ; French Comittee of Urologic Oncology (CCAFU)</creatorcontrib><description><![CDATA[Background
Only a few studies have compared the outcomes of robotic partial nephrectomy (RPN) and open partial nephrectomy (OPN). This study aimed to compare perioperative and oncologic outcomes of RPN and OPN.
Methods
The data of all patients who underwent partial nephrectomy from 2006 to 2014 in six academic departments of urology were retrospectively collected. Perioperative outcomes were compared between OPN and RPN patients. Cancer-specific survival (CSS) and recurrence-free survival (RFS) were estimated using the Kaplan–Meier method and compared using the log-rank test.
Results
The study included 1800 patients: 937 who underwent RPN and 863 who underwent OPN. The patients in the robotic group had smaller tumors (33.1 vs. 39.9 mm;
p
< 0.001) but comparable RENAL scores (6.8 vs. 6.7;
p
= 0.37). The complication rate was higher in the OPN group (28.6 vs. 18 %;
p
< 0.001). The OPN patients had greater estimated blood loss (359.5 vs. 275 ml;
p
< 0.001) and more frequent hemorrhagic complications (12.1 vs. 6.9 %;
p
< 0.001). The robotic approach was associated with a shorter warm ischemia time (WIT 15.7 vs. 18.6 min;
p
< 0.001) and a shorter hospital of stay (4.7 vs. 10.1 days;
p
< 0.001). In the propensity score-weighted analysis, the inverse probability of treatment weighting adjusted odds ratio for the risk of complication after OPN versus RPN was 2.11 (95 % confidence interval, 1.53–2.91;
p
< 0.001). After a median postoperative follow-up period of 13 months for OPN and 39 months for RPN (
p
< 0.001), CSS and RFS were similar in the two groups. In the multivariate analysis, RPN showed an impact on the occurrence of a complication but had no effect on WIT or RFS.
Conclusion
In this study, RPN was less morbid than OPN, with lower complications, less blood loss, and a shorter hospital of stay. The intermediate-term oncologic outcomes were similar in the two groups.]]></description><identifier>ISSN: 1068-9265</identifier><identifier>EISSN: 1534-4681</identifier><identifier>DOI: 10.1245/s10434-016-5411-0</identifier><identifier>PMID: 27411552</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Aged ; Blood Loss, Surgical ; Disease-Free Survival ; Female ; Humans ; Kaplan-Meier Estimate ; Kidney Neoplasms - pathology ; Kidney Neoplasms - surgery ; Length of Stay ; Life Sciences ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Nephrectomy - adverse effects ; Nephrectomy - methods ; Oncology ; Postoperative Complications - etiology ; Retrospective Studies ; Robotic Surgical Procedures - adverse effects ; Surgery ; Surgical Oncology ; Survival Rate ; Tumor Burden ; Urologic Oncology ; Warm Ischemia</subject><ispartof>Annals of surgical oncology, 2016-12, Vol.23 (13), p.4277-4283</ispartof><rights>Society of Surgical Oncology 2016</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c472t-399f9152fb6d84cf246bb1b53df0d0a2609069f6f5ce39dbfa6cf0f3593303f13</citedby><cites>FETCH-LOGICAL-c472t-399f9152fb6d84cf246bb1b53df0d0a2609069f6f5ce39dbfa6cf0f3593303f13</cites><orcidid>0000-0002-7768-8558 ; 0000-0001-9837-2977 ; 0000-0001-8157-2825</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1245/s10434-016-5411-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1245/s10434-016-5411-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27411552$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://univ-rennes.hal.science/hal-01414474$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Peyronnet, Benoit</creatorcontrib><creatorcontrib>Seisen, Thomas</creatorcontrib><creatorcontrib>Oger, Emmanuel</creatorcontrib><creatorcontrib>Vaessen, Christophe</creatorcontrib><creatorcontrib>Grassano, Yohann</creatorcontrib><creatorcontrib>Benoit, Thibaut</creatorcontrib><creatorcontrib>Carrouget, Julie</creatorcontrib><creatorcontrib>Pradère, Benjamin</creatorcontrib><creatorcontrib>Khene, Zineddine</creatorcontrib><creatorcontrib>Giwerc, Anthony</creatorcontrib><creatorcontrib>Mathieu, Romain</creatorcontrib><creatorcontrib>Beauval, Jean-Baptiste</creatorcontrib><creatorcontrib>Nouhaud, François-Xavier</creatorcontrib><creatorcontrib>Bigot, Pierre</creatorcontrib><creatorcontrib>Doumerc, Nicolas</creatorcontrib><creatorcontrib>Bernhard, Jean-Christophe</creatorcontrib><creatorcontrib>Mejean, Arnaud</creatorcontrib><creatorcontrib>Patard, Jean-Jacques</creatorcontrib><creatorcontrib>Shariat, Sharokh</creatorcontrib><creatorcontrib>Roupret, Morgan</creatorcontrib><creatorcontrib>Bensalah, Karim</creatorcontrib><creatorcontrib>French Comittee of Urologic Oncology (CCAFU)</creatorcontrib><creatorcontrib>French Comittee of Urologic Oncology (CCAFU)</creatorcontrib><title>Comparison of 1800 Robotic and Open Partial Nephrectomies for Renal Tumors</title><title>Annals of surgical oncology</title><addtitle>Ann Surg Oncol</addtitle><addtitle>Ann Surg Oncol</addtitle><description><![CDATA[Background
Only a few studies have compared the outcomes of robotic partial nephrectomy (RPN) and open partial nephrectomy (OPN). This study aimed to compare perioperative and oncologic outcomes of RPN and OPN.
Methods
The data of all patients who underwent partial nephrectomy from 2006 to 2014 in six academic departments of urology were retrospectively collected. Perioperative outcomes were compared between OPN and RPN patients. Cancer-specific survival (CSS) and recurrence-free survival (RFS) were estimated using the Kaplan–Meier method and compared using the log-rank test.
Results
The study included 1800 patients: 937 who underwent RPN and 863 who underwent OPN. The patients in the robotic group had smaller tumors (33.1 vs. 39.9 mm;
p
< 0.001) but comparable RENAL scores (6.8 vs. 6.7;
p
= 0.37). The complication rate was higher in the OPN group (28.6 vs. 18 %;
p
< 0.001). The OPN patients had greater estimated blood loss (359.5 vs. 275 ml;
p
< 0.001) and more frequent hemorrhagic complications (12.1 vs. 6.9 %;
p
< 0.001). The robotic approach was associated with a shorter warm ischemia time (WIT 15.7 vs. 18.6 min;
p
< 0.001) and a shorter hospital of stay (4.7 vs. 10.1 days;
p
< 0.001). In the propensity score-weighted analysis, the inverse probability of treatment weighting adjusted odds ratio for the risk of complication after OPN versus RPN was 2.11 (95 % confidence interval, 1.53–2.91;
p
< 0.001). After a median postoperative follow-up period of 13 months for OPN and 39 months for RPN (
p
< 0.001), CSS and RFS were similar in the two groups. In the multivariate analysis, RPN showed an impact on the occurrence of a complication but had no effect on WIT or RFS.
Conclusion
In this study, RPN was less morbid than OPN, with lower complications, less blood loss, and a shorter hospital of stay. The intermediate-term oncologic outcomes were similar in the two groups.]]></description><subject>Aged</subject><subject>Blood Loss, Surgical</subject><subject>Disease-Free Survival</subject><subject>Female</subject><subject>Humans</subject><subject>Kaplan-Meier Estimate</subject><subject>Kidney Neoplasms - pathology</subject><subject>Kidney Neoplasms - surgery</subject><subject>Length of Stay</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nephrectomy - adverse effects</subject><subject>Nephrectomy - methods</subject><subject>Oncology</subject><subject>Postoperative Complications - etiology</subject><subject>Retrospective Studies</subject><subject>Robotic Surgical Procedures - adverse effects</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Survival Rate</subject><subject>Tumor Burden</subject><subject>Urologic Oncology</subject><subject>Warm Ischemia</subject><issn>1068-9265</issn><issn>1534-4681</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kUtP3TAQha0KVB7tD-imssSGLgIzfiVZoivopbqCCtG15SR2CUri1E6Q-u9xFEBVJVYzOv7meEaHkC8IZ8iEPI8IgosMUGVSIGbwgRyiTIpQBe6lHlSRlUzJA3IU4yMA5hzkR3LA8oRLyQ7Jj43vRxPa6AfqHcUCgN75yk9tTc3Q0NvRDvSnCVNrOnpjx4dg68n3rY3U-UDv7JD0-7n3IX4i-8500X5-qcfk19Xl_Wab7W6_X28udlktcjZlvCxdiZK5SjWFqB0Tqqqwkrxx0IBhCkpQpVNO1paXTeWMqh04LkvOgTvkx-Tb6vtgOj2Gtjfhr_am1duLnV40QIFC5OJpYU9Xdgz-z2zjpPs21rbrzGD9HDUWTOXpaCUTevIf-ujnkM5bKC5yWUCuEoUrVQcfY7DubQMEvYSi11DSEkovoWhIM19fnOeqt83bxGsKCWArENPT8NuGf75-1_UZdw-TtQ</recordid><startdate>20161201</startdate><enddate>20161201</enddate><creator>Peyronnet, Benoit</creator><creator>Seisen, Thomas</creator><creator>Oger, Emmanuel</creator><creator>Vaessen, Christophe</creator><creator>Grassano, Yohann</creator><creator>Benoit, Thibaut</creator><creator>Carrouget, Julie</creator><creator>Pradère, Benjamin</creator><creator>Khene, Zineddine</creator><creator>Giwerc, Anthony</creator><creator>Mathieu, Romain</creator><creator>Beauval, Jean-Baptiste</creator><creator>Nouhaud, François-Xavier</creator><creator>Bigot, Pierre</creator><creator>Doumerc, Nicolas</creator><creator>Bernhard, Jean-Christophe</creator><creator>Mejean, Arnaud</creator><creator>Patard, Jean-Jacques</creator><creator>Shariat, Sharokh</creator><creator>Roupret, Morgan</creator><creator>Bensalah, Karim</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><general>Springer Verlag</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>1XC</scope><orcidid>https://orcid.org/0000-0002-7768-8558</orcidid><orcidid>https://orcid.org/0000-0001-9837-2977</orcidid><orcidid>https://orcid.org/0000-0001-8157-2825</orcidid></search><sort><creationdate>20161201</creationdate><title>Comparison of 1800 Robotic and Open Partial Nephrectomies for Renal Tumors</title><author>Peyronnet, Benoit ; Seisen, Thomas ; Oger, Emmanuel ; Vaessen, Christophe ; Grassano, Yohann ; Benoit, Thibaut ; Carrouget, Julie ; Pradère, Benjamin ; Khene, Zineddine ; Giwerc, Anthony ; Mathieu, Romain ; Beauval, Jean-Baptiste ; Nouhaud, François-Xavier ; Bigot, Pierre ; Doumerc, Nicolas ; Bernhard, Jean-Christophe ; Mejean, Arnaud ; Patard, Jean-Jacques ; Shariat, Sharokh ; Roupret, Morgan ; Bensalah, Karim</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c472t-399f9152fb6d84cf246bb1b53df0d0a2609069f6f5ce39dbfa6cf0f3593303f13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged</topic><topic>Blood Loss, Surgical</topic><topic>Disease-Free Survival</topic><topic>Female</topic><topic>Humans</topic><topic>Kaplan-Meier Estimate</topic><topic>Kidney Neoplasms - pathology</topic><topic>Kidney Neoplasms - surgery</topic><topic>Length of Stay</topic><topic>Life Sciences</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nephrectomy - adverse effects</topic><topic>Nephrectomy - methods</topic><topic>Oncology</topic><topic>Postoperative Complications - etiology</topic><topic>Retrospective Studies</topic><topic>Robotic Surgical Procedures - adverse effects</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><topic>Survival Rate</topic><topic>Tumor Burden</topic><topic>Urologic Oncology</topic><topic>Warm Ischemia</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Peyronnet, Benoit</creatorcontrib><creatorcontrib>Seisen, Thomas</creatorcontrib><creatorcontrib>Oger, Emmanuel</creatorcontrib><creatorcontrib>Vaessen, Christophe</creatorcontrib><creatorcontrib>Grassano, Yohann</creatorcontrib><creatorcontrib>Benoit, Thibaut</creatorcontrib><creatorcontrib>Carrouget, Julie</creatorcontrib><creatorcontrib>Pradère, Benjamin</creatorcontrib><creatorcontrib>Khene, Zineddine</creatorcontrib><creatorcontrib>Giwerc, Anthony</creatorcontrib><creatorcontrib>Mathieu, Romain</creatorcontrib><creatorcontrib>Beauval, Jean-Baptiste</creatorcontrib><creatorcontrib>Nouhaud, François-Xavier</creatorcontrib><creatorcontrib>Bigot, Pierre</creatorcontrib><creatorcontrib>Doumerc, Nicolas</creatorcontrib><creatorcontrib>Bernhard, Jean-Christophe</creatorcontrib><creatorcontrib>Mejean, Arnaud</creatorcontrib><creatorcontrib>Patard, Jean-Jacques</creatorcontrib><creatorcontrib>Shariat, Sharokh</creatorcontrib><creatorcontrib>Roupret, Morgan</creatorcontrib><creatorcontrib>Bensalah, Karim</creatorcontrib><creatorcontrib>French Comittee of Urologic Oncology (CCAFU)</creatorcontrib><creatorcontrib>French Comittee of Urologic Oncology (CCAFU)</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>Annals of surgical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Peyronnet, Benoit</au><au>Seisen, Thomas</au><au>Oger, Emmanuel</au><au>Vaessen, Christophe</au><au>Grassano, Yohann</au><au>Benoit, Thibaut</au><au>Carrouget, Julie</au><au>Pradère, Benjamin</au><au>Khene, Zineddine</au><au>Giwerc, Anthony</au><au>Mathieu, Romain</au><au>Beauval, Jean-Baptiste</au><au>Nouhaud, François-Xavier</au><au>Bigot, Pierre</au><au>Doumerc, Nicolas</au><au>Bernhard, Jean-Christophe</au><au>Mejean, Arnaud</au><au>Patard, Jean-Jacques</au><au>Shariat, Sharokh</au><au>Roupret, Morgan</au><au>Bensalah, Karim</au><aucorp>French Comittee of Urologic Oncology (CCAFU)</aucorp><aucorp>French Comittee of Urologic Oncology (CCAFU)</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of 1800 Robotic and Open Partial Nephrectomies for Renal Tumors</atitle><jtitle>Annals of surgical oncology</jtitle><stitle>Ann Surg Oncol</stitle><addtitle>Ann Surg Oncol</addtitle><date>2016-12-01</date><risdate>2016</risdate><volume>23</volume><issue>13</issue><spage>4277</spage><epage>4283</epage><pages>4277-4283</pages><issn>1068-9265</issn><eissn>1534-4681</eissn><abstract><![CDATA[Background
Only a few studies have compared the outcomes of robotic partial nephrectomy (RPN) and open partial nephrectomy (OPN). This study aimed to compare perioperative and oncologic outcomes of RPN and OPN.
Methods
The data of all patients who underwent partial nephrectomy from 2006 to 2014 in six academic departments of urology were retrospectively collected. Perioperative outcomes were compared between OPN and RPN patients. Cancer-specific survival (CSS) and recurrence-free survival (RFS) were estimated using the Kaplan–Meier method and compared using the log-rank test.
Results
The study included 1800 patients: 937 who underwent RPN and 863 who underwent OPN. The patients in the robotic group had smaller tumors (33.1 vs. 39.9 mm;
p
< 0.001) but comparable RENAL scores (6.8 vs. 6.7;
p
= 0.37). The complication rate was higher in the OPN group (28.6 vs. 18 %;
p
< 0.001). The OPN patients had greater estimated blood loss (359.5 vs. 275 ml;
p
< 0.001) and more frequent hemorrhagic complications (12.1 vs. 6.9 %;
p
< 0.001). The robotic approach was associated with a shorter warm ischemia time (WIT 15.7 vs. 18.6 min;
p
< 0.001) and a shorter hospital of stay (4.7 vs. 10.1 days;
p
< 0.001). In the propensity score-weighted analysis, the inverse probability of treatment weighting adjusted odds ratio for the risk of complication after OPN versus RPN was 2.11 (95 % confidence interval, 1.53–2.91;
p
< 0.001). After a median postoperative follow-up period of 13 months for OPN and 39 months for RPN (
p
< 0.001), CSS and RFS were similar in the two groups. In the multivariate analysis, RPN showed an impact on the occurrence of a complication but had no effect on WIT or RFS.
Conclusion
In this study, RPN was less morbid than OPN, with lower complications, less blood loss, and a shorter hospital of stay. The intermediate-term oncologic outcomes were similar in the two groups.]]></abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>27411552</pmid><doi>10.1245/s10434-016-5411-0</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-7768-8558</orcidid><orcidid>https://orcid.org/0000-0001-9837-2977</orcidid><orcidid>https://orcid.org/0000-0001-8157-2825</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1068-9265 |
| ispartof | Annals of surgical oncology, 2016-12, Vol.23 (13), p.4277-4283 |
| issn | 1068-9265 1534-4681 |
| language | eng |
| recordid | cdi_hal_primary_oai_HAL_hal_01414474v1 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Aged Blood Loss, Surgical Disease-Free Survival Female Humans Kaplan-Meier Estimate Kidney Neoplasms - pathology Kidney Neoplasms - surgery Length of Stay Life Sciences Male Medicine Medicine & Public Health Middle Aged Nephrectomy - adverse effects Nephrectomy - methods Oncology Postoperative Complications - etiology Retrospective Studies Robotic Surgical Procedures - adverse effects Surgery Surgical Oncology Survival Rate Tumor Burden Urologic Oncology Warm Ischemia |
| title | Comparison of 1800 Robotic and Open Partial Nephrectomies for Renal Tumors |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-29T00%3A25%3A04IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_hal_p&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Comparison%20of%201800%20Robotic%20and%20Open%20Partial%20Nephrectomies%20for%20Renal%20Tumors&rft.jtitle=Annals%20of%20surgical%20oncology&rft.au=Peyronnet,%20Benoit&rft.aucorp=French%20Comittee%20of%20Urologic%20Oncology%20(CCAFU)&rft.date=2016-12-01&rft.volume=23&rft.issue=13&rft.spage=4277&rft.epage=4283&rft.pages=4277-4283&rft.issn=1068-9265&rft.eissn=1534-4681&rft_id=info:doi/10.1245/s10434-016-5411-0&rft_dat=%3Cproquest_hal_p%3E1826718065%3C/proquest_hal_p%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1834758076&rft_id=info:pmid/27411552&rfr_iscdi=true |