scholarly journals Robot-Assisted versus Laparoscopic Partial Nephrectomy for Giant Sporadic Renal Angiomyolipomas of ≥7 cm: A Propensity Score-Matched Analysis

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Yunqiang Xiong ◽  
Wen Deng ◽  
Ru Chen ◽  
Xiaoqiang Liu ◽  
Ke Zhu ◽  
...  
Keyword(s):  
Renal Function ◽  
Propensity Score ◽  
Propensity Score Matching ◽  
Partial Nephrectomy ◽  
Functional Outcomes ◽  
Laparoscopic Partial Nephrectomy ◽  
Robot Assisted ◽  
First Choice ◽  
Independent Risk Factors ◽  
Functional Preservation

Background. To compare the perioperative and functional outcomes between robot-assisted partial nephrectomy (RAPN) and laparoscopic partial nephrectomy (LPN) for giant sporadic renal angiomyolipomas (AMLs) of ≥7 cm. Materials and Methods. Patients with sporadic renal AMLs of ≥7 cm who underwent RAPN or LPN in the First Affiliated Hospital of Nanchang University between 2015 and 2020 were retrospectively analyzed. Propensity score matching (1 : 1) was performed to adjust for potential baseline confounders. Perioperative and functional outcomes of the RAPN and LPN groups were collected and compared. Result. After propensity score matching, no statistically significant differences in baseline characteristics were found between the groups (41 vs. 41). Within the matched cohort, the warm ischemia time (WIT) in the RAPN group was significantly shorter than that in the LPN group (21 vs. 27 min, p < 0.001 ). In addition, the RAPN group was associated with improved postoperative renal function (72.8 vs. 69.8 mL/min/1.73 m2, p = 0.045 ). WIT and preoperative renal function are independent predictors of renal function at 6 months postoperatively, and renal score and operation method are independent predictors of WIT. Conclusion. RAPN and LPN are safe and feasible minimally invasive treatments for sporadic giant renal AMLs, but RAPN is associated with shorter WIT and better postoperative renal functional preservation. WIT and preoperative renal function are independent predictors of renal function at 6 months postoperatively, while the RENAL score and surgical method are independent risk factors to WIT. For giant and complex renal AMLs, RAPN is the first choice when condition permits.

Predictors of renal function after open and robot‐assisted partial nephrectomy: A propensity score‐matched study

2018 ◽  
Vol 26 (3) ◽  
pp. 377-384 ◽  
Author(s):  
Young Dong Yu ◽  
Ngoc Ha Nguyen ◽  
Ho Young Ryu ◽  
Sung Kyu Hong ◽  
Seok‐Soo Byun ◽  
...  
Keyword(s):  
Renal Function ◽  
Propensity Score ◽  
Partial Nephrectomy ◽  
Robot Assisted ◽  
Matched Study

scholarly journals A Hemostatic Technique in Robot-Assisted Laparoscopic Partial Nephrectomy and Its Impact on Renal Function

Cureus ◽  
2021 ◽  
Author(s):  
Deepak Raghavan ◽  
Mathisekaran Thangarasu ◽  
Sanjay Prakash J ◽  
Rajesh Paul ◽  
Nivash Selvaraj
Keyword(s):  
Renal Function ◽  
Partial Nephrectomy ◽  
Laparoscopic Partial Nephrectomy ◽  
Robot Assisted

scholarly journals Comparison of Sutureless and Conventional Laparoscopic Partial Nephrectomy: A Propensity Score-Matching Analysis

2021 ◽  
Vol 11 ◽  
Author(s):  
Feng Zhang ◽  
Shuang Gao ◽  
Yiqiao Zhao ◽  
Bin Wu ◽  
Xiaonan Chen
Keyword(s):  
Propensity Score ◽  
Propensity Score Matching ◽  
Partial Nephrectomy ◽  
Laparoscopic Partial Nephrectomy ◽  
Renal Tumors ◽  
Tumor Diameter ◽  
Propensity Score Matching Analysis ◽  
Conventional Laparoscopic ◽  
Before And After ◽  
T1 Stage

Objective: To compare the functional outcome, safety and efficacy of sutureless and conventional laparoscopic partial nephrectomy.Methods: After the inclusion and exclusion criteria were applied, our study reviewed 379 patients with T1 stage renal tumors. We applied propensity score matching (PSM) to limit potential baseline confusion. Perioperative and functional outcomes between sutureless laparoscopic partial nephrectomy (sLPN) and conventional laparoscopic partial nephrectomy (cLPN) groups were compared and analyzed before and after PSM.Results: Of our 379 patients with T1 stage renal tumors, 199 and 180 were identified in the cLPN and sLPN groups, respectively. After applying PSM with preoperative features, 116 patients in the cLNP group were paired to 116 patients in the sLNP group. We found that all differences in preoperative baseline characteristics disappeared. All the preoperative characteristics (age, gender, tumor diameter, RENAL nephrometry score, side, preoperative eGFR, hypertension, diabetes mellitus, ASA score) were not statistically different between the two groups. The operative time (OT) (p &lt; 0.001) and warm ischemia time (WIT) (p &lt; 0.001) of the sLPN group were of shorter duration than that of the cLPN group. The eGFR baseline was almost equal, but there was a statistically smaller decrease in eGFR in the sLPN than in the cLPN group 1 week after surgery (14.3 vs. 7.4, p &lt; 0.001) and after 6 months (11.9 vs. 5.0, p &lt; 0.001). After both preoperative features and WIT were included in PSM, fifty-one pairs of patients were identified between the groups, the WIT difference between them disappeared, while the decrease in eGFR between the groups remained as it was previously at 1 week (15.4 vs. 8.6, p &lt; 0.001) and at 6 months (13.0 vs. 6.2, p &lt; 0.001).Conclusion: Sutureless laparoscopic partial nephrectomy is as safe and effective as conventional laparoscopic partial nephrectomy, and compared to cLPN, sLPN can effectively reduce the WIT, retain more renal parenchyma and protect renal function.

910 ROBOT ASSISTED LAPAROSCOPIC PARTIAL NEPHRECTOMY FOR TUMORS GREATER THAN 4 CM: FEASIBILITY AND EARLY FUNCTIONAL OUTCOMES

2010 ◽  
Vol 183 (4S) ◽  
Author(s):  
Paul H. Chung ◽  
Gopal Gupta ◽  
Ronald S. Boris ◽  
W. Marston Linehan ◽  
Peter A. Pinto ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Functional Outcomes ◽  
Laparoscopic Partial Nephrectomy ◽  
Robot Assisted
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