دورية أكاديمية
Perioperative and renal functional outcomes of elective robot-assisted partial nephrectomy (RAPN) for renal tumours with high surgical complexity
| العنوان: | Perioperative and renal functional outcomes of elective robot-assisted partial nephrectomy (RAPN) for renal tumours with high surgical complexity |
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| المؤلفون: | A. Volpe, D. Garrou, D. Amparore, G. D. Naeyer, F. Porpiglia, A. Mottrie, FICARRA, VINCENZO |
| المساهمون: | A., Volpe, D., Garrou, D., Amparore, G. D., Naeyer, F., Porpiglia, Ficarra, Vincenzo, A., Mottrie |
| بيانات النشر: | Blackwell Publishing Ltd |
| سنة النشر: | 2013 |
| المجموعة: | Padua Research Archive (IRIS - Università degli Studi di Padova) |
| مصطلحات موضوعية: | carcinoma, nephron-sparing surgery, outcome, PADUA score, renal cell, robotic partial nephrectomy |
| الوصف: | ObjectiveTo evaluate the perioperative, postoperative and functional outcomes of robot-assisted partial nephrectomy (RAPN) for renal tumours with high surgical complexity at a large volume centre. Patients and MethodsPerioperative and functional outcomes of RAPNs for renal tumours with a Preoperative Aspects and Dimensions Used for an Anatomical (PADUA) score of 10 performed at our institution between September 2006 and December 2012 were collected in a prospectively maintained database and analysed. Surgical complications were graded according to the Clavien-Dindo classification. Serum creatinine and estimated glomerular filtration rate (eGFR) were assessed at the third postoperative day and 3-6 months after RAPN. ResultsIn all, 44 RAPNs for renal tumours with PADUA scores of 10 were included in the analysis; 23 tumours (52.3%) were cT1b. The median (interquartile range; range) operative time, estimated blood loss and warm ischaemia time (WIT) were 120 (94, 132; 60-230) min, 150 (80, 200; 25-1200) mL and 16 (13.8, 18; 5-35) min, respectively. Two intraoperative complications occurred (4.5%): one inferior vena caval injury and one bleed from the renal bed, which were both managed robotically. There were postoperative complications in 10 patients (22.7%), of whom four (9.1%) were high Clavien grade, including two bleeds that required percutaneous embolisation, one urinoma that resolved with ureteric stenting and one bowel occlusion managed with laparoscopic adhesiolysis. Two patients (4.5%) had positive surgical margins (PSMs) and were followed expectantly with no radiological recurrence at a mean follow-up of 23 months. The mean serum creatinine levels were significantly increased after surgery (121.1 vs 89.3mol/L; P = 0.001), but decreased over time, with no significant differences from the preoperative values at the 6-month follow-up (96.4 vs 89.3mol/L; P = 0.09). The same trend was seen for eGFR. ConclusionIn experienced hands RAPN for renal tumours with a PADUA score of 10 is feasible with short WIT, ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | info:eu-repo/semantics/altIdentifier/pmid/24673750; info:eu-repo/semantics/altIdentifier/wos/WOS:000345341300022; volume:114; issue:6; firstpage:903; lastpage:909; numberofpages:7; journal:BJU INTERNATIONAL; http://hdl.handle.net/11577/3106722Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-84905404796; http://www.scopus.com/inward/record.url?eid=2-s2.0-84905404796&partnerID=40&md5=63fc14d09cd6e13b5d434b66dfaec4b9Test |
| DOI: | 10.1111/bju.12751 |
| الإتاحة: | https://doi.org/10.1111/bju.12751Test http://hdl.handle.net/11577/3106722Test http://www.scopus.com/inward/record.url?eid=2-s2.0-84905404796&partnerID=40&md5=63fc14d09cd6e13b5d434b66dfaec4b9Test |
| رقم الانضمام: | edsbas.345320ED |
| قاعدة البيانات: | BASE |
| DOI: | 10.1111/bju.12751 |
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