Outcomes of minimally invasive partial nephrectomy among very elderly patients: Report from the resurge collaborative international database
| Autor: | Tobias Maurer, Christopher J.D. Wallis, Alessandro Antonelli, Bo Yang, Thomas Amiel, Antonio Celia, Roberto Castellucci, Ithaar Derweesh, Daniele Amparore, Kazunari Tanabe, Salvatore Micali, Alexandre Mottrie, Estefania Linares, Luigi Schips, Umberto Capitanio, Nicola Pavan, Geert De Naeyer, Ali Abdel Raheem, Alessandro Larcher, Gianfranco Baiamonte, Giuseppe Quarto, Carlo Trombetta, Estevão Lima, Carme Maria Mir, Francesco Montorsi, Bernardino De Concilio, Andrew Tracey, Toshio Takagi, Koon Ho Rha, Maria Furlan, Lance J. Hampton, Sisto Perdonà, Ahmet Bindayi, Riccardo Autorino, Simone Crivellaro, Chao Zang, Francesco Porpiglia, Ryan W. Dobbs |
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| Přispěvatelé: | Larcher, A., Wallis, C. J. D., Pavan, N., Porpiglia, F., Takagi, T., Tanabe, K., Rha, K. H., Raheem, A. A., Yang, B., Zang, C., Perdona, S., Quarto, G., Maurer, T., Amiel, T., Schips, L., Castellucci, R., Crivellaro, S., Dobbs, R., Baiamonte, G., Celia, A., De Concilio, B., Furlan, M., Lima, E., Linares, E., Micali, S., Amparore, D., De Naeyer, G., Trombetta, C., Hampton, L. J., Tracey, A., Bindayi, A., Antonelli, A., Derweesh, I., Mir, C., Montorsi, F., Mottrie, A., Autorino, R., Capitanio, U. |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment 030232 urology & nephrology Urology Renal function robot-assisted partial nephrectomy elderly 03 medical and health sciences 0302 clinical medicine Elderly International database Minimally invasive surgery Renal mass Medicine Kidney cancer Laparoscopic partial nephrectomy Robot-assisted partial nephrectomy minimally invasive surgery Original Paper business.industry laparoscopic partial nephrectomy Renal surgery kidney cancer General Medicine Perioperative Odds ratio medicine.disease Nephrectomy 030220 oncology & carcinogenesis business |
| Zdroj: | Central European Journal of Urology |
| Popis: | The aim of the study was to perform a comprehensive investigation of clinical outcomes of robot-assisted partial nephrectomy (RAPN) or laparoscopic partial nephrectomy (LPN) in elderly patients presenting with a renal mass. The REnal SURGery in Elderly (RESURGE) collaborative database was queried to identify patients aged 75 or older diagnosed with cT1-2 renal mass and treated with RAPN or LPN. Study outcomes were: overall complications (OC); warm ischemia time (WIT) and 6-month estimated glomerular filtration rate (eGFR); positive surgical margins (PSM), disease recurrence (REC), cancer-specific mortality (CSM) and other-cause mortality (OCM). Descriptive statistics, Kaplan-Meier, smoothed Poisson plots and logistic and linear regression models (MVA) were used. Overall, 216 patients were included in this analysis. OC rate was 34%, most of them being of low Clavien grade. Median WIT was 17 minutes and median 6-month eGFR was 54 ml/min/1.73 m2. PSM rate was 5%. After a median follow-up of 20 months, the 5-year rates of REC, CSM and OCM were 4, 4 and 5%, respectively. At MVA predicting perioperative morbidity, RAPN relative to LPN (odds ratio [OR] 0.33; p |
| Databáze: | OpenAIRE |
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