The feasibility and safety of modified robot-assisted enucleation for highly complex renal tumors: research on a surgical technique

Autor:	Zhaoxiang, Lu, Jun, Zhou, Cheng, Yang, Li, Zhang, Sheng, Tai, Yu, Yin, Chaozhao, Liang
Rok vydání:	2019
Předmět:	Cancer Research highly complex renal tumor Oncology partial nephrectomy Enucleation robot-assisted laparoscopy Original Article Radiology Nuclear Medicine and imaging
Zdroj:	Translational Cancer Research
ISSN:	2219-6803 2218-676X
DOI:	10.21037/tcr.2019.04.20
Popis:	Background To report the technical feasibility and oncological safety of modified robot-assisted enucleation for highly complex renal tumors using the combined retroperitoneoscopic and transperitoneoscopic accesses. Methods The present research is a retrospective analysis of 166 cases of highly complex renal tumors that underwent a partial nephrectomy at a tertiary academic institution between September 2014 and August 2017. Consecutive consented patients were grouped into two cohorts. Seventy-two cases underwent conventional robot-assisted partial nephrectomy (C-RAPN), and 94 cases were treated with modified robot-assisted tumor enucleation (MRATE). The perioperative and oncological outcomes of both groups were reported. Furthermore, pathological examinations of 225 cases of highly complex renal tumors treated with radical nephrectomy were analyzed. Results Although preoperative clinical data were similar between the two groups, the perioperative outcomes were distinctly different. Total renal function at postoperative day 1 was better (P
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::70209b5ff463a95fca44cefb675e9aad https://doi.org/10.21037/tcr.2019.04.20 Zobrazit plný text záznamu