Oncological and functional outcomes of open versus laparoscopic partial nephrectomy in T1b tumors: A single-center analysis
| Autor: | Çağlar Çakici, Ibrahim Kartal, Nihat Karakoyunlu, Hamit Ersoy, Osman Raif Karabacak, Levent Sagnak |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Urology medicine.medical_treatment 030232 urology & nephrology Renal function Single Center Nephrectomy Disease-Free Survival 03 medical and health sciences 0302 clinical medicine Bayesian multivariate linear regression medicine Humans Warm Ischemia Stage (cooking) Carcinoma Renal Cell Survival analysis Proportional hazards model business.industry Carcinoma Renal Cell Kidney Neoplasms Diseases of the genitourinary system. Urology 030220 oncology & carcinogenesis Original Article Laparoscopy RC870-923 Complication business |
| Zdroj: | International Brazilian Journal of Urology, Vol 46, Iss 3, Pp 341-350 (2020) International braz j urol, Volume: 46, Issue: 3, Pages: 341-350, Published: 30 MAR 2020 International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology International braz j urol v.46 n.3 2020 International Braz J Urol Sociedade Brasileira de Urologia (SBU) instacron:SBU |
| ISSN: | 1677-6119 |
| Popis: | Purpose: This study aims to evaluate the oncological and functional results of open partial nephrectomy (OPN) and laparoscopic partial nephrectomy (LPN) at the T1b clinical stage, which constitutes 25% of renal cell carcinomas (RCC) at diagnosis. Materials and Methods: The characteristics of 63 patients with stage T1b solitary tumor who underwent OPN (41) or LPN (22) were compared. The survival analysis was performed using the Kaplan-Meier method. Univariate and multivariate Cox regression analyses were performed to determine the factors affecting disease-free survival. Potential predictive factors, which might affect the postoperative glomerular filtration rate (GFR), were evaluated using multivariate linear regression analysis. Results: No differences were observed between OPN and LPN groups regarding patient and tumor characteristics. Although the warm ischemia time, intraoperative estimated blood loss, and operation duration were higher in the LPN group, no differences were noted between the two techniques regarding complication rates (p |
| Databáze: | OpenAIRE |
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