Robotic-assisted tumor enucleation versus robotic-assisted partial nephrectomy for intermediate and high complexity renal cell carcinoma: a single-institution experience
Abstract Objectives To compare the perioperative and oncological outcomes of robotic-assisted tumor enucleation (RATE) and robotic-assisted partial nephrectomy (RAPN) in the treatment of intermediate and high complexity renal cell carcinoma (RCC). Methods We retrospectively collected the data of 359...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-06-01
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| Series: | World Journal of Surgical Oncology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12957-023-03060-3 |
| _version_ | 1797806694929006592 |
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| author | Kunyang Lei Xu Wang Zhongsheng Yang Yuming Zhong Yifu Liu Ting Sun |
| author_facet | Kunyang Lei Xu Wang Zhongsheng Yang Yuming Zhong Yifu Liu Ting Sun |
| author_sort | Kunyang Lei |
| collection | DOAJ |
| description | Abstract Objectives To compare the perioperative and oncological outcomes of robotic-assisted tumor enucleation (RATE) and robotic-assisted partial nephrectomy (RAPN) in the treatment of intermediate and high complexity renal cell carcinoma (RCC). Methods We retrospectively collected the data of 359 patients with intermediate and high complexity RCC who underwent RATE and RAPN. The perioperative, oncological, and pathological outcomes of the two groups were compared, and univariate and multivariate analyses were used to evaluate the risk factors for warm ischemia time (WIT) > 25 min. Results Compared with RAPN group, patients in RATE group had shorter operative time (P < 0.001), shorter WIT (P < 0.001), and less estimated blood loss (EBL) (P < 0.001). The decrease rate of estimated glomerular filtration rate (eGFR) in RATE group was better than that in RAPN group (P < 0.001). Multivariable analysis showed that RAPN and higher PADUA score were independent risk factors for WIT > 25 min (both P < 0.001). The rate of positive surgical margin was similar between the two groups, but the local recurrence rate of the RATE group was higher than that of the RAPN group (P = 0.027). Conclusions RATE and RAPN have similar oncological outcomes for the treatment of intermediate and high complexity RCC. In addition, RATE was superior to RAPN in perioperative outcomes. |
| first_indexed | 2024-03-13T06:11:10Z |
| format | Article |
| id | doaj.art-234d91b8369645ab86f9c89da1bdc6e2 |
| institution | Directory Open Access Journal |
| issn | 1477-7819 |
| language | English |
| last_indexed | 2024-03-13T06:11:10Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Surgical Oncology |
| spelling | doaj.art-234d91b8369645ab86f9c89da1bdc6e22023-06-11T11:15:54ZengBMCWorld Journal of Surgical Oncology1477-78192023-06-012111610.1186/s12957-023-03060-3Robotic-assisted tumor enucleation versus robotic-assisted partial nephrectomy for intermediate and high complexity renal cell carcinoma: a single-institution experienceKunyang Lei0Xu Wang1Zhongsheng Yang2Yuming Zhong3Yifu Liu4Ting Sun5Department of Urology, the First Affiliated Hospital of Nanchang UniversityDepartment of Pathology, the First Affiliated Hospital of Nanchang UniversityDepartment of Urology, Ganzhou People’s HospitalDepartment of Urology, Ganzhou People’s HospitalDepartment of Urology, the First Affiliated Hospital of Nanchang UniversityDepartment of Urology, the First Affiliated Hospital of Nanchang UniversityAbstract Objectives To compare the perioperative and oncological outcomes of robotic-assisted tumor enucleation (RATE) and robotic-assisted partial nephrectomy (RAPN) in the treatment of intermediate and high complexity renal cell carcinoma (RCC). Methods We retrospectively collected the data of 359 patients with intermediate and high complexity RCC who underwent RATE and RAPN. The perioperative, oncological, and pathological outcomes of the two groups were compared, and univariate and multivariate analyses were used to evaluate the risk factors for warm ischemia time (WIT) > 25 min. Results Compared with RAPN group, patients in RATE group had shorter operative time (P < 0.001), shorter WIT (P < 0.001), and less estimated blood loss (EBL) (P < 0.001). The decrease rate of estimated glomerular filtration rate (eGFR) in RATE group was better than that in RAPN group (P < 0.001). Multivariable analysis showed that RAPN and higher PADUA score were independent risk factors for WIT > 25 min (both P < 0.001). The rate of positive surgical margin was similar between the two groups, but the local recurrence rate of the RATE group was higher than that of the RAPN group (P = 0.027). Conclusions RATE and RAPN have similar oncological outcomes for the treatment of intermediate and high complexity RCC. In addition, RATE was superior to RAPN in perioperative outcomes.https://doi.org/10.1186/s12957-023-03060-3Complex renal cell carcinomaRATERAPNOncological outcome |
| spellingShingle | Kunyang Lei Xu Wang Zhongsheng Yang Yuming Zhong Yifu Liu Ting Sun Robotic-assisted tumor enucleation versus robotic-assisted partial nephrectomy for intermediate and high complexity renal cell carcinoma: a single-institution experience World Journal of Surgical Oncology Complex renal cell carcinoma RATE RAPN Oncological outcome |
| title | Robotic-assisted tumor enucleation versus robotic-assisted partial nephrectomy for intermediate and high complexity renal cell carcinoma: a single-institution experience |
| title_full | Robotic-assisted tumor enucleation versus robotic-assisted partial nephrectomy for intermediate and high complexity renal cell carcinoma: a single-institution experience |
| title_fullStr | Robotic-assisted tumor enucleation versus robotic-assisted partial nephrectomy for intermediate and high complexity renal cell carcinoma: a single-institution experience |
| title_full_unstemmed | Robotic-assisted tumor enucleation versus robotic-assisted partial nephrectomy for intermediate and high complexity renal cell carcinoma: a single-institution experience |
| title_short | Robotic-assisted tumor enucleation versus robotic-assisted partial nephrectomy for intermediate and high complexity renal cell carcinoma: a single-institution experience |
| title_sort | robotic assisted tumor enucleation versus robotic assisted partial nephrectomy for intermediate and high complexity renal cell carcinoma a single institution experience |
| topic | Complex renal cell carcinoma RATE RAPN Oncological outcome |
| url | https://doi.org/10.1186/s12957-023-03060-3 |
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