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Comparison of Posterior and Antero-Lateral Renal Tumors in Retroperitoneal Laparoscopic Partial Nephrectomy: A Propensity Score Matching Analysis.
Anil, Hakan; Yildiz, Ali; Güzel, Ahmet; Akdemir, Serkan; Karamik, Kaan; Arslan, Murat.
Afiliación
  • Anil H; Department of Urology, Adana Seyhan State Hospital, Adana, Turkey.
  • Yildiz A; Department of Urology, Faculty of Medicine, Okan University Hospital, Istanbul, Turkey.
  • Güzel A; Department of Urology, Aydin State Hospital, Aydin, Turkey.
  • Akdemir S; Department of Urology, Private Tinaztepe Hospital, Izmir, Turkey.
  • Karamik K; Department of Urology, Korkuteli State Hospital, Antalya, Turkey.
  • Arslan M; Department of Urology, Faculty of Medicine, Okan University Hospital, Istanbul, Turkey.
J Kidney Cancer VHL ; 10(3): 9-16, 2023.
Article en En | MEDLINE | ID: mdl-37457633
This study aimed to compare the antero-lateral and posterior localized renal masses in laparoscopic partial nephrectomy with the retroperitoneal approach in terms of operative, functional, and oncological outcomes. Patients who underwent retroperitoneal laparoscopic partial nephrectomy by a single surgeon between January 2013 and January 2021 were included in the study. A one-to-one propensity score matching (PSM) analysis was conducted to obtain two balanced groups. The patients were divided into two groups as posterior and antero-lateral according to the localization of the mass. A total of 239 patients were included in the PSM analysis, with 65 patients allocated to each group. The mean operative time was 79.2 ± 11.2 min in the posterior group, while it was 90.0 ± 11.6 min in the antero-lateral group (P < 0.001). Warm ischemia time was 15.9 ± 2.4 min in the posterior group and 18.6 ± 2.7 min in the antero-lateral group (P < 0.001). The median decrease in eGFR at 1 year was 4.8 (IQR, 2.9-6.9) mL/min in the posterior group and 5.0 (IQR, 2.8-11) mL/min in the antero-lateral group (P = 0.219). The warm ischemia time and clamping technique were found to be significant factors for predicting eGFR change after surgery (ß:0.693, 95% CI: 0.39-0.99, P < 0.001; ß:6.43, 95% CI: 1.1-11.7, P = 0.017, respectively). We report that retroperitoneal laparoscopic partial nephrectomy provided longer warm -ischemia and operative time for antero-lateral renal masses than posterior masses. However, long-term oncological and functional results were similar for both localizations.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies Idioma: En Revista: J Kidney Cancer VHL Año: 2023 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Australia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies Idioma: En Revista: J Kidney Cancer VHL Año: 2023 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Australia