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Objectives: The objectives of the study were to compare the operative features, complication rates, functional, and pathological outcomes of laparoscopic partial nephrectomy (LPN) and robotic-assisted partial nephrectomy (RPN). Methods: The demographics, perioperative, and follow-up data of patients who underwent partial nephrectomy between January 2007 and April 2020 with minimally invasive methods were retrospectively analyzed. Patients with minimum 3 months follow-up were enrolled in the present study. Perioperative and pathological outcomes were compared between the patients underwent LPN and RPN. Results: A total of 85 patients (65 LPN and 20 RPN) were included in the present study. The mean patient age at the time of surgery was 56.31±10.48 years. Female-to-male ratio was 30/55. Patients in the RPN group had higher R.E.N.A.L. and PADUA scores (p=0.039 and p=0.030, respectively). Median warm ischemia time, median operation time, median intraoperative estimated blood loss, mean post-operative hemoglobin change, and median hospitalization time were similar between groups (p=0.133, p=0.753, p=0.079, p=0.882, and p=0.473, respectively). Artery-only clamping rate was significantly higher in RPN group (p=0.033). The cost of RPN was significantly greater than LPN (p<0.001). Transfusion rates, post-operative complication rates, percent of estimated glomerular filtration rate change at the last follow-up, and trifecta achievement were similar between the groups (p=0.622, p=0.238, p=0.428, and p=0.349, respectively). Conclusion: In this series, similar perioperative and functional outcomes were achieved by RPN compared to LPN in more complex renal masses.
Purpose: Comparing the surgical characteristics of Laparoscopic Parcial Nefrectomy (LPN) and Robot Assisted Parcial Nefrectomy (RPN), the rates of complications, functional and pathological results. Method: Demographic, perioperative and tracking data of patients with partial nefrectomy with minimal invasive methods between January 2007 and April 2020 have been retrospective examined. Patients with a monitoring period of at least 3 months are included in the study. Perioperative and pathological results were compared between LPN and RPN groups. The study included 85 patients (65 patients in the LPN group and 20 patients in the RPN group). During the surgery, the average age of the patient was 56.31 ± 10.48 years. The proportion of women is 30/55. Patients in the RPN group R.E.N.A.L. and the PADUA scores have been determined to be significantly high (p=0.039, p=0.030, respectively). The median heat ischemic time, the median operation time, the median intraoperative blood loss, the median postoperative hemoglobin change and the median hospitalization time are identified as similar between groups (p=0.133,p=0.753, p=0.079, p=0.882, p=0.473, respectively). Only the arterial clump rate has been shown to be significantly high in the RPN group (p=0.033). The operating cost of the RPN has been found to be significantly higher than the LPN (p<0.001). The transphusion rate, the postoperative complication rate, the change rate in the glomerular filtration rate in the latter follow, and the trifecta success are similar between the two groups (p=0.622, p=0.238, p=0.428, p=0. 349 accordingly. Result: In our series, more complex kidney masses with RPN have received perioperative and functional results similar to LPN. (SETB-2020-07-130)
Alan : Sağlık Bilimleri
Dergi Türü : Ulusal
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