Robot-assisted Partial Nephrectomy for Hilar Tumors: Perioperative Outcomes

Objective To compare perioperative outcomes of robot-assisted partial nephrectomy (RAPN) for hilar vs nonhilar tumors. Materials and Methods The study retrospectively reviewed 364 patients with available computed tomography scans undergoing RAPN. Demographic data and perioperative outcomes results w...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2013-06, Vol.81 (6), p.1246-1252
Main Authors: Eyraud, Rémi, Long, Jean-Alexandre, Snow-Lisy, Devon, Autorino, Riccardo, Hillyer, Shahab, Klink, Joseph, Rizkala, Emad, Stein, Robert J, Kaouk, Jihad H, Haber, Georges-Pascal
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Blood Loss, Surgical
Female
Glomerular Filtration Rate
Humans
Kidney - physiopathology
Kidney Neoplasms - diagnostic imaging
Kidney Neoplasms - pathology
Kidney Neoplasms - surgery
Laparoscopy - adverse effects
Logistic Models
Male
Medical sciences
Middle Aged
Multivariate Analysis
Nephrectomy - adverse effects
Nephrology. Urinary tract diseases
Operative Time
Organ Sparing Treatments
Postoperative Period
Radiography
Retrospective Studies
Robotics
Urology
Warm Ischemia
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Summary:Objective To compare perioperative outcomes of robot-assisted partial nephrectomy (RAPN) for hilar vs nonhilar tumors. Materials and Methods The study retrospectively reviewed 364 patients with available computed tomography scans undergoing RAPN. Demographic data and perioperative outcomes results were compared between the hilar (group 1, n = 70) and nonhilar tumors (group 2, n = 294). Multivariate analysis was used to identify predictors of warm ischemia time (WIT), estimated blood loss (EBL), major perioperative complications, and postoperative renal function. Results There were no differences with respect to demographic variables. Hilar tumors had higher RENAL (radius, exophytic/endophytic properties of the tumor, nearness of tumor deepest portion to the collecting system or sinus, anterior/posterior descriptor and the location relative to polar lines) scores ( P  
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2012.10.072