Perioperative, functional and oncologic outcomes of percutaneous ablation versus minimally invasive partial nephrectomy for clinical T1 renal tumors: outcomes from a pooled analysis

The objective of this study was to perform a comprehensive pooled analysis aimed at comparing the efficacy and safety of percutaneous ablation (PCA) versus minimally invasive partial nephrectomy (MIPN), including robotic and laparoscopic approaches, in patients diagnosed with cT1 renal tumors. We co...

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Bibliographic Details
Published in:Journal of robotic surgery 2024-08, Vol.18 (1), p.306, Article 306
Main Authors: Li, Kun-peng, Wan, Shun, Chen, Si-yu, Wang, Chen-yang, Liu, Shan-hui, Yang, Li
Format: Article
Language:English
Subjects:
Ablation
Body mass index
Cancer
Collaboration
Comparative studies
Creatinine
Hospitals
Humans
Intervention
Kidney Neoplasms - pathology
Kidney Neoplasms - surgery
Laparoscopy
Laparoscopy - methods
Length of Stay - statistics & numerical data
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Minimally Invasive Surgical Procedures - methods
Neoplasm Recurrence, Local
Neoplasm Staging
Nephrectomy - methods
Operative Time
Patients
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Review
Risk assessment
Robotic Surgical Procedures - adverse effects
Robotic Surgical Procedures - methods
Surgery
Survival
Systematic review
Treatment Outcome
Tumors
Urology
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Summary:The objective of this study was to perform a comprehensive pooled analysis aimed at comparing the efficacy and safety of percutaneous ablation (PCA) versus minimally invasive partial nephrectomy (MIPN), including robotic and laparoscopic approaches, in patients diagnosed with cT1 renal tumors. We conducted a comprehensive search across four major electronic databases: PubMed, Embase, Web of Science, and the Cochrane Library, targeting studies published in English up to April 2024. The primary outcomes evaluated in this analysis included perioperative outcomes, functional outcomes, and oncological outcomes. A total of 2449 patients across 17 studies were included in the analysis. PCA demonstrated superior outcomes compared to MIPN in terms of shorter hospital stays (WMD: − 2.13 days; 95% Confidence Interval [CI]: − 3.29, − 0.97; p  = 0.0003), reduced operative times (WMD: − 109.99 min; 95% CI: − 141.40, − 78.59; p  
ISSN:1863-2491
1863-2483
1863-2491
DOI:10.1007/s11701-024-02052-z