Robot-assisted vs. Laparoscopic Partial Nephrectomy: utilization rates and perioperative outcomes

Detalhes bibliográficos
Autor(a) principal: Sammon,Jesse D.
Data de Publicação: 2013
Outros Autores: Karakiewicz,Pierre I., Sun,Maxine, Ravi,Praful, Ghani,Khurshid R., Jeong,Wooju, Bianchi,Marco, Hansen,Jens, Perrotte,Paul, Peabody,James O., Rogers,Craig G., Shariat,Shahrokh F., Menon,Mani, Trinh,Quoc-Dien
Tipo de documento: Artigo
Idioma: eng
Título da fonte: International Braz J Urol (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382013000300377
Resumo: Objectives To examine the effect of surgical approach on perioperative morbidity and mortality after partial nephrectomy. Materials and Methods Within the Nationwide Inpatient Sample, patients who underwent RAPN or LPN between October 2008 and December 2009 were identified. Propensity-based matching was performed to adjust for potential baseline differences between the two groups. The rates of intraoperative and postoperative complications, blood transfusions, prolonged length of stay, and in-hospital mortality, stratified according to RAPN vs. LPN, were compared. Results Overall, 851 (72.5%) patients underwent RAPN and 323 (27.5%) underwent LPN. For RAPN and LPN respectively, the following rates were recorded in the propensity-score matched cohort: blood transfusions, 4.5 vs. 6.8% (p = 0.223); intraoperative complications, 5.2 vs. 2.6% (p = 0.096); postoperative complications, 10.6 vs. 13.5% (p = 0.268); prolonged length of stay, 6.8 vs. 9.4% (p = 0.238); in-hospital mortality, 0.0 vs. 0.0%. Conclusions RAPN has supplanted LPN as the predominant minimally invasive surgical approach for renal masses. Perioperative outcomes after RAPN and LPN are comparable. Interpretation of these findings needs to take into account the lack of adjustment for case complexity and surgical expertise.
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spelling Robot-assisted vs. Laparoscopic Partial Nephrectomy: utilization rates and perioperative outcomesNephrectomyRoboticsLaparoscopy Objectives To examine the effect of surgical approach on perioperative morbidity and mortality after partial nephrectomy. Materials and Methods Within the Nationwide Inpatient Sample, patients who underwent RAPN or LPN between October 2008 and December 2009 were identified. Propensity-based matching was performed to adjust for potential baseline differences between the two groups. The rates of intraoperative and postoperative complications, blood transfusions, prolonged length of stay, and in-hospital mortality, stratified according to RAPN vs. LPN, were compared. Results Overall, 851 (72.5%) patients underwent RAPN and 323 (27.5%) underwent LPN. For RAPN and LPN respectively, the following rates were recorded in the propensity-score matched cohort: blood transfusions, 4.5 vs. 6.8% (p = 0.223); intraoperative complications, 5.2 vs. 2.6% (p = 0.096); postoperative complications, 10.6 vs. 13.5% (p = 0.268); prolonged length of stay, 6.8 vs. 9.4% (p = 0.238); in-hospital mortality, 0.0 vs. 0.0%. Conclusions RAPN has supplanted LPN as the predominant minimally invasive surgical approach for renal masses. Perioperative outcomes after RAPN and LPN are comparable. Interpretation of these findings needs to take into account the lack of adjustment for case complexity and surgical expertise. Sociedade Brasileira de Urologia2013-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382013000300377International braz j urol v.39 n.3 2013reponame:International Braz J Urol (Online)instname:Sociedade Brasileira de Urologia (SBU)instacron:SBU10.1590/S1677-5538.IBJU.2013.03.11info:eu-repo/semantics/openAccessSammon,Jesse D.Karakiewicz,Pierre I.Sun,MaxineRavi,PrafulGhani,Khurshid R.Jeong,WoojuBianchi,MarcoHansen,JensPerrotte,PaulPeabody,James O.Rogers,Craig G.Shariat,Shahrokh F.Menon,ManiTrinh,Quoc-Dieneng2013-08-16T00:00:00Zoai:scielo:S1677-55382013000300377Revistahttp://www.brazjurol.com.br/ONGhttps://old.scielo.br/oai/scielo-oai.php||brazjurol@brazjurol.com.br1677-61191677-5538opendoar:2013-08-16T00:00International Braz J Urol (Online) - Sociedade Brasileira de Urologia (SBU)false
dc.title.none.fl_str_mv Robot-assisted vs. Laparoscopic Partial Nephrectomy: utilization rates and perioperative outcomes
title Robot-assisted vs. Laparoscopic Partial Nephrectomy: utilization rates and perioperative outcomes
spellingShingle Robot-assisted vs. Laparoscopic Partial Nephrectomy: utilization rates and perioperative outcomes
Sammon,Jesse D.
Nephrectomy
Robotics
Laparoscopy
title_short Robot-assisted vs. Laparoscopic Partial Nephrectomy: utilization rates and perioperative outcomes
title_full Robot-assisted vs. Laparoscopic Partial Nephrectomy: utilization rates and perioperative outcomes
title_fullStr Robot-assisted vs. Laparoscopic Partial Nephrectomy: utilization rates and perioperative outcomes
title_full_unstemmed Robot-assisted vs. Laparoscopic Partial Nephrectomy: utilization rates and perioperative outcomes
title_sort Robot-assisted vs. Laparoscopic Partial Nephrectomy: utilization rates and perioperative outcomes
author Sammon,Jesse D.
author_facet Sammon,Jesse D.
Karakiewicz,Pierre I.
Sun,Maxine
Ravi,Praful
Ghani,Khurshid R.
Jeong,Wooju
Bianchi,Marco
Hansen,Jens
Perrotte,Paul
Peabody,James O.
Rogers,Craig G.
Shariat,Shahrokh F.
Menon,Mani
Trinh,Quoc-Dien
author_role author
author2 Karakiewicz,Pierre I.
Sun,Maxine
Ravi,Praful
Ghani,Khurshid R.
Jeong,Wooju
Bianchi,Marco
Hansen,Jens
Perrotte,Paul
Peabody,James O.
Rogers,Craig G.
Shariat,Shahrokh F.
Menon,Mani
Trinh,Quoc-Dien
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Sammon,Jesse D.
Karakiewicz,Pierre I.
Sun,Maxine
Ravi,Praful
Ghani,Khurshid R.
Jeong,Wooju
Bianchi,Marco
Hansen,Jens
Perrotte,Paul
Peabody,James O.
Rogers,Craig G.
Shariat,Shahrokh F.
Menon,Mani
Trinh,Quoc-Dien
dc.subject.por.fl_str_mv Nephrectomy
Robotics
Laparoscopy
topic Nephrectomy
Robotics
Laparoscopy
description Objectives To examine the effect of surgical approach on perioperative morbidity and mortality after partial nephrectomy. Materials and Methods Within the Nationwide Inpatient Sample, patients who underwent RAPN or LPN between October 2008 and December 2009 were identified. Propensity-based matching was performed to adjust for potential baseline differences between the two groups. The rates of intraoperative and postoperative complications, blood transfusions, prolonged length of stay, and in-hospital mortality, stratified according to RAPN vs. LPN, were compared. Results Overall, 851 (72.5%) patients underwent RAPN and 323 (27.5%) underwent LPN. For RAPN and LPN respectively, the following rates were recorded in the propensity-score matched cohort: blood transfusions, 4.5 vs. 6.8% (p = 0.223); intraoperative complications, 5.2 vs. 2.6% (p = 0.096); postoperative complications, 10.6 vs. 13.5% (p = 0.268); prolonged length of stay, 6.8 vs. 9.4% (p = 0.238); in-hospital mortality, 0.0 vs. 0.0%. Conclusions RAPN has supplanted LPN as the predominant minimally invasive surgical approach for renal masses. Perioperative outcomes after RAPN and LPN are comparable. Interpretation of these findings needs to take into account the lack of adjustment for case complexity and surgical expertise.
publishDate 2013
dc.date.none.fl_str_mv 2013-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382013000300377
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382013000300377
dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.1590/S1677-5538.IBJU.2013.03.11
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Urologia
publisher.none.fl_str_mv Sociedade Brasileira de Urologia
dc.source.none.fl_str_mv International braz j urol v.39 n.3 2013
reponame:International Braz J Urol (Online)
instname:Sociedade Brasileira de Urologia (SBU)
instacron:SBU
instname_str Sociedade Brasileira de Urologia (SBU)
instacron_str SBU
institution SBU
reponame_str International Braz J Urol (Online)
collection International Braz J Urol (Online)
repository.name.fl_str_mv International Braz J Urol (Online) - Sociedade Brasileira de Urologia (SBU)
repository.mail.fl_str_mv ||brazjurol@brazjurol.com.br
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