Robot-assisted vs. Laparoscopic Partial Nephrectomy: utilization rates and perioperative outcomes
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , , , , , , , , , , |
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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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 |
format |
article |
status_str |
publishedVersion |
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 |
language |
eng |
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 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
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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1750318073205751808 |