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Usefulness of the diameter-axial-polar nephrometry score for predicting perioperative parameters in robotic partial nephrectomy.

DC Field Value Language
dc.contributor.author나군호-
dc.contributor.author윤영은-
dc.contributor.author이광석-
dc.contributor.author최경화-
dc.contributor.author최영득-
dc.contributor.author한웅규-
dc.date.accessioned2016-02-04T11:21:13Z-
dc.date.available2016-02-04T11:21:13Z-
dc.date.issued2015-
dc.identifier.issn0724-4983-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/140236-
dc.description.abstractPURPOSE: The present study aimed to verify the association between diameter-axial-polar (DAP) nephrometry and surgical outcomes, postoperative renal function, and perioperative complications in patients undergoing robotic partial nephrectomy (RPN). METHODS: Diameter-axial-polar nephrometry was assessed using computed tomography or magnetic resonance imaging on 158 patients who received RPN between July 2007 and February 2013. Demographic data, surgical data, and perioperative complications were recorded, and percent change between the preoperative and last estimated glomerular filtration rate (eGFR) was determined. Linear regression analysis was conducted to assess the relationship between the DAP sum score and warm ischemia time (WIT), estimated blood loss (EBL), and percent decrease in eGFR. Multivariable linear regression analysis was conducted to determine the relationship between each DAP scoring parameter and surgical outcomes. RESULTS: The median patient age was 50.5 years and median DAP sum score was 6. On linear regression, the DAP sum score was associated with WIT and EBL. On multivariable regression, all DAP parameters were associated with WIT, but the polar distance was not associated with EBL. Patients with a higher DAP sum score showed greater decrease in eGFR after RPN. Patients with a DAP sum score of 6 or higher had a higher risk of major complications than those with a DAP sum score below 6. CONCLUSIONS: Diameter-axial-polar nephrometry predicted WIT and EBL in patients who underwent RPN. It was also associated with the decrease in eGFR and rate of major perioperative complications, and thus can be useful for surgical planning or patient counseling before RPN.-
dc.description.statementOfResponsibilityopen-
dc.format.extent841~845-
dc.relation.isPartOfWORLD JOURNAL OF UROLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAnthropometry-
dc.subject.MESHBlood Loss, Surgical/statistics & numerical data-
dc.subject.MESHCarcinoma, Renal Cell/diagnostic imaging-
dc.subject.MESHCarcinoma, Renal Cell/pathology*-
dc.subject.MESHCarcinoma, Renal Cell/surgery-
dc.subject.MESHCohort Studies-
dc.subject.MESHFemale-
dc.subject.MESHGlomerular Filtration Rate-
dc.subject.MESHHumans-
dc.subject.MESHKidney/diagnostic imaging-
dc.subject.MESHKidney/pathology*-
dc.subject.MESHKidney Neoplasms/diagnostic imaging-
dc.subject.MESHKidney Neoplasms/pathology*-
dc.subject.MESHKidney Neoplasms/surgery-
dc.subject.MESHLaparoscopy-
dc.subject.MESHLinear Models-
dc.subject.MESHMagnetic Resonance Imaging-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHNephrectomy*-
dc.subject.MESHOrgan Size-
dc.subject.MESHPostoperative Complications/epidemiology*-
dc.subject.MESHRenal Insufficiency, Chronic/epidemiology*-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRobotic Surgical Procedures-
dc.subject.MESHSeverity of Illness Index-
dc.subject.MESHTomography, X-Ray Computed-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHTumor Burden-
dc.subject.MESHWarm Ischemia/statistics & numerical data-
dc.titleUsefulness of the diameter-axial-polar nephrometry score for predicting perioperative parameters in robotic partial nephrectomy.-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Urology (비뇨기과학)-
dc.contributor.googleauthorYoung Eun Yoon-
dc.contributor.googleauthorKyung Hwa Choi-
dc.contributor.googleauthorKwang Suk Lee-
dc.contributor.googleauthorKwang Hyun Kim-
dc.contributor.googleauthorKoon Ho Rha-
dc.contributor.googleauthorYoung Deuk Choi-
dc.contributor.googleauthorWoong Kyu Han-
dc.identifier.doi10.1007/s00345-014-1372-8-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA01227-
dc.contributor.localIdA02581-
dc.contributor.localIdA02668-
dc.contributor.localIdA04036-
dc.contributor.localIdA04111-
dc.contributor.localIdA04308-
dc.relation.journalcodeJ02805-
dc.identifier.eissn1433-8726-
dc.identifier.pmid25138578-
dc.identifier.urlhttp://link.springer.com/article/10.1007%2Fs00345-014-1372-8-
dc.subject.keywordRenal cell carcinoma-
dc.subject.keywordNephrometry-
dc.subject.keywordPartial nephrectomy-
dc.subject.keywordRenal function-
dc.contributor.alternativeNameRha, Koon Ho-
dc.contributor.alternativeNameYoon, Young Eun-
dc.contributor.alternativeNameLee, Kwang Suk-
dc.contributor.alternativeNameChoi, Kyung Hwa-
dc.contributor.alternativeNameChoi, Young Deuk-
dc.contributor.alternativeNameHan, Woong Kyu-
dc.contributor.affiliatedAuthorRha, Koon Ho-
dc.contributor.affiliatedAuthorYoon, Young Eun-
dc.contributor.affiliatedAuthorLee, Kwang Suk-
dc.contributor.affiliatedAuthorChoi, Kyung Hwa-
dc.contributor.affiliatedAuthorChoi, Young Deuk-
dc.contributor.affiliatedAuthorHan, Woong Kyu-
dc.rights.accessRightsnot free-
dc.citation.volume33-
dc.citation.number6-
dc.citation.startPage841-
dc.citation.endPage845-
dc.identifier.bibliographicCitationWORLD JOURNAL OF UROLOGY, Vol.33(6) : 841-845, 2015-
dc.identifier.rimsid50369-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers

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