Cited 27 times in
Robotic versus laparoscopic radical nephrectomy: a large multi-institutional analysis (ROSULA Collaborative Group)
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 나군호 | - |
dc.date.accessioned | 2020-02-11T06:04:53Z | - |
dc.date.available | 2020-02-11T06:04:53Z | - |
dc.date.issued | 2019 | - |
dc.identifier.issn | 0724-4983 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/174525 | - |
dc.description.abstract | OBJECTIVE: To compare the outcomes of robotic radical nephrectomy (RRN) to those of laparoscopic radical nephrectomy (LRN) for large renal masses. METHODS: This was a retrospective analysis of RRN and LRN cases performed for large (≥ cT2) renal masses from 2004 to 2017 and collected in the multi-institutional international database (ROSULA: RObotic SUrgery for LArge renal masses). Peri-operative, functional, and oncologic outcomes were compared between each approach. Descriptive analyses were performed and presented as medians with interquartile ranges. Inverse probability of treatment weighting-adjusted multivariable analyses were used to identify predictors of peri-operative complications. Kaplan-Meier analysis and Cox regression models were used to assess survival outcomes. RESULTS: A total of 941 patients (RRN = 404, LRN = 537) were identified. There was no difference in terms of gender, age, and clinical tumor size. Over the study period, RRN had an annual increase of 11.75% (95% CI [7.34, 17.01] p < 0.001) and LRN had an annual decline of 5.39% (95% CI [-6.94, -3.86] p < 0.001). Patients undergoing RRN had higher BMI (27.6 [IQR 24.8-31.1] vs. 26.5 [24.1-30.0] kg/m2, p < 0.01). Operative duration was longer for RRN (185.0 [150.0-237.2] vs. 126 [90.8-180.0] min, p < 0.001). Length of stay was shorter for RRN (3.0 [2.0-4.0] vs. 5.0 [4.0-7.0] days, p < 0.001). RRN cases presented more advanced disease (higher pathologic staging [pT3-4 52.5 vs. 24.2%, p < 0.001], histologic grade [high grade 49.3 vs. 30.4%, p < 0.001], and rate of nodal disease [pN1 5.4 vs. 1.9%, p < 0.01]). Surgical approach did not represent an independent risk factor for peri-operative complications (OR 1.81 95% CI [0.97-3.39], adjusted p = 0.2). The main study limitation is the retrospective design. CONCLUSIONS: This study represents the largest known multi-center comparison between RRN and LRN. The two procedures seem to offer similar peri-operative outcomes. Notably, RRN has been increasingly utilized, especially in the setting of more advanced and surgically challenging disease without increasing the risk of peri-operative complications. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Springer International | - |
dc.relation.isPartOf | WORLD JOURNAL OF UROLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Robotic versus laparoscopic radical nephrectomy: a large multi-institutional analysis (ROSULA Collaborative Group) | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Urology (비뇨의학교실) | - |
dc.contributor.googleauthor | Uzoma A. Anele | - |
dc.contributor.googleauthor | Michele Marchioni | - |
dc.contributor.googleauthor | Bo Yang | - |
dc.contributor.googleauthor | Giuseppe Simone | - |
dc.contributor.googleauthor | Robert G. Uzzo | - |
dc.contributor.googleauthor | Clayton Lau | - |
dc.contributor.googleauthor | Maria C. Mir | - |
dc.contributor.googleauthor | Umberto Capitanio | - |
dc.contributor.googleauthor | James Porter | - |
dc.contributor.googleauthor | Ken Jacobsohn | - |
dc.contributor.googleauthor | Nicolo de Luyk | - |
dc.contributor.googleauthor | Andrea Mari | - |
dc.contributor.googleauthor | Kidon Chang | - |
dc.contributor.googleauthor | Cristian Fiori | - |
dc.contributor.googleauthor | Jay Sulek | - |
dc.contributor.googleauthor | Alexandre Mottrie | - |
dc.contributor.googleauthor | Wesley White | - |
dc.contributor.googleauthor | Sisto Perdona | - |
dc.contributor.googleauthor | Giuseppe Quarto | - |
dc.contributor.googleauthor | Ahmet Bindayi | - |
dc.contributor.googleauthor | Akbar Ashrafi | - |
dc.contributor.googleauthor | Luigi Schips | - |
dc.contributor.googleauthor | Francesco Berardinelli | - |
dc.contributor.googleauthor | Chao Zhang | - |
dc.contributor.googleauthor | Michele Gallucci | - |
dc.contributor.googleauthor | Miguel Ramirez-Backhaus | - |
dc.contributor.googleauthor | Alessandro Larcher | - |
dc.contributor.googleauthor | Patrick Kilday | - |
dc.contributor.googleauthor | Michael Liao | - |
dc.contributor.googleauthor | Peter Langenstroer | - |
dc.contributor.googleauthor | Prokar Dasgupta | - |
dc.contributor.googleauthor | Ben Challacombe | - |
dc.contributor.googleauthor | Alexander Kutikov | - |
dc.contributor.googleauthor | Andrea Minervini | - |
dc.contributor.googleauthor | Koon Ho Rha | - |
dc.contributor.googleauthor | Chandru P. Sundaram | - |
dc.contributor.googleauthor | Lance J. Hampton | - |
dc.contributor.googleauthor | Francesco Porpiglia | - |
dc.contributor.googleauthor | Monish Aron | - |
dc.contributor.googleauthor | Ithaar Derweesh | - |
dc.contributor.googleauthor | Riccardo Autorino | - |
dc.identifier.doi | 10.1007/s00345-019-02657-2 | - |
dc.contributor.localId | A01227 | - |
dc.relation.journalcode | J02805 | - |
dc.identifier.eissn | 1433-8726 | - |
dc.identifier.pmid | 30734072 | - |
dc.identifier.url | https://link.springer.com/article/10.1007%2Fs00345-019-02657-2 | - |
dc.subject.keyword | Comparative outcomes | - |
dc.subject.keyword | Complications | - |
dc.subject.keyword | Laparoscopic | - |
dc.subject.keyword | Radical nephrectomy | - |
dc.subject.keyword | Robotic | - |
dc.contributor.alternativeName | Rha, Koon Ho | - |
dc.contributor.affiliatedAuthor | 나군호 | - |
dc.citation.volume | 37 | - |
dc.citation.number | 11 | - |
dc.citation.startPage | 2439 | - |
dc.citation.endPage | 2450 | - |
dc.identifier.bibliographicCitation | WORLD JOURNAL OF UROLOGY, Vol.37(11) : 2439-2450, 2019 | - |
dc.identifier.rimsid | 63634 | - |
dc.type.rims | ART | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.