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Outcomes of minimally invasive partial nephrectomy among very elderly patients: report from the RESURGE collaborative international database
DC Field | Value | Language |
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dc.contributor.author | 나군호 | - |
dc.date.accessioned | 2021-05-21T17:05:59Z | - |
dc.date.available | 2021-05-21T17:05:59Z | - |
dc.date.issued | 2020-09 | - |
dc.identifier.issn | 2080-4806 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/182702 | - |
dc.description.abstract | The aim of the study was to perform a comprehensive investigation of clinical outcomes of robot-assisted partial nephrectomy (RAPN) or laparoscopic partial nephrectomy (LPN) in elderly patients presenting with a renal mass. The REnal SURGery in Elderly (RESURGE) collaborative database was queried to identify patients aged 75 or older diagnosed with cT1-2 renal mass and treated with RAPN or LPN. Study outcomes were: overall complications (OC); warm ischemia time (WIT) and 6-month estimated glomerular filtration rate (eGFR); positive surgical margins (PSM), disease recurrence (REC), cancer-specific mortality (CSM) and other-cause mortality (OCM). Descriptive statistics, Kaplan-Meier, smoothed Poisson plots and logistic and linear regression models (MVA) were used. Overall, 216 patients were included in this analysis. OC rate was 34%, most of them being of low Clavien grade. Median WIT was 17 minutes and median 6-month eGFR was 54 ml/min/1.73 m2. PSM rate was 5%. After a median follow-up of 20 months, the 5-year rates of REC, CSM and OCM were 4, 4 and 5%, respectively. At MVA predicting perioperative morbidity, RAPN relative to LPN (odds ratio [OR] 0.33; p <0.0001) was associated with lower OC rate. At MVA predicting functional outcomes, RAPN relative to LPN was associated with shorter WIT (estimate [EST] -4.09; p <0.0001), and with higher 6-month eGFR (EST 6.03; p = 0.01). In appropriately selected patients with small renal masses, minimally-invasive PN is associated with acceptable perioperative outcomes. The use of a robotic approach over a standard laparoscopic approach can be advantageous with respect to clinically relevant outcomes, and it should be preferred when available. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Polish Urological Association | - |
dc.relation.isPartOf | CENTRAL EUROPEAN JOURNAL OF UROLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Outcomes of minimally invasive partial nephrectomy among very elderly patients: report from the RESURGE collaborative international database | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Urology (비뇨의학교실) | - |
dc.contributor.googleauthor | Alessandro Larcher | - |
dc.contributor.googleauthor | Christopher J D Wallis | - |
dc.contributor.googleauthor | Nicola Pavan | - |
dc.contributor.googleauthor | Francesco Porpiglia | - |
dc.contributor.googleauthor | Toshio Takagi | - |
dc.contributor.googleauthor | Kazunari Tanabe | - |
dc.contributor.googleauthor | Koon H Rha | - |
dc.contributor.googleauthor | Ali Abdel Raheem | - |
dc.contributor.googleauthor | Bo Yang | - |
dc.contributor.googleauthor | Chao Zang | - |
dc.contributor.googleauthor | Sisto Perdonà | - |
dc.contributor.googleauthor | Giuseppe Quarto | - |
dc.contributor.googleauthor | Tobias Maurer | - |
dc.contributor.googleauthor | Thomas Amiel | - |
dc.contributor.googleauthor | Luigi Schips | - |
dc.contributor.googleauthor | Roberto Castellucci | - |
dc.contributor.googleauthor | Simone Crivellaro | - |
dc.contributor.googleauthor | Ryan Dobbs | - |
dc.contributor.googleauthor | Gianfranco Baiamonte | - |
dc.contributor.googleauthor | Antonio Celia | - |
dc.contributor.googleauthor | Bernardino De Concilio | - |
dc.contributor.googleauthor | Maria Furlan | - |
dc.contributor.googleauthor | Estevão Lima | - |
dc.contributor.googleauthor | Estefania Linares | - |
dc.contributor.googleauthor | Salvatore Micali | - |
dc.contributor.googleauthor | Daniele Amparore | - |
dc.contributor.googleauthor | Geert De Naeyer | - |
dc.contributor.googleauthor | Carlo Trombetta | - |
dc.contributor.googleauthor | Lance J Hampton | - |
dc.contributor.googleauthor | Andrew Tracey | - |
dc.contributor.googleauthor | Ahmet Bindayi | - |
dc.contributor.googleauthor | Alessandro Antonelli | - |
dc.contributor.googleauthor | Ithaar Derweesh | - |
dc.contributor.googleauthor | Carme Mir | - |
dc.contributor.googleauthor | Francesco Montorsi | - |
dc.contributor.googleauthor | Alexandre Mottrie | - |
dc.contributor.googleauthor | Riccardo Autorino | - |
dc.contributor.googleauthor | Umberto Capitanio | - |
dc.identifier.doi | 10.5173/ceju.2020.0179 | - |
dc.contributor.localId | A01227 | - |
dc.relation.journalcode | J04019 | - |
dc.identifier.eissn | 2080-4873 | - |
dc.identifier.pmid | 33133653 | - |
dc.subject.keyword | elderly | - |
dc.subject.keyword | kidney cancer | - |
dc.subject.keyword | laparoscopic partial nephrectomy | - |
dc.subject.keyword | minimally invasive surgery | - |
dc.subject.keyword | robot-assisted partial nephrectomy | - |
dc.contributor.alternativeName | Rha, Koon Ho | - |
dc.contributor.affiliatedAuthor | 나군호 | - |
dc.citation.volume | 73 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 273 | - |
dc.citation.endPage | 279 | - |
dc.identifier.bibliographicCitation | CENTRAL EUROPEAN JOURNAL OF UROLOGY, Vol.73(3) : 273-279, 2020-09 | - |
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