Journal article
Multicentre outcomes of robot-assisted partial nephrectomy after major open abdominal surgery
BJU international, Vol.118(2), pp.298-301
08/2016
DOI: 10.1111/bju.13408
PMID: 27417163
Abstract
To evaluate the outcomes of robot-assisted partial nephrectomy RAPN after major prior abdominal surgery (PAS) using a large multicentre database.
We identified 1 686 RAPN from five academic centres between 2006 and 2014. In all, 216 patients had previously undergone major PAS, defined as having an open upper midline/ipsilateral incision. Perioperative outcomes were compared with those 1 470 patients who had had no major PAS. The chi-squared test and Mann-Whitney U-test were used for categorical and continuous variables, respectively.
There was no statistically significant difference in Charlson comorbidity index, tumour size, R.E.N.A.L. nephrometry score or preoperative estimated glomerular filtration rate (eGFR) between the groups. Age and body mass index were higher in patients with PAS. The PAS group had a higher estimated blood loss (EBL) but this did not lead to a higher transfusion rate. A retroperitoneal approach was used more often in patients with major PAS (11.2 vs 5.4%), although this group did not have a higher percentage of posterior tumours (38.8 vs 43.3%, P = 0.286). Operative time, warm ischaemia time, length of stay, positive surgical margin, percentage change in eGFR, and perioperative complications were not significantly different between the groups.
RAPN in patients with major PAS is safe and feasible, with increased EBL but no increased rate of transfusion. Patients with major PAS had almost twice the likelihood of having a retroperitoneal approach.
Details
- Title: Subtitle
- Multicentre outcomes of robot-assisted partial nephrectomy after major open abdominal surgery
- Creators
- Newaj Abdullah - Henry Ford Health SystemHaider Rahbar - Henry Ford Health SystemRavi Barod - Henry Ford Health SystemDeepansh Dalela - Henry Ford Health SystemJeff Larson - Washington University in St. LouisMichael Johnson - University of BaltimoreAlon Mass - New York UniversityHomayoun Zargar - Cleveland ClinicMohamad Allaf - University of BaltimoreSam Bhayani - Washington University in St. LouisMichael Stifelman - New York UniversityJihad Kaouk - Cleveland ClinicCraig Rogers - Henry Ford Health System
- Resource Type
- Journal article
- Publication Details
- BJU international, Vol.118(2), pp.298-301
- DOI
- 10.1111/bju.13408
- PMID
- 27417163
- NLM abbreviation
- BJU Int
- ISSN
- 1464-4096
- eISSN
- 1464-410X
- Language
- English
- Date published
- 08/2016
- Academic Unit
- Urology
- Record Identifier
- 9984949201902771
Metrics
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