Comparative analysis of salvage partial nephrectomy versus radical nephrectomy after the failure of initial partial nephrectomy

Huang, Jiwei; Su, Ruopeng; Zhang, Cuijian; Bao, Yige; Hu, Xiaoyi; Ye, Xiongjun; Chen, Minfeng; Wang, Ping; Wu, Jitao; Wang, Yueming; Tang, Qi; Huang, Zhiyu; Zheng, Bing; Li, Chancan; Guo, Jianming; Huang, Yiran; Wei, Qiang; He, Zhisong; Xue, Wei

doi:10.1016/j.urolonc.2023.07.010

Cited by 2 publications

(2 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The overall complication rate for repeat robotic or laparoscopic PN increased from 17.6% to 42% [4] , [6] , with the incidence of major complications (defined as Clavien-Dindo grade ≥III) as high as 10% [8] . One of the most common sPN complications was bleeding, with incidence ranging from 5.6% to 23% [4] and a blood transfusion rate of 5.9% [4] , [9] , [10] . In addition, the difficulty in dissecting the renal hilum increased the rate of conversion to an off-clamp technique, which can lead to excessive bleeding during tumor resection [4] , [9] .…”

Section: Discussionmentioning

confidence: 99%

Initial Experience with Hybrid Partial Nephrectomy with Ultrasound-guided Balloon Catheter Occlusion of the Renal Artery for Recurrent Renal Tumors

Shi,

Yu,

et al. 2024

European Urology Open Science

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Initial Experience with Hybrid Partial Nephrectomy with Ultrasound-guided Balloon Catheter Occlusion of the Renal Artery for Recurrent Renal Tumors

Shi,

Yu,

et al. 2024

European Urology Open Science

View full text Add to dashboard Cite

“…Nephron-sparing surgery represents a surgical approach endorsed in the clinical treatment paradigm for renal tumors. This technique adeptly conserves the patient’s nephron while concurrently extending their survival duration to a significant degree ( 3 , 4 ).…”

Section: Introductionmentioning

confidence: 99%

Perioperative, functional, and oncologic outcomes of laparoscopic partial nephrectomy versus open partial nephrectomy for complex renal tumors: a systematic review and meta-analysis

Zhang,

Hu,

Zhang

et al. 2024

Front. Oncol.

View full text Add to dashboard Cite

BackgroundThe primary aim of this present study is to undertake a comprehensive comparative analysis of the perioperative, functional, and oncologic outcomes associated with laparoscopic partial nephrectomy (LPN) and open partial nephrectomy (OPN) as interventions for the treatment of complex renal tumors, defined as PADUA or RENAL score ≥ 7.MethodsWe systematically carried out an extensive search across four electronic databases, namely PubMed, the Cochrane Library, Embase, and Web of Science. Our objective was to identify pertinent studies published in the English language up to December 2023, and encompassed controlled trials comparing LPN and OPN as interventions for complex renal tumors.ResultsThis study encompassed a total of seven comparative trials, involving 934 patients. LPN exhibited a noteworthy reduction in the length of hospital stay (weighted mean difference [WMD] -2.06 days, 95% confidence interval [CI] -2.62, -1.50; p < 0.00001), blood loss (WMD -34.05mL, 95% CI -55.61, -12.48; p = 0.002), and overall complications (OR 0.38, 95% CI 0.19, 0.79; p = 0.009). However, noteworthy distinctions did not arise between LPN and OPN concerning parameters such as warm ischemia time, renal function, and oncological outcomes.ConclusionsThis study reveals that LPN presents several advantages over OPN. These benefits encompass a shortened hospital stay, diminished blood loss, and a reduced incidence of complications. Importantly, LPN achieves these benefits while concurrently upholding comparable renal function and oncological outcomes.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?RecordID=457716, identifier CRD42023453816.

show abstract

Comparative analysis of salvage partial nephrectomy versus radical nephrectomy after the failure of initial partial nephrectomy

Cited by 2 publications

References 21 publications

Initial Experience with Hybrid Partial Nephrectomy with Ultrasound-guided Balloon Catheter Occlusion of the Renal Artery for Recurrent Renal Tumors

Initial Experience with Hybrid Partial Nephrectomy with Ultrasound-guided Balloon Catheter Occlusion of the Renal Artery for Recurrent Renal Tumors

Perioperative, functional, and oncologic outcomes of laparoscopic partial nephrectomy versus open partial nephrectomy for complex renal tumors: a systematic review and meta-analysis

Contact Info

Product

Resources

About