Predictive factors of overall and major postoperative complications after partial nephrectomy: Results from a multicenter prospective study (The RECORd 1 project)

Abstract

Introduction and objectives: To analyze postoperative complications and to assess for significant predictive factors during partial nephrectomy (PN) using a large multicenter dataset. Conclusions: Comorbidities and surgical approach should be considered in preoperative evaluation of patients undergoing PN, as they resulted to play a significant role in the occurrence of postoperative complications.

Nomogram for predicting the likelihood of postoperative surgical complications in patients treated with partial nephrectomy: a prospective multicentre observational study (the RECORd 2 project)

“…In our present study, the overall postoperative surgical complication rate was 10.2% and the major surgical postoperative complication rate was 2.5%. These results represent a further demonstration of the increasing safety of this procedure over time and slightly exceed the perioperative results of the Italian registry of conservative surgery for renal tumours (RECORd 1 project) from 2008 to 2012, which reported an overall and major complication rate of 13.1% and 3.5%, respectively [4]. The overall and Clavien-Dindo Grade III complication rate reported in the present study was also lower compared to [15].…”

“…Nevertheless, PN is a technical challenging procedure. Surgical complications are a prominent concern of PN, as they have been reported in up to 30% of cases [4,5]. Major surgical complications are also frequent (3-6% of cases) and can be potentially lifethreatening [6].…”

Impact of hospital volume and surgeon volume on robot‐assisted partial nephrectomy outcomes: a multicentre study

“…The robotic approach has been widely adopted over the past 10 years and has allowed the treatment of more complex tumours and to expand the indications of minimally invasive PN . It is well‐known that RAPN is technically challenging and associated with a significant risk of complications, albeit this complication rate remains lower than the open approach . Despite many studies having assessed the relationship between provider volume and RAPN outcomes , to our knowledge no study to date has analysed both HV and SV.…”

Impact of the off-clamp endoscopic robot-assisted simple enucleation (ERASE) of clinical T1 renal tumors on the postoperative renal function: Results from a matched-pair comparison

“…Beyond a possible protective effect on postoperative RF, off-clamp PN could be associated with a higher complication and positive surgical margin (SM) rate due to a higher bleeding and a subsequent suboptimal vision [11]. Above all, plays the quality of renal parenchyma and comorbidities that are tightly related to kidney quality that represent unmodifiable factors that finally strongly affect postoperative RF setting the limits of functional recovery after PN [1,3,12,13].…”