The use of partial nephrectomy: results from a contemporary national prospective multicenter study

Pignot, G.; Méjean, A.; Bernhard, Jean-Christophe; Bigot, Pierre; Timsit, Marc‐Olivier; Ferrière, Jean-Marie; Zerbib, Marc; Villers, Arnauld; Mouracadé, Pascal; Lang, Hervé; Bensalah, Karim; Couapel, J.-P.; Rigaud, J.; Salomon, Laurent; Bellec, L.; Soulié, M.; Vaessen, Christophe; Rouprêt, Morgan; Gimel, P.; Patard, Jean‐Jacques

doi:10.1007/s00345-014-1279-4

Cited by 25 publications

(18 citation statements)

References 28 publications

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“…Studies in which cold ischemia was used in the OPN group were excluded. Pooling data from 8 studies [14,15,19,21,22,24,26,27] that assessed WITs in 1386 patients showed significantly longer WIT in the RAPN versus OPN groups (WMD [95% CI]: 3.65 [0.75, 6.56], p=0.01)…”

Section: Warm Ischemia Timementioning

confidence: 96%

“…after excluding studies [14,17,21,26,28,29] with obvious selection bias. Of the excluded studies, three of them [14,21,29] …”

Section: Estimated Blood Lossmentioning

confidence: 99%

“…Pooling data from 16 studies [13][14][15][19][20][21][22][23][24][25][26][27][28][29][30][31] 035 This article has been peer-reviewed and accepted for publication, but has yet to undergo copyediting and proof correction. The final published version may differ from this proof.…”

Section: Estimated Blood Lossmentioning

confidence: 99%

“…Three studies [20, 26,29] defined it as complications happened within 30 days of the date of surgery, one [15] as within 90 days of the date of surgery, and another one [31] as during hospital stay. Eight studies [16,18,19,21,22,25,27] did not specify the timeframe of the postoperative complication.…”

Section: Postoperative Complicationsmentioning

confidence: 99%

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Systematic Review and Meta-Analysis of Comparative Studies Reporting Perioperative Outcomes of Robot-Assisted Partial Nephrectomy Versus Open Partial Nephrectomy

Xia

Wang

et al. 2017

Journal of Endourology

110

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Section: Warm Ischemia Timementioning

confidence: 96%

“…after excluding studies [14,17,21,26,28,29] with obvious selection bias. Of the excluded studies, three of them [14,21,29] …”

Section: Estimated Blood Lossmentioning

confidence: 99%

Section: Estimated Blood Lossmentioning

confidence: 99%

Section: Postoperative Complicationsmentioning

confidence: 99%

See 2 more Smart Citations

Systematic Review and Meta-Analysis of Comparative Studies Reporting Perioperative Outcomes of Robot-Assisted Partial Nephrectomy Versus Open Partial Nephrectomy

Xia

Wang

et al. 2017

Journal of Endourology

110

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“…Here we observed a transfusion rate of 8.6%, which is clearly above the approximate 5% rate of transfusion, which has been published for open-partial nephrectomies in a large series. However, these studies did not specifically analyze high-risk tumors and did have a warm ischemia time of up to 17 min [4,30]. A preliminary series of robotic and laparoscopic approaches for complex tumors report estimated blood loses around 250 ml.…”

Section: Discussionmentioning

confidence: 99%

ZIRK-Technique: Zero Ischemia Resection in the Kidney for High-Risk Renal Masses: Perioperative Outcome

Kriegmair¹,

Pfalzgraf²,

Häcker³

et al. 2015

Urol Int

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Objectives: This study evaluates the feasibility and safety of open-partial nephrectomies in the ZIRK-technique (Zero Ischemia Resection in the Kidney) for renal masses with high-risk anatomical features - objectified by the PADUA score. Methods: We identified 40 consecutive cases of partial nephrectomies performed without clamping of the renal artery in our department of urology. Retrospective analysis of the preoperative CT or MRI scans showed 27 cases with a PADUA score ≥8, of which 15 cases had a score ≥10. Cases were in particular assessed regarding operation time (ORT), estimated blood loss (EBL), surgical margins and postoperative complications using the Clavien classification. Results: The mean age of the study population was 67.6 years with an average BMI of 26.8 kg/m². The mean ORT was 1:46 with an average EBL of 521 ml. Clavien grade II complications were observed seven times, while 3 patients had a grade IIIa complication. Despite complex and adverse location of the tumors, nephron-sparing surgery without ischemia could be performed with negative surgical margins for all cases. EBL, transfusion rate and complication were considerably more frequent in high-risk tumors. Conclusion: Highly complex renal tumors, PADUA ≥10, can be resected in ZIRK-technique with good operative outcome and a low complication rate.

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Open versus robot‐assisted partial nephrectomy: A longitudinal comparison of 880 patients over 10 years

Zeuschner

Greguletz

Meyer

et al. 2020

Robotics Computer Surgery

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Background Most comparisons between robot‐assisted partial nephrectomy (RAPN) and open partial nephrectomy (OPN) indicate the superiority of RAPN, but the learning curve is often not considered. Methods All consecutive partial nephrectomies from the very first RAPN at a single tertiary referral centre (n = 818, 500 RAPN vs. 313 OPN) were retrospectively analyzed. Complications, success rates and surgical outcomes were compared. Inequalities between cohorts and the inherent learning curve were controlled by subgroup comparisons, regression analyses, and propensity score matching. Results Overall, RAPN had fewer complications, less blood loss, and shorter length of stay. However, an inherent learning curve caused higher complications for the first 4 years. Thereafter, perioperative outcomes clearly favoured RAPN, even for more complex tumours. Conclusions In one of the largest monocentric cohorts over more than 10 years, RAPN was found to be superior to OPN. However, not all advantages of RAPN are immediate because a learning curve must be passed.

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The use of partial nephrectomy: results from a contemporary national prospective multicenter study

Abstract: Partial nephrectomy for renal cell carcinoma is commonly used in this French centers sample. Mini-invasive approaches represent also a significant part of all partial nephrectomies with no difference in terms of complication rates.

Cited by 25 publications

References 28 publications

Systematic Review and Meta-Analysis of Comparative Studies Reporting Perioperative Outcomes of Robot-Assisted Partial Nephrectomy Versus Open Partial Nephrectomy

Systematic Review and Meta-Analysis of Comparative Studies Reporting Perioperative Outcomes of Robot-Assisted Partial Nephrectomy Versus Open Partial Nephrectomy

ZIRK-Technique: Zero Ischemia Resection in the Kidney for High-Risk Renal Masses: Perioperative Outcome

Open versus robot‐assisted partial nephrectomy: A longitudinal comparison of 880 patients over 10 years

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