1. A contemporary comparison of laparoscopic versus open partial nephrectomy for renal cell carcinoma
- Author
-
Edouard Nicaise, Adam S. Feldman, Andrew Gusev, Alice Yu, Naren Nimmagadda, Matthew F. Wszolek, Francis McGovern, Michael L. Blute, and Douglas M. Dahl
- Subjects
Laparoscopy ,Open surgery ,Partial nephrectomy ,Renal cell carcinoma ,Renal function ,Outcomes ,Diseases of the genitourinary system. Urology ,RC870-923 - Abstract
Abstract Purpose To analyze surgical and oncologic outcomes of patients undergoing open partial nephrectomy (OPN) versus laparoscopic partial nephrectomy (LPN) for treatment of renal cell carcinoma (RCC). Methods We retrospectively investigated our institutional RCC database for patients who underwent PN for RCC from 1997 to 2018. Decision for technique was at the discretion of the operating urologist, following practice patterns and training history. Outcomes analyzed included pre/peri/post-operative parameters, pathologic outcomes, and disease recurrence rates. Results 1088 patients underwent PN from 1997 to 2018. After exclusionary criteria, 631 patients who underwent 647 unique PNs for a total of 162 OPN and 485 LPN remained. Baseline, pre-op, and pathologic characteristics were not statistically different. Surgical time was lower in laparoscopic cases [185 vs. 205 min] (p = 0.013). Margin involvement was not statistically different; LPN had lower estimated blood loss (EBL) [150 vs. 250 mL] (p
- Published
- 2024
- Full Text
- View/download PDF