Long-term outcomes of minimally invasive surgeries in partial nephrectomy. Robot or laparoscopy?
International Journal of Clinical Practice, cilt.75, sa.2, 2021 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 75 Sayı: 2
- Basım Tarihi: 2021
- Doi Numarası: 10.1111/ijcp.13757
- Dergi Adı: International Journal of Clinical Practice
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CAB Abstracts, CINAHL, EMBASE, International Pharmaceutical Abstracts, MEDLINE
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background: To compare long-term oncological and renal functional outcomes of laparoscopic and robotic partial nephrectomy for small renal masses. Methods: A total of 103 patients who underwent laparoscopic (n = 31) and robotic (n = 72) partial nephrectomy between April 2015 and November 2018 were included in the study. Perioperative parameters, long-term oncological and functional outcomes were compared between the laparoscopic and robotic groups. Results: No significant differences were found in terms of age, tumour size, RENAL and PADUA scores, pre-operative estimated glomerular filtration rate (eGFR), and presence of chronic hypertension and diabetes (P =.479, P =.199, P =.120 and P =.073, P =.561, and P =.082 and P =.518, respectively). Only estimated blood loss was significantly higher in the laparoscopic group in operative parameters (158.23 ± 72.24 mL vs. 121.11 ± 72.17 mL; P =.019), but transfusion rates were similar between the groups (P =.33). In the laparoscopic group, two patients (6.5%) required conversion to open, while no conversion was needed in the robotic group (P =.89). There were no differences in terms of positive surgical margin and complication rates (P =.636 and P =.829, respectively). No significant differences were observed in eGFR changes and post-operative new-onset chronic kidney disease at 1 year after the surgery (P =.768, P =.614, respectively). The overall mean follow-up period was 36.07 ± 13.56 months (P =.007). During the follow-up period, no cancer-related death observed in both group and non-cancer-specific survival was 93.5% and 94.4% in laparoscopic and robotic groups, respectively (P =.859). Conclusions: In this study, perioperative and long-term oncological and functional outcomes seems to be comparable between laparoscopic and robotic partial nephrectomies.