Cryoablation Versus Minimally Invasive Partial Nephrectomy for Small Renal Masses in the Solitary Kidney: Impact of Approach on Functional Outcomes

Panumatrassamee, Kamol; Kaouk, Jihad; Autorino, Riccardo; Laydner, Humberto; Isac, Wahib; Long, Jean-Alexandre; Eyraud, Rémi; Kassab, Ahmad; Khalifeh, Ali; Hillyer, Shahab; Rizkala, Emad; Haber, Georges-Pascal; Stein, Robert J.

doi:10.1016/j.juro.2012.09.075

Cited by 32 publications

(23 citation statements)

References 30 publications

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“…For the less complex tumors (R.E.N.A.L. score [4][5][6][7][8], we have demonstrated that the RAPN and OPN are comparable. There was no difference in terms of complications, PSM, and overall functional outcome between the two surgical techniques.…”

Section: Surgical Techniquementioning

confidence: 64%

“…score [4][5][6][7][8] A total of 63 patients (30 RAPN and 33 OPN) had a R.E.N.A.L. score of 4-8 (Table 3).…”

Section: Surgical Techniquementioning

confidence: 99%

“…score [4][5][6][7][8] A total of 62 patients (10 RAPN and 52 OPN) had a R.E.N.A.L score of 9-12 (Table 4). With regard to age, BMI, sex distribution, or proportions of patients with CCI of ‡5, there was no statistically significant differences between RAPN and OPN patients.…”

Section: Surgical Techniquementioning

confidence: 99%

“…The previous publications have not been comparative 4 or only compared the outcomes of RAPN with other minimally invasive techniques. 5,6 Also, given the selection biases associated with surgeon experience and choice of modality of surgical approach, direct comparison of results of different series without consideration of such factors as well as tumor complexity and patient characteristics is not possible. In this study, we aim to compare the perioperative outcomes of RAPN with those of open partial nephrectomy (OPN) in patients with solitary kidneys.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Comparison of Perioperative Outcomes of Robot-Assisted Partial Nephrectomy and Open Partial Nephrectomy in Patients with a Solitary Kidney

Zargar

Bhayani

Allaf

et al. 2014

Journal of Endourology

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Results: 40 RAPN and 85 OPN cases were identified. For both tumor complexity groups, patients in each treatment modality were comparable. There were higher proportions of OPN cases in the complex group (61.2% vs 25%; P = 0.001). For both complexity tumor groups, there was no statistical difference between the treatment modalities in overall intraoperative/postoperative complications, transfusion rate, and positive surgical margin (PSM) rates. Patients in the RAPN group had a shorter length of hospital stay. For the entire cohort, there was no difference in estimated glomerular filtration rate preservation beyond 1 month (OPN 80.51%, RAPN 81.29%). Limitations include retrospective, nonrandomized nature of the series and small number of cases in the RAPN groups. Conclusions: In the solitary kidney, RAPN offers comparable perioperative and short-term functional outcomes for localized tumors with low R.E.N.A.L. score. For more complex tumors, our early experience suggests comparability, but these results were obtained in selected cases and future studies will need to validate these results.

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Section: Surgical Techniquementioning

confidence: 64%

“…score [4][5][6][7][8] A total of 63 patients (30 RAPN and 33 OPN) had a R.E.N.A.L. score of 4-8 (Table 3).…”

Section: Surgical Techniquementioning

confidence: 99%

Section: Surgical Techniquementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Comparison of Perioperative Outcomes of Robot-Assisted Partial Nephrectomy and Open Partial Nephrectomy in Patients with a Solitary Kidney

Zargar

Bhayani

Allaf

et al. 2014

Journal of Endourology

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“…This was confirmed in single kidney populations with RF (30) and CA (31). Some authors showed a 100% cancer-free survival for a median follow-up of 46 months for CA (32) with excellent renal function outcomes (33)(34)(35). A few series comparing RF ablation to CA did not show significant differences in oncological and functional outcomes (36,37).…”

Section: Discussionmentioning

confidence: 86%

Nephron Sparing Surgery for De Novo Kidney Graft Tumor: Results From a Multicenter National Study

Tillou

Guleryuz

Doerfler

et al. 2014

American Journal of Transplantation

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Three‐dimensional (3D) reconstruction and navigation in robotic‐assisted partial nephrectomy (RAPN) for renal masses in the solitary kidney: A comparative study

Zeng

Yang

et al. 2021

Robotics Computer Surgery

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Background: Numerous efforts were made to improve renal function and oncologic outcomes in surgery for patients with kidney cancer. We explored new robotic methods in solitary kidneys. Materials and Methods:We prospectively registered and included 16 patients in the 3D-robot-assisted partial nephrectomy (RAPN) group with a solitary kidney (anatomic or functional), and retrospectively identified 25 patients with a solitary kidney who received RAPN also operated by us for comparison. Results:The rates of global clamping reduced in the 3D-RAPN group (37.5% vs 76%)while selective rates were higher (56.2% vs 20%) (p = 0.028). The mean percentages of Scr increase (+20.2% vs +30.2%, p = 0.045) and eGFR reduction (−16.8% vs −27.1%) as well as rate of opening collecting systems (31.3% vs 72%, p = 0.010) were lower in 3D-RAPN group.Conclusions: 3D-RAPN less impaired the renal function of patients with a solitary kidney and showed superiority or non-inferiority in other evaluation indexes compared to conventional RAPN.

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Cryoablation Versus Minimally Invasive Partial Nephrectomy for Small Renal Masses in the Solitary Kidney: Impact of Approach on Functional Outcomes

Cited by 32 publications

References 30 publications

Comparison of Perioperative Outcomes of Robot-Assisted Partial Nephrectomy and Open Partial Nephrectomy in Patients with a Solitary Kidney

Comparison of Perioperative Outcomes of Robot-Assisted Partial Nephrectomy and Open Partial Nephrectomy in Patients with a Solitary Kidney

Nephron Sparing Surgery for De Novo Kidney Graft Tumor: Results From a Multicenter National Study

Three‐dimensional (3D) reconstruction and navigation in robotic‐assisted partial nephrectomy (RAPN) for renal masses in the solitary kidney: A comparative study

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