Surgical outcomes of robot-assisted laparoscopic partial nephrectomy for cystic renal cell carcinoma

Yagisawa, T; Takagi, Toshio; Yoshida, Kazuhiko; Hata, Keisuke; Iizuka, Junpei; Muromiya, Yasuto; Kondo, Tsunenori; Tanabe, Kazunari

doi:10.1007/s11701-021-01292-7

Cited by 4 publications

(2 citation statements)

References 24 publications

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“…The subgroup analysis demonstrated no statistically significant differences in blood loss between the endophytic renal tumors and the cystic renal tumors compared to the non-complex group (p = 0.67; p = 0.54) ( Figure 4 ). Transfusion rates were reported in 12 studies ( 17 – 26 , 28 , 30 ). No statistically significant difference in transfusion rates was observed between the two groups (p = 0.05) ( Figure S2 ).…”

Section: Resultsmentioning

confidence: 99%

Perioperative, oncologic, and functional outcomes of robot-assisted partial nephrectomy for special types of renal tumors (hilar, endophytic, or cystic): an evidence-based analysis of comparative outcomes

Chen

et al. 2023

Front. Oncol.

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PurposeThis study aims to perform a pooled analysis to compare the outcomes of robot-assisted partial nephrectomy (RAPN) between complex tumors (hilar, endophytic, or cystic) and non-complex tumors (nonhilar, exophytic, or solid) and evaluate the effects of renal tumor complexity on outcomes in patients undergoing RAPN.MethodsFour databases were systematically searched, including Science, PubMed, Web of Science, and Cochrane Library, to identify relevant studies published in English up to December 2022. Review Manager 5.4 was used for statistical analyses and calculations. The study was registered with PROSPERO (Registration number: CRD42023394792).ResultsIn total, 14 comparative trials, including 3758 patients were enrolled. Compared to non-complex tumors, complex tumors were associated with a significantly longer warm ischemia time (WMD 3.67 min, 95% CI 1.78, 5.57; p = 0.0001), more blood loss (WMD 22.84 mL, 95% CI 2.31, 43.37; p = 0.03), and a higher rate of major complications (OR 2.35, 95% CI 1.50, 3.67; p = 0.0002). However, no statistically significant differences were found between the two groups in operative time, length of stay, transfusion rates, conversion to open nephrectomy and radical nephrectomy rates, estimated glomerular filtration rate (eGFR) decline, intraoperative complication, overall complication, positive surgical margins (PSM), local recurrence, and trifecta achievement.ConclusionsRAPN can be a safe and effective procedure for complex tumors (hilar, endophytic, or cystic) and provides comparable functional and oncologic outcomes to non-complex tumors.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?RecordID=394792, identifier CRD42023394792.

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Section: Resultsmentioning

confidence: 99%

Perioperative, oncologic, and functional outcomes of robot-assisted partial nephrectomy for special types of renal tumors (hilar, endophytic, or cystic): an evidence-based analysis of comparative outcomes

Chen

et al. 2023

Front. Oncol.

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“…Therefore, more and more urologists are trying to apply PN in cRCC patients. Several studies have reported PN as an effective and safe surgery for cRCC 6,7 , and cyst rupture seems unconnected with recurrence 8 . However, with PN becoming more prevalent for cRCC, the superiority of PN needs to be further validated in a large cohort in comparison with RN.…”

Section: Comparison Of Partial Nephrectomy and Radical Nephrectomy Fo...mentioning

confidence: 99%

Comparison of partial nephrectomy and radical nephrectomy for cystic renal cell carcinoma: a SEER-based and retrospective study

Lin

Zhou

Liu

et al. 2023

Sci Rep

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Cystic renal cell carcinoma (cRCC) is uncommon and surgical indication remains controversial. We compared radical nephrectomy (RN) with partial nephrectomy (PN) in patients with cRCC using data from the Surveillance, Epidemiology and End Results (SEER) database and a retrospective cohort including 106 cRCC patients hospitalized in Ruijin and Renji Hospitals from 2013 to 2022. The baseline characteristics between RN and PN groups in both cohorts were adjusted by propensity score-matching (PSM). A total of 640 patients were included in the SEER cohort. Before PSM, PN group in the SEER cohort had a lower level of T stage (p < 0.001) and comprised more Caucasians (p < 0.001). After PSM, RN was associated with worse overall survival (p < 0.001) and cancer-specific survival (p = 0.006) in contrast to PN. In the Chinese cohort, 86 patients who underwent PN and 20 patients who underwent RN were finally included. The mean proportions of estimated glomerular filtration rate preserved after RN were worse than PN. Therefore, PN should be preferred in cRCC patients.

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Biochemical implications of robotic surgery: a new frontier in the operating room

Mokhtari,

Hosseinzadeh,

Nourazarian

2024

J Robotic Surg

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Surgical outcomes of robot-assisted laparoscopic partial nephrectomy for cystic renal cell carcinoma

Cited by 4 publications

References 24 publications

Perioperative, oncologic, and functional outcomes of robot-assisted partial nephrectomy for special types of renal tumors (hilar, endophytic, or cystic): an evidence-based analysis of comparative outcomes

Perioperative, oncologic, and functional outcomes of robot-assisted partial nephrectomy for special types of renal tumors (hilar, endophytic, or cystic): an evidence-based analysis of comparative outcomes

Comparison of partial nephrectomy and radical nephrectomy for cystic renal cell carcinoma: a SEER-based and retrospective study

Biochemical implications of robotic surgery: a new frontier in the operating room

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