Comparison of long-term outcomes of laparoscopic and robot-assisted laparoscopic partial nephrectomy

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dc.contributor.authorKizilay, Fuat
dc.contributor.authorTurna, Burak
dc.contributor.authorApaydin, Erdal
dc.contributor.authorSemerci, Bulent
dc.date.accessioned2019-10-27T09:45:08Z
dc.date.available2019-10-27T09:45:08Z
dc.date.issued2019
dc.departmentEge Üniversitesien_US
dc.description.abstractIn this study, we compared the long-term oncological and functional outcomes of laparoscopic partial nephrectomy (LPN) and robot-assisted laparoscopic partial nephrectomy (RAPN) performed in the treatment of renal tumors. The data of 142 patients (RAPN = 71, LPN = 71) were evaluated. Demographic data, perioperative and postoperative outcomes, long-term (5-year) overall survival (OS) and cancer-specific survival (CSS) rates of the patients were compared between the two groups. A P value of less than 0.05 was considered statistically significant The mean follow-up time was 61.38 months. There were more complex tumors in the RAPN group (P = 0.014). The duration of warm ischemia time (WIT) was shorter in the RAPN group (P = 0.019). Perioperative and postoperative outcomes were similar. There were no differences between the groups in terms of 5-year metastasis-free survival, OS, and CSS rates. Hypertension, diabetes, and preoperative estimated glomerular filtration rate (eGFR) were the predictive factors for renal insufficiency; and preoperative eGFR, WIT, and positive surgical margin were the predictive factors for 5-year CSS. We concluded that RAPN is an important minimally invasive treatment method for partial nephrectomy with long-term favorable results, especially in complex tumors. Comparisons of two methods should be made with comparative, prospective, randomized, high case number studies, and the place of RAPN in the treatment of these tumors should be clarified.en_US
dc.identifier.doi10.1002/kjm2.12038en_US
dc.identifier.endpage243en_US
dc.identifier.issn1607-551X
dc.identifier.issn2410-8650
dc.identifier.issue4en_US
dc.identifier.pmid30887679en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage238en_US
dc.identifier.urihttps://doi.org/10.1002/kjm2.12038
dc.identifier.urihttps://hdl.handle.net/11454/29101
dc.identifier.volume35en_US
dc.identifier.wosWOS:000464659600007en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofKaohsiung Journal of Medical Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectlaparoscopic partial nephrectomyen_US
dc.subjectlong-term outcomeen_US
dc.subjectminimally invasive surgeryen_US
dc.subjectrenal cell carcinomaen_US
dc.subjectrobot-assisted laparoscopic partial nephrectomyen_US
dc.titleComparison of long-term outcomes of laparoscopic and robot-assisted laparoscopic partial nephrectomyen_US
dc.typeArticleen_US

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