Full metadata record
DC Field | Value | Language |
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dc.contributor.author | 김광현 | * |
dc.date.accessioned | 2018-11-16T16:30:06Z | - |
dc.date.available | 2018-11-16T16:30:06Z | - |
dc.date.issued | 2018 | * |
dc.identifier.issn | 1464-4096 | * |
dc.identifier.issn | 1464-410X | * |
dc.identifier.other | OAK-23511 | * |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/246544 | - |
dc.description.abstract | Objectives To compare outcomes at a 5-year median follow-up among different partial nephrectomy (PN) approaches: robot-assisted (RAPN), laparoscopic (LPN) and open partial nephrectomy (OPN). Patients and Methods We retrospectively analysed 1 308 patients who underwent PN (RAPN, n = 380; LPN, n = 206; OPN, n = 722) between 2006 and 2012 at one of four academic centres. We performed 1:1:1 propensity-score-matching adjustment based on confounding variables among groups, and 366 patients (122 in each group) were included in the final analysis. Survival rates were analysed using the Kaplan-Meier method. Results The median follow-up periods were 60, 59.8 and 64.1 months for RAPN, LPN and OPN, respectively. In the matched groups, RAPN resulted in significantly lower mean estimated blood loss compared with LPN (P = 0.025) and OPN (P = 0.040), while LPN was associated with a longer mean operating time compared with RAPN (P = 0.001) and OPN (P = 0.001). The hospital stay was shorter in the RAPN group (P = 0.008). Regarding the oncological outcomes, there were no significant differences among the three groups in local recurrence rate (P = 0.882), distant metastasis rate (P = 0.816) or deaths from cancer (P = 0.779). At latest follow-up, the incidence of chronic kidney disease (CKD) upstaging was significantly lower in RAPN compared with LPN (20.55% vs 32%; P = 0.035) and OPN (20.5% vs 33.6%; P = 0.038). The 5-year CKD free-survival rate was significantly higher (78.4%) in the RAPN group compared with 58.8% and 65.8% in the LPN and OPN groups, respectively (log-rank P = 0.031). Conclusions In the present study, RAPN, LPN and OPN had similar local recurrence, distant metastasis and cancer-related death rates at a 5-year median follow-up. In terms of functional outcomes, RAPN was associated with a lower incidence of CKD upstaging compared with OPN and LPN. | * |
dc.language | English | * |
dc.publisher | WILEY | * |
dc.subject | partial nephrectomy | * |
dc.subject | robot-assisted | * |
dc.subject | open | * |
dc.subject | laparoscopic | * |
dc.subject | long-term outcomes | * |
dc.title | Functional and oncological outcomes of open laparoscopic and robot-assisted partial nephrectomy: a multicentre comparative matched-pair analyses with a median of 5 years' follow-up | * |
dc.type | Article | * |
dc.relation.issue | 4 | * |
dc.relation.volume | 122 | * |
dc.relation.index | SCIE | * |
dc.relation.index | SCOPUS | * |
dc.relation.startpage | 618 | * |
dc.relation.lastpage | 626 | * |
dc.relation.journaltitle | BJU INTERNATIONAL | * |
dc.identifier.doi | 10.1111/bju.14250 | * |
dc.identifier.wosid | WOS:000445451300015 | * |
dc.identifier.scopusid | 2-s2.0-85053920912 | * |
dc.author.google | Chang, Ki Don | * |
dc.author.google | Raheem, Ali Abdel | * |
dc.author.google | Kim, Kwang Hyun | * |
dc.author.google | Oh, Cheol Kyu | * |
dc.author.google | Park, Sung Yul | * |
dc.author.google | Kim, Young Sik | * |
dc.author.google | Ham, Won Sik | * |
dc.author.google | Han, Woong Kyu | * |
dc.author.google | Choi, Young Deuk | * |
dc.author.google | Chung, Byung Ha | * |
dc.author.google | Rha, Koon Ho | * |
dc.contributor.scopusid | 김광현(57191527009) | * |
dc.date.modifydate | 20240222163024 | * |