Robotic-assisted tumor enucleation versus robotic-assisted partial nephrectomy for intermediate and high complexity renal cell carcinoma: a single-institution experience

World Journal of Surgical Oncology

Research

Xu Wang¹  Zhongsheng Yang²  Yuming Zhong²  Yifu Liu³  Kunyang Lei³  Ting Sun³ 

[1] Department of Pathology, the First Affiliated Hospital of Nanchang University, 330006, Nanchang, Jiangxi, China;Department of Urology, Ganzhou People’s Hospital, 341000, Ganzhou, Jiangxi, China;Department of Urology, the First Affiliated Hospital of Nanchang University, 330006, Nanchang, Jiangxi, China;

关键词: Complex renal cell carcinoma;    RATE;    RAPN;    Oncological outcome;   

DOI  :  10.1186/s12957-023-03060-3

 received in 2023-01-31, accepted in 2023-06-03,  发布年份 2023

来源: Springer

【 摘 要 】

ObjectivesTo compare the perioperative and oncological outcomes of robotic-assisted tumor enucleation (RATE) and robotic-assisted partial nephrectomy (RAPN) in the treatment of intermediate and high complexity renal cell carcinoma (RCC).MethodsWe retrospectively collected the data of 359 patients with intermediate and high complexity RCC who underwent RATE and RAPN. The perioperative, oncological, and pathological outcomes of the two groups were compared, and univariate and multivariate analyses were used to evaluate the risk factors for warm ischemia time (WIT) > 25 min.ResultsCompared with RAPN group, patients in RATE group had shorter operative time (P < 0.001), shorter WIT (P < 0.001), and less estimated blood loss (EBL) (P < 0.001). The decrease rate of estimated glomerular filtration rate (eGFR) in RATE group was better than that in RAPN group (P < 0.001). Multivariable analysis showed that RAPN and higher PADUA score were independent risk factors for WIT > 25 min (both P < 0.001). The rate of positive surgical margin was similar between the two groups, but the local recurrence rate of the RATE group was higher than that of the RAPN group (P = 0.027).ConclusionsRATE and RAPN have similar oncological outcomes for the treatment of intermediate and high complexity RCC. In addition, RATE was superior to RAPN in perioperative outcomes.

【 授权许可】

CC BY   
© The Author(s) 2023

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