Comparison of the effects of transperitoneal and retroperitoneal robot-assisted partial nephrectomy.

IF 1.2 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Pakistan Journal of Medical Sciences Pub Date : 2024-11-01 DOI:10.12669/pjms.40.10.10613

Meiman Tao, Kang Cheng, Wei Xu, Zhounan Qian, Peng Pan

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引用次数: 0

Abstract

Objective: To compare the effects of transperitoneal and retroperitoneal approaches for robotic assisted partial nephrectomy (RAPN) in patients with renal cell carcinoma (RCC).

Methods: We conducted a retrospective cohort study on RAPN at Affiliated Hospital of Jiangsu University. Between September 2020 and February 2024, the included patients underwent either transperitoneal approach or retroperitoneal approach. Perioperative status, stress response, quality of life, and incidence of complications were compared between the groups.

Results: A total of 105 patients were included in this analysis, with 54 patients in the Retroperitoneal group, and 51 patients in the Transperitoneal group. The retroperitoneal approach was associated with significantly better perioperative indicators compared to the transperitoneal method (P<0.05). After the surgery, serum levels of interleukin-6 (IL-6), C-reactive protein (CRP), white blood cell count (WBC), and cortisol (Cor) in the Retroperitoneal group were lower than in the Transperitoneal group (P<0.05). The quality-of-life scores of patients in the Retroperitoneal group were higher (P<0.05), but no statistically significant difference in the incidence of complications between the groups (P>0.05).

Conclusions: Compared with the transperitoneal approach, the retroperitoneal method of RAPN is equally safe and is associated with improved perioperative status, lower stress response, and better quality of life for RCC patients.

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经腹膜和腹膜后机器人辅助肾部分切除术的效果比较。

目的比较经腹膜和经腹膜后入路机器人辅助肾部分切除术（RAPN）在肾细胞癌（RCC）患者中的应用效果：我们在江苏大学附属医院开展了一项关于RAPN的回顾性队列研究。在 2020 年 9 月至 2024 年 2 月期间，纳入的患者接受了经腹膜入路或腹膜后入路手术。比较两组患者的围手术期状态、应激反应、生活质量和并发症发生率：共有105名患者参与了此次分析，其中腹膜后入路组54人，经腹膜入路组51人。与经腹膜方法相比，后腹膜方法的围手术期指标明显更好（PPPP>0.05）：结论：与经腹膜方法相比，后腹膜方法的RAPN同样安全，而且能改善RCC患者的围手术期状况，降低应激反应，提高生活质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pakistan Journal of Medical Sciences 医学-医学：内科

CiteScore

4.10

自引率

9.10%

发文量

363

审稿时长

3-6 weeks

期刊介绍： It is a peer reviewed medical journal published regularly since 1984. It was previously known as quarterly "SPECIALIST" till December 31st 1999. It publishes original research articles, review articles, current practices, short communications & case reports. It attracts manuscripts not only from within Pakistan but also from over fifty countries from abroad. Copies of PJMS are sent to all the import medical libraries all over Pakistan and overseas particularly in South East Asia and Asia Pacific besides WHO EMRO Region countries. Eminent members of the medical profession at home and abroad regularly contribute their write-ups, manuscripts in our publications. We pursue an independent editorial policy, which allows an opportunity to the healthcare professionals to express their views without any fear or favour. That is why many opinion makers among the medical and pharmaceutical profession use this publication to communicate their viewpoint.