Bulent Onal, M. H. Gultekin, Goktug Kalender, Muhammet Demirbilek, Uğur Aferin, Omer Yildirim, O. Tutar
{"title":"三维容积评估与开放式和机器人辅助腹腔镜肾部分切除术的术后肾实质保留是否一致?","authors":"Bulent Onal, M. H. Gultekin, Goktug Kalender, Muhammet Demirbilek, Uğur Aferin, Omer Yildirim, O. Tutar","doi":"10.1089/lap.2024.0092","DOIUrl":null,"url":null,"abstract":"Introduction: To evaluate by using 3D renal volumetric assessment and compare renal parenchymal preservation between patient who underwent open partial nephrectomy (OPN) and robot assisted laparoscopic partial nephrectomy (RALPN). Methods: We retrospectively reviewed the records of the patients to evaluate the effect of OPN (23 patients) or RALPN (19 patients) partial nephrectomy on renal parenchymal preservation. The CT or MRI were examined using 3D-Slicer image processing software. The tumor volume and preoperative and postoperative non-tumor bearing parenchymal volumes were evaluated with the segmentation. The preoperative and postoperative parenchymal volumes, serum creatinine levels, and estimated glomerular filtration rates (eGFRs) were compared between the surgical techniques. Results: The data of 42 patients were included in the final analysis. The patient and tumor characteristics were similar between the two groups. Postoperative renal parenchymal volumetric changes were seen similar between groups. Although the serum creatinine levels and eGFRs did not change postoperatively in the RALPN group (P = .145 and P = .085, respectively), creatinine increased while eGFR decreased in the OPN group (P = .003 and P = .002, respectively). Conclusions: Our analysis showed that RALPN could be considered similar to OPN in terms of parenchymal volume preservation, but the rate of parenchymal volume preservation was not associated with the change in functional parameters. These results should be supported by further research.","PeriodicalId":508448,"journal":{"name":"Journal of laparoendoscopic & advanced surgical techniques. Part A","volume":" 27","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Is 3D Volumetric Evaluation Consistent with Postoperative Renal Parenchymal Preservation in Open and Robot-Assisted Laparoscopic Partial Nephrectomy?\",\"authors\":\"Bulent Onal, M. H. Gultekin, Goktug Kalender, Muhammet Demirbilek, Uğur Aferin, Omer Yildirim, O. Tutar\",\"doi\":\"10.1089/lap.2024.0092\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Introduction: To evaluate by using 3D renal volumetric assessment and compare renal parenchymal preservation between patient who underwent open partial nephrectomy (OPN) and robot assisted laparoscopic partial nephrectomy (RALPN). Methods: We retrospectively reviewed the records of the patients to evaluate the effect of OPN (23 patients) or RALPN (19 patients) partial nephrectomy on renal parenchymal preservation. The CT or MRI were examined using 3D-Slicer image processing software. The tumor volume and preoperative and postoperative non-tumor bearing parenchymal volumes were evaluated with the segmentation. The preoperative and postoperative parenchymal volumes, serum creatinine levels, and estimated glomerular filtration rates (eGFRs) were compared between the surgical techniques. Results: The data of 42 patients were included in the final analysis. The patient and tumor characteristics were similar between the two groups. Postoperative renal parenchymal volumetric changes were seen similar between groups. Although the serum creatinine levels and eGFRs did not change postoperatively in the RALPN group (P = .145 and P = .085, respectively), creatinine increased while eGFR decreased in the OPN group (P = .003 and P = .002, respectively). Conclusions: Our analysis showed that RALPN could be considered similar to OPN in terms of parenchymal volume preservation, but the rate of parenchymal volume preservation was not associated with the change in functional parameters. These results should be supported by further research.\",\"PeriodicalId\":508448,\"journal\":{\"name\":\"Journal of laparoendoscopic & advanced surgical techniques. 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引用次数: 0
摘要
引言通过三维肾脏容积评估,比较开放式肾部分切除术(OPN)和机器人辅助腹腔镜肾部分切除术(RALPN)患者的肾实质保留情况。方法:我们回顾性地查看了患者的病历,以评估开放性肾部分切除术(23 例)或机器人辅助腹腔镜肾部分切除术(19 例)对肾实质保留的影响。使用 3D-Slicer 图像处理软件对 CT 或 MRI 进行检查。通过分割评估肿瘤体积以及术前和术后非肿瘤实质体积。比较了不同手术方法的术前和术后实质体积、血清肌酐水平和估计肾小球滤过率(eGFR)。结果:42名患者的数据被纳入最终分析。两组患者和肿瘤特征相似。两组患者术后肾实质体积变化相似。虽然 RALPN 组术后血清肌酐水平和 eGFR 没有变化(分别为 P = .145 和 P = .085),但 OPN 组术后肌酐升高而 eGFR 降低(分别为 P = .003 和 P = .002)。结论我们的分析表明,就实质容积保存而言,RALPN 可被视为与 OPN 相似,但实质容积保存率与功能参数的变化无关。这些结果应得到进一步研究的支持。
Is 3D Volumetric Evaluation Consistent with Postoperative Renal Parenchymal Preservation in Open and Robot-Assisted Laparoscopic Partial Nephrectomy?
Introduction: To evaluate by using 3D renal volumetric assessment and compare renal parenchymal preservation between patient who underwent open partial nephrectomy (OPN) and robot assisted laparoscopic partial nephrectomy (RALPN). Methods: We retrospectively reviewed the records of the patients to evaluate the effect of OPN (23 patients) or RALPN (19 patients) partial nephrectomy on renal parenchymal preservation. The CT or MRI were examined using 3D-Slicer image processing software. The tumor volume and preoperative and postoperative non-tumor bearing parenchymal volumes were evaluated with the segmentation. The preoperative and postoperative parenchymal volumes, serum creatinine levels, and estimated glomerular filtration rates (eGFRs) were compared between the surgical techniques. Results: The data of 42 patients were included in the final analysis. The patient and tumor characteristics were similar between the two groups. Postoperative renal parenchymal volumetric changes were seen similar between groups. Although the serum creatinine levels and eGFRs did not change postoperatively in the RALPN group (P = .145 and P = .085, respectively), creatinine increased while eGFR decreased in the OPN group (P = .003 and P = .002, respectively). Conclusions: Our analysis showed that RALPN could be considered similar to OPN in terms of parenchymal volume preservation, but the rate of parenchymal volume preservation was not associated with the change in functional parameters. These results should be supported by further research.