机器人肾部分切除术治疗肾肿块:结果与并发症。

IF 0.6 4区 医学 Q4 UROLOGY & NEPHROLOGY
Miguel Toledo Jiménez, David Carracedo Calvo, Pietro Moscatiello, Marta Santiago González, Helena Gimbernat Díaz, Nathalie Pereira Rodríguez, Irene Hernández Bermejo, Iñigo Miñana Toscano, Miguel Sánchez Encinas
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引用次数: 0

摘要

简介肾部分切除术是治疗肾肿瘤的首选方法 材料与方法:本中心对2012年11月至2022年12月期间连续接受肾部分切除术的94名患者进行了回顾性队列研究。分析了患者的基线数据、肿瘤特征、术中变量、肿瘤病理分析以及术后30天的并发症:结果:患者的随访时间中位数为25.3个月。基线值包括中位年龄63岁和中位体重指数(BMI)28.1。术中变量包括手术时间中位数为 150 分钟,热缺血时间中位数为 16 分钟。术后肌酐平均水平为 1 mg/dL。切除的肿瘤以cT1a(58.5%)和cT1b(39.3%)为主,边缘阳性率为21.3%。共有19.2%的患者出现了克拉维恩-丁多并发症,其中11%为克拉维恩-丁多Ⅰ型;66.7%为克拉维恩-丁多Ⅱ型;22.2%为克拉维恩-丁多Ⅲb型。结论:RPN 是一种有效、安全的技术:RPN是治疗实性肾肿块的一种有效而安全的技术,并发症发生率低,在局部和远端都能得到充分的肿瘤控制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Robotic Partial Nephrectomy for Treating Renal Masses: Outcomes and Complications.

Introduction: Partial nephrectomy is the preferred treatment for renal tumors <7 cm. Robot-assisted laparoscopic approach is a minimally invasive method that offers advantages for resecting complex tumors. Here, we conducted a descriptive retrospective analysis of the first robotic partial nephrectomies (RPNs) performed at our center.

Materials and methods: A retrospective cohort of 94 patients who consecutively underwent RPN at our center between November 2012 and December 2022 was investigated. Baseline patient data, tumor characteristics, intraoperative variables, pathological tumor analysis, and postoperative complications at 30 days were analyzed.

Results: The patients were followed up for a median of 25.3 months. Baseline values included a median age of 63 years and a median body mass index (BMI) of 28.1. Intraoperative variables comprised a median surgical time of 150 min and a median warm ischemia time of 16 min. The mean postoperative creatinine level was 1 mg/dL. The median tumor size was 41.9 mm, with a median PADUA score of 8 and a median RENAL score of 8. Resected tumors were predominantly cT1a (58.5%) and cT1b (39.3%), while the positive margin rate was 21.3%. A total of 19.2% of the patients experienced Clavien-Dindo complications, of which 11% were Clavien-Dindo I; 66.7%, Clavien-Dindo II; And 22.2%, Clavien-Dindo IIIb. However, no Clavien-Dindo IIIa or IV complications were reported.

Conclusions: RPN is an effective and safe technique for treating solid renal masses, demonstrating a low complication rate and adequate oncologic control locally and distally.

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来源期刊
Archivos Espanoles De Urologia
Archivos Espanoles De Urologia UROLOGY & NEPHROLOGY-
CiteScore
0.90
自引率
0.00%
发文量
111
期刊介绍: Archivos Españoles de Urología published since 1944, is an international peer review, susbscription Journal on Urology with original and review articles on different subjets in Urology: oncology, endourology, laparoscopic, andrology, lithiasis, pediatrics , urodynamics,... Case Report are also admitted.
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