Robot-assisted partial nephrectomy is associated with early recovery of renal function: Comparison of open, laparoscopic, and robot-assisted partial nephrectomy using DTPA renal scintigraphy
- Authors
- Choi, Se Young; Jung, Han; You, Dalsan; Jeong, In Gab; Song, Cheryn; Hong, Bumsik; Hong, Jun Hyuk; Ahn, Hanjong; Kim, Choung-Soo
- Issue Date
- Jun-2019
- Publisher
- WILEY
- Keywords
- glomerular filtration rate; laparoscopic partial nephrectomy; open partial nephrectomy; recovery of function; robot-assisted partial nephrectomy
- Citation
- JOURNAL OF SURGICAL ONCOLOGY, v.119, no.7, pp.1016 - 1023
- Journal Title
- JOURNAL OF SURGICAL ONCOLOGY
- Volume
- 119
- Number
- 7
- Start Page
- 1016
- End Page
- 1023
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/1453
- DOI
- 10.1002/jso.25429
- ISSN
- 0022-4790
- Abstract
- ObjectivesTo compare the functional outcomes of open, laparoscopic, and robot-assisted partial nephrectomy (OPN, LPN, and RAPN, respectively) using diethylene triamine penta-acetic acid (DTPA). MethodsWe identified 610 patients who underwent partial nephrectomy for renal cell carcinoma (285 open partial nephrectomy [OPN], 96 laparoscopic partial nephrectomy [LPN], and 229 robot-assisted partial nephrectomy [RAPN]) with preoperative and postoperative DTPA within 1 year. We excluded multiple renal masses and history of immunotherapy or chemotherapy. Predictive factors for glomerular filtration rate (GFR) reduction were assessed using multivariate linear regression. ResultsPostoperative complications and disease-free survival were similar in the three groups. Within 1 postoperative year, OPN showed a significantly lower mean ipsilateral GFR than LPN and RAPN (28.9 versus 32.4 versus 32.7mL/min/1.73m (2), respectively; P<0.001). RAPN was associated with a significantly higher total GFR than OPN within 1 year (76.6 versus 71.2mL/min/1.73m (2), respectively; P=0.001). On multivariate analysis within 1 year, operation type (OPN versus RAPN: beta=2.82; 95% confidence interval, 1.17-4.48; P=0.001) was significantly associated with GFR reduction. ConclusionThere was no difference in postoperative complications and disease-free survival among operation types. RAPN could help to promote earlier recovery of ipsilateral GFR than OPN.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - 의과대학 > 의학과 > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/1453)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.