Impact of surgical approach and resection technique on the risk of Trifecta Failure after partial nephrectomy for highly complex renal masses

被引：27

作者：

Campi, Riccardo ^{[1
,2
]}

Di Maida, Fabrizio ^{[1
,2
]}

Lane, Brian R. ^{[3
]}

De Cobelli, Ottavio ^{[4
]}

Sanguedolce, Francesco ^{[5
,6
]}

Hatzichristodoulou, Georgios ^{[7
,8
]}

Antonelli, Alessandro ^{[9
,10
]}

Noyes, Sabrina ^{[3
]}

Mari, Andrea ^{[1
,2
]}

Grosso, Antonio Andrea ^{[1
,2
]}

Rodriguez-Faba, Oscar ^{[6
]}

Keeley, Frank X. ^{[5
]}

Langenhuijsen, Johan ^{[11
]}

Musi, Gennaro ^{[4
]}

Klatte, Tobias ^{[12
,13
]}

Roscigno, Marco ^{[14
]}

Akdogan, Bulent ^{[15
]}

Furlan, Maria ^{[9
]}

Karakoyunlu, Nihat ^{[16
]}

Marszalek, Martin ^{[17
,18
]}

Capitanio, Umberto ^{[19
]}

Volpe, Alessandro ^{[20
]}

Brookman-May, Sabine ^{[21
]}

Gschwend, Juergen E. ^{[7
]}

Smaldone, Marc C. ^{[22
]}

Uzzo, Robert G. ^{[22
]}

Carini, Marco ^{[1
,2
]}

Kutikov, Alexander ^{[22
]}

Minervini, Andrea ^{[1
,2
]}

机构：

[1] Univ Florence, Dept Urol, Florence, Italy

[2] Univ Florence, Dept Expt & Clin Med, Florence, Italy

[3] Spectrum Hlth Med Grp, Dept Urol, Grand Rapids, MI USA

[4] Univ Milan, European Inst Oncol IEO, Dept Urol, Milan, Italy

[5] Southmead Hosp, Bristol Urol Inst, Bristol, Avon, England

[6] Fundacio Puigvert, Urooncol Unit, Barcelona, Spain

[7] Tech Univ Munich, Rechts Isar Univ Hosp, Dept Urol, Munich, Germany

[8] Martha Maria Hosp Nuremberg, Dept Urol, Nurnberg, Germany

[9] Univ Brescia, Dept Urol, Brescia, Italy

[10] Univ Verona, Dept Urol, Azienda Osped Univ Integrata Verona, Verona, Italy

[11] Radboud Univ Nijmegen, Dept Urol, Nijmegen Med Ctr, Nijmegen, Netherlands

[12] Royal Bournemouth Hosp, Dept Urol, Bournemouth, Dorset, England

[13] Med Univ Vienna, Dept Urol, Vienna, Austria

[14] ASST Papa Giovanni XXIII, Dept Urol, Bergamo, Italy

[15] Hacettepe Univ, Sch Med, Dept Urol, Ankara, Turkey

[16] Diskapi Yildirim Beyazit Training & Res Hosp, Dept Urol, Ankara, Turkey

[17] Donauspital, Dept Urol & Androl, Vienna, Austria

[18] Graz Med Univ, Dept Urol, Graz, Austria

[19] IRCCS Osped San Raffaele, URI, Div Expt Oncol, Unit Urol, Milan, Italy

[20] Univ Piemonte Orientale, Maggiore Carita Hosp, Dept Urol, Novara, Italy

[21] Ludwig Maximilians Univ LMU Munich, Dept Urol, Janssen Pharm Res & Dev, Campus Grosshadern, Los Angeles, CA USA

[22] Fox Chase Canc Ctr, Div Urol Oncol, 7701 Burholme Ave, Philadelphia, PA 19111 USA

来源：

EJSO | 2022年 / 48卷 / 03期

关键词：

MeSH terms); Partial nephrectomy;

D O I：

10.1016/j.ejso.2021.11.126

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Introduction: We aimed to compare the outcomes of open vs robotic partial nephrectomy (PN), focusing on predictors of Trifecta failure in patients with highly complex renal masses. Patients and methods: We queried the prospectively collected database from the SIB International Consortium, including 507 consecutive patients with cT1-2N0M0 renal masses treated at 16 high-volume referral centres, to select those with highly complex (PADUA score >10) tumors undergoing PN. RT was classified as enucleation, enucleoresection or resection according to the SIB score. Trifecta was defined as achievement of negative surgical margins, no acute kidney injury and no Clavien-Dindo grade >2 postoperative surgical complications. Multivariable logistic regression analysis was used to assess independent predictors of Trifecta failure.

引用

页码：687 / 693

页数：7

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