Partial Nephrectomy A Comparison between Different Modalities
Kidney cancer, with 4% of all malignancies, is one of the most common malignancies occurring among in adults. In Saudi Arabia, kidney cancer comprises 2.3% of all cancers, and its incidence has increased by 33%. Partial nephrectomy (PN) is considered as the gold standard for T1 renal masses. In thi...
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doaj-06b96b15c94a4dc1873bb41305a2ccfd2021-06-23T22:00:17ZengCodon PublicationsJournal of Kidney Cancer and VHL2203-58262021-06-018210.15586/jkcvhl.v8i2.179Partial Nephrectomy A Comparison between Different Modalities Ahmed Al Asker0Abdulmalik Addar1Mohammed Alghamdi2Saud Alawad3Mohammed Alharbi4Saeed Bin Hamri5Nasser Albqami6Abdullah Alkhayal7Khaled Alrabeeah8King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiaMcGill University, Montréal, QC, CanadaKing Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiaCollege of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, Division of Urology, King Abdullah International Medical Research Center, Riyadh14611, Saudi ArabiaKing Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiaKing Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiaKing Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiaKing Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiaKing Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia Kidney cancer, with 4% of all malignancies, is one of the most common malignancies occurring among in adults. In Saudi Arabia, kidney cancer comprises 2.3% of all cancers, and its incidence has increased by 33%. Partial nephrectomy (PN) is considered as the gold standard for T1 renal masses. In this retrospective study, we did a chart review for all patients who underwent PNs between April 2013 and February 2019. Data comprised pre-sentation, tumor size, type of procedure (open vs. laparoscopic vs. robotic), and intra- and post-operative complications. Chi-square, ANOVA, and cross-tabulation were done using SPSS software. P > 0.05 was considered significant. Approval was obtained from the institutional review board of King Abdullah International Medical Research Center. In all, 69 patients were identified: 26 (37.7%) males and 43 (62.3%) females, with mean age = 54.53 ± 13.21 years; mean body mass index = 32.36 ± 7.03, and mean tumor size = 3.7 ± 1.72 cm. In terms of presentation, most patients (50, 72.4%) presented incidentally as opposed to symptomatic presentation. Of these patients, 18 (26.1%) underwent open partial nephrectomy (OPN), 29 (42%) laparoscopic partial nephrec-tomy (LPN), and 22 (31.9%) robotic partial nephrectomy (RPN). On comparing minimally invasive surgery (MIS) PN with OPN, we found that OPN had more blood loss and a longer hospital stay but a shorter operating room (OR) time. Results of PN irrespective of the procedure type, whether it was OPN, LPN, or RPN, were similar if performed by experienced surgeons. However, open procedures involved a higher blood loss, more operative time, and longer hospital stay when compared with minimally invasive techniques. https://www.jkcvhl.com/index.php/jkcvhl/article/view/179RCCPartial nephrectomyRobotic surgeryMIS |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ahmed Al Asker Abdulmalik Addar Mohammed Alghamdi Saud Alawad Mohammed Alharbi Saeed Bin Hamri Nasser Albqami Abdullah Alkhayal Khaled Alrabeeah |
spellingShingle |
Ahmed Al Asker Abdulmalik Addar Mohammed Alghamdi Saud Alawad Mohammed Alharbi Saeed Bin Hamri Nasser Albqami Abdullah Alkhayal Khaled Alrabeeah Partial Nephrectomy A Comparison between Different Modalities Journal of Kidney Cancer and VHL RCC Partial nephrectomy Robotic surgery MIS |
author_facet |
Ahmed Al Asker Abdulmalik Addar Mohammed Alghamdi Saud Alawad Mohammed Alharbi Saeed Bin Hamri Nasser Albqami Abdullah Alkhayal Khaled Alrabeeah |
author_sort |
Ahmed Al Asker |
title |
Partial Nephrectomy A Comparison between Different Modalities |
title_short |
Partial Nephrectomy A Comparison between Different Modalities |
title_full |
Partial Nephrectomy A Comparison between Different Modalities |
title_fullStr |
Partial Nephrectomy A Comparison between Different Modalities |
title_full_unstemmed |
Partial Nephrectomy A Comparison between Different Modalities |
title_sort |
partial nephrectomy a comparison between different modalities |
publisher |
Codon Publications |
series |
Journal of Kidney Cancer and VHL |
issn |
2203-5826 |
publishDate |
2021-06-01 |
description |
Kidney cancer, with 4% of all malignancies, is one of the most common malignancies occurring among in adults. In Saudi Arabia, kidney cancer comprises 2.3% of all cancers, and its incidence has increased by 33%. Partial nephrectomy (PN) is considered as the gold standard for T1 renal masses.
In this retrospective study, we did a chart review for all patients who underwent PNs between April 2013 and February 2019. Data comprised pre-sentation, tumor size, type of procedure (open vs. laparoscopic vs. robotic), and intra- and post-operative complications. Chi-square, ANOVA, and cross-tabulation were done using SPSS software. P > 0.05 was considered significant. Approval was obtained from the institutional review board of King Abdullah International Medical Research Center.
In all, 69 patients were identified: 26 (37.7%) males and 43 (62.3%) females, with mean age = 54.53 ± 13.21 years; mean body mass index = 32.36 ± 7.03, and mean tumor size = 3.7 ± 1.72 cm. In terms of presentation, most patients (50, 72.4%) presented incidentally as opposed to symptomatic presentation. Of these patients, 18 (26.1%) underwent open partial nephrectomy (OPN), 29 (42%) laparoscopic partial nephrec-tomy (LPN), and 22 (31.9%) robotic partial nephrectomy (RPN). On comparing minimally invasive surgery (MIS) PN with OPN, we found that OPN had more blood loss and a longer hospital stay but a shorter operating room (OR) time.
Results of PN irrespective of the procedure type, whether it was OPN, LPN, or RPN, were similar if performed by experienced surgeons. However, open procedures involved a higher blood loss, more operative time, and longer hospital stay when compared with minimally invasive techniques.
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topic |
RCC Partial nephrectomy Robotic surgery MIS |
url |
https://www.jkcvhl.com/index.php/jkcvhl/article/view/179 |
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