Evaluation of laparoscopic vs robotic partial nephrectomy using the margin, ischemia and complications score system: a retrospective single center analysis
Objective: To evaluate differences between Laparoscopic Partial Nephrectomy (LPN) and Robot-Assisted Partial Nephrectomy (RAPN) using the Margin, Ischemia and Complications (MIC) score system and to evaluate factors related with MIC success. Materials and Methods: Single centre retrospective study o...
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doaj-9ff20ba37b83432ebdf747b0dda407e42020-11-25T02:47:41ZengPAGEPress PublicationsArchivio Italiano di Urologia e Andrologia1124-35622282-41972015-03-01871495510.4081/aiua.2015.1.494259Evaluation of laparoscopic vs robotic partial nephrectomy using the margin, ischemia and complications score system: a retrospective single center analysisStefano Ricciardulli0Qiang Ding1Xu Zhang2Hongzhao Li3Yuzhe Tang4Guoqiang Yang5Xiyou Wang6Xin Ma7Alberto Breda8Antonio Celia9Department of Urology, Chinese PLA General Hospital, Beijing, China; Department of Urology, San Bassiano Hospital, Bassano Del GrappaDepartment of Urology, Chinese PLA General Hospital, BeijingDepartment of Urology, Chinese PLA General Hospital, BeijingDepartment of Urology, Chinese PLA General Hospital, BeijingDepartment of Urology, Chinese PLA General Hospital, BeijingDepartment of Urology, Chinese PLA General Hospital, BeijingDepartment of Urology, Chinese PLA General Hospital, BeijingDepartment of Urology, Chinese PLA General Hospital, BeijingDepartment of Urology, Foundacio Puigvert Universidad Autonoma de BarcelonaDepartment of Urology, San Bassiano Hospital, Bassano Del GrappaObjective: To evaluate differences between Laparoscopic Partial Nephrectomy (LPN) and Robot-Assisted Partial Nephrectomy (RAPN) using the Margin, Ischemia and Complications (MIC) score system and to evaluate factors related with MIC success. Materials and Methods: Single centre retrospective study on 258 LPN and 58 RAPN performed between January 2012 and January 2014. Success was defined when surgical margins was negative, Warm Ischemia Time (WIT) was ≤ 20 minutes and no major complications occurred. Mann-Whitney-U and Pearson χ2 correlation were used to compare LPN and RAPN. A matched pair comparison was also performed. Spearman correlation (Rho) was used to evaluate the relationship between clinical, intra and post-operative and pathological patients characteristics with MIC score. A binary regression analysis was also performed to evaluate independent factors associated with MIC success. Results: The MIC rate in LPN and RAPN was 55% and 65.5% respectively. No differences in clinical, intra and post-operative outcomes between groups were found. Clinical tumor size (p-value: < 0.001; OR: 0.829; 95% CI: 0.697-0.987), PADUA score (p-value: < 0.001; OR: 0.843; 95% CI: 0.740-0.960), PADUA risk groups (intermediate; p-value: < 0.001; OR: 0.416; 95% CI: 0.238- 0.792; high: p-value: < 0.001; OR: 0.356; 95% CI: 0.199- 0.636), WIT (p-value: < 0.001; OR: 0.598; 95% CI: 0.530- 0.675) were independently associated with MIC. eGFR (< 60 vs ≥ 60 ml/min per 1.73 m2: p-value: < 0.001; OR: 3.356; 95% CI: 1.701-6.621) and Fuhrman nuclear grade (p-value: 0.014; OR: 1.798; 95% CI:1.129-2.865) were also independently associated with MIC. Conclusions: MIC score system is a simple and useful tool to report and to compare different surgical approach.http://www.pagepressjournals.org/index.php/aiua/article/view/5195ComplicationsLaparoscopic partial nephrectomyPositive marginsRobot-assisted partial nephrectomyWarm ischemia time |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Stefano Ricciardulli Qiang Ding Xu Zhang Hongzhao Li Yuzhe Tang Guoqiang Yang Xiyou Wang Xin Ma Alberto Breda Antonio Celia |
spellingShingle |
Stefano Ricciardulli Qiang Ding Xu Zhang Hongzhao Li Yuzhe Tang Guoqiang Yang Xiyou Wang Xin Ma Alberto Breda Antonio Celia Evaluation of laparoscopic vs robotic partial nephrectomy using the margin, ischemia and complications score system: a retrospective single center analysis Archivio Italiano di Urologia e Andrologia Complications Laparoscopic partial nephrectomy Positive margins Robot-assisted partial nephrectomy Warm ischemia time |
author_facet |
Stefano Ricciardulli Qiang Ding Xu Zhang Hongzhao Li Yuzhe Tang Guoqiang Yang Xiyou Wang Xin Ma Alberto Breda Antonio Celia |
author_sort |
Stefano Ricciardulli |
title |
Evaluation of laparoscopic vs robotic partial nephrectomy using the margin, ischemia and complications score system: a retrospective single center analysis |
title_short |
Evaluation of laparoscopic vs robotic partial nephrectomy using the margin, ischemia and complications score system: a retrospective single center analysis |
title_full |
Evaluation of laparoscopic vs robotic partial nephrectomy using the margin, ischemia and complications score system: a retrospective single center analysis |
title_fullStr |
Evaluation of laparoscopic vs robotic partial nephrectomy using the margin, ischemia and complications score system: a retrospective single center analysis |
title_full_unstemmed |
Evaluation of laparoscopic vs robotic partial nephrectomy using the margin, ischemia and complications score system: a retrospective single center analysis |
title_sort |
evaluation of laparoscopic vs robotic partial nephrectomy using the margin, ischemia and complications score system: a retrospective single center analysis |
publisher |
PAGEPress Publications |
series |
Archivio Italiano di Urologia e Andrologia |
issn |
1124-3562 2282-4197 |
publishDate |
2015-03-01 |
description |
Objective: To evaluate differences between Laparoscopic Partial Nephrectomy (LPN) and Robot-Assisted Partial Nephrectomy (RAPN) using the Margin, Ischemia and Complications (MIC) score system and to evaluate factors related with MIC success. Materials and Methods: Single centre retrospective study on 258 LPN and 58 RAPN performed between January 2012 and January 2014. Success was defined when surgical margins was negative, Warm Ischemia Time (WIT) was ≤ 20 minutes and no major complications occurred. Mann-Whitney-U and Pearson χ2 correlation were used to compare LPN and RAPN. A matched pair comparison was also performed. Spearman correlation (Rho) was used to evaluate the relationship between clinical, intra and post-operative and pathological patients characteristics with MIC score. A binary regression analysis was also performed to evaluate independent factors associated with MIC success. Results: The MIC rate in LPN and RAPN was 55% and 65.5% respectively. No differences in clinical, intra and post-operative outcomes between groups were found. Clinical tumor size (p-value: < 0.001; OR: 0.829; 95% CI: 0.697-0.987), PADUA score (p-value: < 0.001; OR: 0.843; 95% CI: 0.740-0.960), PADUA risk groups (intermediate; p-value: < 0.001; OR: 0.416; 95% CI: 0.238- 0.792; high: p-value: < 0.001; OR: 0.356; 95% CI: 0.199- 0.636), WIT (p-value: < 0.001; OR: 0.598; 95% CI: 0.530- 0.675) were independently associated with MIC. eGFR (< 60 vs ≥ 60 ml/min per 1.73 m2: p-value: < 0.001; OR: 3.356; 95% CI: 1.701-6.621) and Fuhrman nuclear grade (p-value: 0.014; OR: 1.798; 95% CI:1.129-2.865) were also independently associated with MIC. Conclusions: MIC score system is a simple and useful tool to report and to compare different surgical approach. |
topic |
Complications Laparoscopic partial nephrectomy Positive margins Robot-assisted partial nephrectomy Warm ischemia time |
url |
http://www.pagepressjournals.org/index.php/aiua/article/view/5195 |
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