Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 박성열 | - |
dc.date.accessioned | 2019-12-07T18:34:25Z | - |
dc.date.available | 2019-12-07T18:34:25Z | - |
dc.date.issued | 2018-04 | - |
dc.identifier.citation | BJU INTERNATIONAL, v. 122, no. 4, page. 618-626 | en_US |
dc.identifier.issn | 1464-4096 | - |
dc.identifier.issn | 1464-410X | - |
dc.identifier.uri | https://onlinelibrary.wiley.com/doi/abs/10.1111/bju.14250 | - |
dc.identifier.uri | https://repository.hanyang.ac.kr/handle/20.500.11754/118279 | - |
dc.description.abstract | ObjectivesTo compare outcomes at a 5-year median follow-up among different partial nephrectomy (PN) approaches: robot-assisted (RAPN), laparoscopic (LPN) and open partial nephrectomy (OPN).Patients and MethodsWe retrospectively analysed 1 308 patients who underwent PN (RAPN, n = 380; LPN, n = 206; OPN, n = 722) between 2006 and 2012 at one of four academic centres. We performed 1:1:1 propensity-score-matching adjustment based on confounding variables among groups, and 366 patients (122 in each group) were included in the final analysis. Survival rates were analysed using the Kaplan-Meier method. Results The median follow-up periods were 60, 59.8 and 64.1 months for RAPN, LPN and OPN, respectively. In the matched groups, RAPN resulted in significantly lower mean estimated blood loss compared with LPN (P = 0.025) and OPN (P = 0.040), while LPN was associated with a longer mean operating time compared with RAPN (P = 0.001) and OPN (P = 0.001). The hospital stay was shorter in the RAPN group (P = 0.008). Regarding the oncological outcomes, there were no significant differences among the three groups in local recurrence rate (P = 0.882), distant metastasis rate (P = 0.816) or deaths from cancer (P = 0.779). At latest follow-up, the incidence of chronic kidney disease (CKD) upstaging was significantly lower in RAPN compared with LPN (20.55% vs 32%; P = 0.035) and OPN (20.5% vs 33.6%; P = 0.038). The 5-year CKD free-survival rate was significantly higher (78.4%) in the RAPN group compared with 58.8% and 65.8% in the LPN and OPN groups, respectively (log-rank P = 0.031). Conclusions In the present study, RAPN, LPN and OPN had similar local recurrence, distant metastasis and cancer-related death rates at a 5-year median follow-up. In terms of functional outcomes, RAPN was associated with a lower incidence of CKD upstaging compared with OPN and LPN. | en_US |
dc.language.iso | en_US | en_US |
dc.publisher | WILEY | en_US |
dc.subject | partial nephrectomy | en_US |
dc.subject | robot-assisted | en_US |
dc.subject | open | en_US |
dc.subject | laparoscopic | en_US |
dc.subject | long-term outcomes | en_US |
dc.title | Functional and oncological outcomes of open laparoscopic and robot-assisted partial nephrectomy: a multicentre comparative matched-pair analyses with a median of 5 years' follow-up | en_US |
dc.type | Article | en_US |
dc.relation.no | 4 | - |
dc.relation.volume | 122 | - |
dc.identifier.doi | 10.1111/bju.14250 | - |
dc.relation.page | 618-626 | - |
dc.relation.journal | BJU INTERNATIONAL | - |
dc.contributor.googleauthor | Chang, Ki Don | - |
dc.contributor.googleauthor | Raheem, Ali Abdel | - |
dc.contributor.googleauthor | Kim, Kwang Hyun | - |
dc.contributor.googleauthor | Oh, Cheol Kyu | - |
dc.contributor.googleauthor | Park, Sung Yul | - |
dc.contributor.googleauthor | Kim, Young Sik | - |
dc.contributor.googleauthor | Ham, Won Sik | - |
dc.contributor.googleauthor | Han, Woong Kyu | - |
dc.contributor.googleauthor | Choi, Young Deuk | - |
dc.contributor.googleauthor | Chung, Byung Ha | - |
dc.relation.code | 2018002364 | - |
dc.sector.campus | S | - |
dc.sector.daehak | COLLEGE OF MEDICINE[S] | - |
dc.sector.department | DEPARTMENT OF MEDICINE | - |
dc.identifier.pid | syparkuro | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.