Influencing factors of conversion from robot-assisted partial nephrectomy to radical nephrectomy
10.3969/j.issn.1009-8291.2023.05.003
- VernacularTitle:机器人肾部分切除术中转为根治性肾切除术的影响因素分析
- Author:
Guodong HONG
1
;
Shuanbao YU
1
;
Jinshan CUI
1
;
Zhenhao LI
1
;
Jin TAO
1
;
Yafeng FAN
1
;
Biao DONG
1
;
Xuepei ZHANG
1
,
2
Author Information
1. Department of Urology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052
2. Key Laboratory of Precision Diagnosis and Treatment for Chronic Kidney Disease in Henan Province, Zhengzhou 450052, China
- Publication Type:Journal Article
- Keywords:
robot;
partial nephrectomy;
conversion to radical nephrectomy;
influencing factors
- From:
Journal of Modern Urology
2023;28(5):377-381
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To explore the influencing factors of planned robot-assisted partial nephrectomy (RAPN) converted to radical nephrectomy (RN). 【Methods】 Clinical data and operation records of 488 patients planned for RAPN in our hospital during 2015 and 2020 were retrospectively collected. The patients were divided into converted and unconverted groups, and relevant clinical data of the two groups were compared. The causes and influencing factors for conversion were analyzed. 【Results】 Among the 488 patients, 14 (2.9%) converted to RN. The causes included: ①complicated tumor anatomy and surgical difficulties; ②local advanced renal tumor suspected during operation; ③severe intraoperative hemorrhage. Univariate analysis showed that R. E. N. A. L score (P<0.001), E value (P<0.001), N value (P<0.001), L value (P<0.001), renal hilum position (P<0.001) and T stage (P=0.002) were influencing factors of conversion. 【Conclusion】 Causes for the conversion of RAPN to RN include complicated tumor anatomy, suspected local advanced renal tumor and severe intraoperative hemorrhage. The R. E. N. A. L score, E value, N value, L value, renal hilum position and T stage are influencing factors.
