Comparison between robot-assisted and open radical nephrectomy in the treatment of complex kidney neoplasm >8 cm in diameter
10.3969/j.issn.1009-8291.2023.02.005
- VernacularTitle:机器人辅助与开放根治性切除术治疗直径>8 cm的复杂性肾肿瘤的疗效比较
- Author:
Jinshan CUI
1
;
Shuanbao YU
1
;
Guodong HONG
1
;
Jin TAO
1
;
Yafeng FAN
1
;
Biao DONG
1
;
Zhaowei ZHU
1
;
Xuepei ZHANG
1
,
2
Author Information
1. Department of Urology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
2. Key Laboratory of Precision Diagnosis and Treatment for Chronic Kidney Disease in Henan Province, Zhengzhou 450052, China
- Publication Type:Journal Article
- Keywords:
robot-assisted;
open surgery;
complex renal tumor;
large kidney neoplasm;
radical nephrectomy
- From:
Journal of Modern Urology
2023;28(2):111-114
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To compare the feasibility, safety, and efficacy of robot-assisted and open radical nephrectomy for complex kidney neoplasm >8 cm in diameter. 【Methods】 Clinical data of 24 patients with large kidney neoplasm undergoing robot-assisted radical nephrectomy (9 cases, 37.5%) and open radical nephrectomy (15 cases, 62.5%) during Nov.2015 and Aug.2019 were retrospectively analyzed. The surgical parameters, perioperative complications and follow-up outcomes were compared between the two groups. 【Results】 All operations were successful. Compared with the robot group, the open group had a higher incidence of clinical symptoms (93.3% vs.44.4%, P=0.015) and larger maximum tumor diameter (124 mm vs.95 mm, P=0.021). There were no significant differences in other preoperative characteristics between the two groups. The robot group had less intraoperative blood loss (100 mL vs.800 mL, P=0.006) and lower blood transfusion rate (0% vs. 60.0%, P=0.007) than the open group. During the median follow-up of 50 (range: 25-67) months, 4 patients in the open group and 1 in the robot group developed new metastases, and 4 patients in the open group died due to advanced tumor stage. 【Conclusion】 Robot-assisted radical nephrectomy is safe in the treatment of complex and large renal tumors, and causes less intraoperative blood loss than open surgery.
