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
2
Author Information
1. Department of Urology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
2. Department of Urology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China; 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.
