Please use this identifier to cite or link to this item:
doi:10.22028/D291-33392
Title: | Open versus robot-assisted partial nephrectomy: A longitudinal comparison of 880 patients over 10 years |
Author(s): | Zeuschner, Philip Greguletz, Leonie Meyer, Irmengard Linxweiler, Johannes Janssen, Martin Wagenpfeil, Gudrun Wagenpfeil, Stefan Siemer, Stefan Stöckle, Michael Saar, Matthias |
Language: | English |
Title: | The International Journal of Medical Robotics and Computer Assisted Surgery |
Volume: | 17 |
Issue: | 1 |
Pages: | 1-8 |
Publisher/Platform: | Wiley |
Year of Publication: | 2020 |
Free key words: | minimally invasive surgery nephrectomy renal cell carcinoma partial robot‐assisted partial nephrectomy |
DDC notations: | 610 Medicine and health |
Publikation type: | Journal Article |
Abstract: | Background Most comparisons between robot‐assisted partial nephrectomy (RAPN) and open partial nephrectomy (OPN) indicate the superiority of RAPN, but the learning curve is often not considered. Methods All consecutive partial nephrectomies from the very first RAPN at a single tertiary referral centre (n = 818, 500 RAPN vs. 313 OPN) were retrospectively analyzed. Complications, success rates and surgical outcomes were compared. Inequalities between cohorts and the inherent learning curve were controlled by subgroup comparisons, regression analyses, and propensity score matching. Results Overall, RAPN had fewer complications, less blood loss, and shorter length of stay. However, an inherent learning curve caused higher complications for the first 4 years. Thereafter, perioperative outcomes clearly favoured RAPN, even for more complex tumours. Conclusions In one of the largest monocentric cohorts over more than 10 years, RAPN was found to be superior to OPN. However, not all advantages of RAPN are immediate because a learning curve must be passed. |
DOI of the first publication: | 10.1002/rcs.2167 |
Link to this record: | urn:nbn:de:bsz:291--ds-333929 hdl:20.500.11880/30715 http://dx.doi.org/10.22028/D291-33392 |
ISSN: | 1478-596X 1478-5951 |
Date of registration: | 23-Feb-2021 |
Description of the related object: | Supporting Information |
Related object: | https://onlinelibrary.wiley.com/action/downloadSupplement?doi=10.1002%2Frcs.2167&file=rcs2167-sup-0001-suppl-data.docx |
Faculty: | M - Medizinische Fakultät |
Department: | M - Urologie und Kinderurologie |
Professorship: | M - Prof. Dr. Michael Stöckle |
Collections: | SciDok - Der Wissenschaftsserver der Universität des Saarlandes |
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