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学科主题临床医学
Laparoscopic versus Open Partial Nephrectomy for Multilocular Cystic Renal Cell Carcinoma: A Direct Comparison Based on Single-Center Experience
Xu, Ben1; Wang, Jun-jie1; Mi, Yue1; Zhou, Li-qun1; Jin, Jie1; Zhang, Qian1
关键词Kidney Neoplasm Kidney Tumor Laparoscopy Microsurgery Multilocular Cystic Renal Cell Carcinoma Open Partial Nephrectomy Nephron-sparing Surgery Retroperitoneoscopy
刊名UROLOGIA INTERNATIONALIS
2015
DOI10.1159/000363606
94期:1页:83-87
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Urology & Nephrology
研究领域[WOS]Urology & Nephrology
关键词[WOS]NEPHRON-SPARING SURGERY ; OUTCOMES ; MASSES ; TUMORS
英文摘要

Objectives: To compare the treatment of laparoscopic (LPN) versus open partial nephrectomy (OPN) in patients with multilocular cystic renal cell carcinoma (MCRCC). Methods:Thirty-seven patients diagnosed with MCRCC were reviewed retrospectively between January 2007 and January 2013 at our institution. They were divided into two groups: group 1 (LPN) consisted of 19 patients (51.4%) and group 2 (OPN) of 18 patients (48.6%). RENAL and the Preoperative Aspects and Dimensions Used for an Anatomical classification were applied to predict perioperative complications, which were graded based on the Clavien-Dindo classification. Results: The two groups were comparable with regard to all of the patients′ baseline characteristics. In group 1, the mean operative time was 142.1 min, including the mean warm ischemia time (WIT) of 32.6 min; the mean estimated blood loss (EBL) was 96.1 ml, the mean retroperitoneal drainage lasted 3.6 days, and the mean postoperative hospital stay was 5.3 days. In group 2, the figures were 126.6 and 23.5 min, 223.3 ml, and 4.6 and 8.7 days, respectively. The differences in WIT, EBL, drainage days and hospitalization were statistically significant between both groups (p < 0.05). No recurrence or new lesions occurred in these patients during a mean follow-up of 37.8 months. Conclusions: Our single-center experience suggests that although it remains technically complex, demanding and challenging for MCRCC, LPN can still induce favorable perioperative results and survival rates in MCRCC are comparable with OPN. (C) 2014 S. Karger AG, Basel

语种英语
WOS记录号WOS:000348974900012
引用统计
被引频次:2[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/51413
专题北京大学第一临床医学院_泌尿外科
作者单位1.Peking Univ, Hosp 1, Dept Urol, Beijing 100034, Peoples R China
2.Peking Univ, Natl Urol Canc Ctr, Inst Urol, Beijing 100034, Peoples R China
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Xu, Ben,Wang, Jun-jie,Mi, Yue,et al. Laparoscopic versus Open Partial Nephrectomy for Multilocular Cystic Renal Cell Carcinoma: A Direct Comparison Based on Single-Center Experience[J]. UROLOGIA INTERNATIONALIS,2015,94(1):83-87.
APA Xu, Ben,Wang, Jun-jie,Mi, Yue,Zhou, Li-qun,Jin, Jie,&Zhang, Qian.(2015).Laparoscopic versus Open Partial Nephrectomy for Multilocular Cystic Renal Cell Carcinoma: A Direct Comparison Based on Single-Center Experience.UROLOGIA INTERNATIONALIS,94(1),83-87.
MLA Xu, Ben,et al."Laparoscopic versus Open Partial Nephrectomy for Multilocular Cystic Renal Cell Carcinoma: A Direct Comparison Based on Single-Center Experience".UROLOGIA INTERNATIONALIS 94.1(2015):83-87.
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