The occurrence of intraoperative complications during partial nephrectomy has a significant impact on postoperative outcome: results from the RECORd1 project
Articolo
Data di Pubblicazione:
2019
Citazione:
The occurrence of intraoperative complications during partial nephrectomy has a significant impact on postoperative outcome: results from the RECORd1 project / A. Minervini, A. Mari, M. Borghesi, A. Antonelli, R. Bertolo, G. Bianchi, E. Brunocilla, V. Ficarra, C. Fiori, N. Longo, V. Mirone, G. Morgia, F. Porpiglia, B. Rocco, S. Serni, C. Simeone, R. Tellini, A. Volpe, M. Carini, R. Schiavina. - In: MINERVA UROLOGICA E NEFROLOGICA. - ISSN 0393-2249. - 71:1(2019 Feb), pp. 47-54. [10.23736/S0393-2249.18.03202-2]
Abstract:
BACKGROUND: The aim of this study was to analyze the predictive factors of intraoperative complications in patients submitted to PN and the impact of intraoperative complications on postoperative outcomes.
METHODS: Data of 1055 patients who underwent PN for cortical renal masses were recorded from a multicenter prospective observational study (RECORd1 project).
RESULTS: Overall, 48 (5%) patients experienced 49 intraoperative complications (four medical, 45 surgical). At multivariable analysis, age (OR=1.02, 95% CI: 1.00-1.08, P=0.03), imperative versus elective surgical indication (OR=2.55, 95% CI: 1.12-5.85, P=0.03), open (OR=5.76, 95% CI: 1.05-9.21, P=0.01) and laparoscopic (OR=2.35, 95% CI: 1.11-4.95, P=0.03) versus robotic approaches resulted independent predictive factors of intraoperative complications. Patients experiencing intraoperative complications had a significantly higher rate of overall postoperative complications (41.6% vs. 17.3%, P<0.0001), surgical postoperative complications (29.2% vs. 12.6%, P<0.0001), Clavien 2 surgical postoperative complications (14.6% vs. 7.2%, P=0.05) and a significantly longer length of stay (8 [6-9] vs. 7 [5-8] days, P<0.0001) than those with an uneventful intraoperative course.
CONCLUSIONS: Efforts should be made to minimize the risk of intraoperative complications during PN, and, in that case, patients should be carefully monitored
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
Intraoperative complications; Laparoscopy; Nephrectomy; Intraoperative complications; Robotics; Computer-assisted surgery;
Elenco autori:
A. Minervini, A. Mari, M. Borghesi, A. Antonelli, R. Bertolo, G. Bianchi, E. Brunocilla, V. Ficarra, C. Fiori, N. Longo, V. Mirone, G. Morgia, F. Porpiglia, B. Rocco, S. Serni, C. Simeone, R. Tellini, A. Volpe, M. Carini, R. Schiavina
Link alla scheda completa: