On-Clamp vs. Off-Clamp Robot-Assisted Partial Nephrectomy for cT2 Renal Tumors: Retrospective Propensity-Score-Matched Multicenter Outcome Analysis.
Document Type
Article
Publication Date
9-13-2022
Publication Title
Cancers (Basel)
Keywords
washington; swedish; clinical T2; hilar clamping; off-clamp; on-clamp; outcomes; partial nephrectomy; renal mass; renal neoplasm; robot-assisted
Abstract
We compared perioperative outcomes after on-clamp versus off-clamp robot-assisted partial nephrectomy (RAPN) for >7 cm renal masses. A multicenter dataset was queried for patients who had undergone RAPN for a cT2cN0cM0 kidney tumor from July 2007 to February 2022. The Trifecta achievement (negative surgical margins, no severe complications, and ≤ 30% postoperative estimated glomerular filtration rate (eGFR) reduction) was considered a surrogate of surgical quality. Overall, 316 cases were included in the analysis, and 58% achieved the Trifecta. A propensity-score-matched analysis generated two cohorts of 89 patients homogeneous for age, ASA score, preoperative eGFR, and RENAL score (all
Clinical Institute
Kidney & Diabetes
Clinical Institute
Cancer
Department
Nephrology
Department
Urology
Department
Surgery
Recommended Citation
Brassetti, Aldo; Cacciamani, Giovanni E; Mari, Andrea; Garisto, Juan D; Bertolo, Riccardo; Sundaram, Chandru P; Derweesh, Ithaar; Bindayi, Ahmet; Dasgupta, Prokar; Porter, James R; Mottrie, Alexander; Schips, Luigi; Rah, Koon Ho; Chen, David Y T; Zhang, Chao; Jacobsohn, Kenneth; Anceschi, Umberto; Bove, Alfredo M; Costantini, Manuela; Ferriero, Mariaconsiglia; Mastroianni, Riccardo; Misuraca, Leonardo; Tuderti, Gabriele; Kutikov, Alexander; White, Wesley M; Ryan, Stephen T; Porpiglia, Francesco; Kaouk, Jihad; Minervini, Andrea; Gill, Inderbir; Autorino, Riccardo; and Simone, Giuseppe, "On-Clamp vs. Off-Clamp Robot-Assisted Partial Nephrectomy for cT2 Renal Tumors: Retrospective Propensity-Score-Matched Multicenter Outcome Analysis." (2022). Articles, Abstracts, and Reports. 6527.
https://digitalcommons.providence.org/publications/6527
