Long-term oncologic and functional outcomes after robot-assisted partial nephrectomy in elderly patients.
Minerva Urol Nefrol
; 71(1): 31-37, 2019 Feb.
Article
em En
| MEDLINE
| ID: mdl-30230293
ABSTRACT
BACKGROUND:
The aim of this study was to assess the long-term oncologic and functional outcomes in elderly patients having undergone robot-assisted partial nephrectomy (RAPN) for renal cancer (RC).METHODS:
Sixty-one patients out of 323 who underwent RAPN for localized RC between July 2009 and March 2016 in our high-volume robotic surgery center (>800 procedures/year), had 70 years or more. Inclusion criteria of the study were age ≥70 years; pathological confirmed RCC and ASA Score ≤3. All patients were stratified according to PADUA classification system in three groups <7 points, 8-9 points, >10 points. Trifecta was deï¬ned as a warm ischemia time (WIT) less then 25 min, negative surgical margins and no perioperative complications.RESULTS:
A total of 52 patients were included; median follow-up was 47 months. Median age was 74 yrs. (IQR 72-76.5). Complication rate was 15.4%. Trifecta failure was associated to PADUA Score (P=0.02), and tumor diameter (P=0.04). Renal function was altered in 10 (19.2%) patients before surgery and at last follow-up in 11 (21.1%) patients (CKD stage>2) The DFS, OS and CSS were 89.33%, 90.06% and 94.4%, respectively.CONCLUSIONS:
In a high-volume center, robot-assisted approach is feasible and safe in surgical fit elderly patients with good long-term oncologic outcomes.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Carcinoma de Células Renais
/
Procedimentos Cirúrgicos Robóticos
/
Neoplasias Renais
/
Nefrectomia
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Minerva Urol Nefrol
Assunto da revista:
NEFROLOGIA
/
UROLOGIA
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Itália