TY - JOUR
T1 - Laparoscopic versus open partial nephrectomy for clinical T1 renal masses
T2 - no impact of surgical approach on perioperative complications and long-term postoperative quality of life
AU - Becker, Andreas
AU - Pradel, Lea
AU - Kluth, Luis
AU - Schmid, Marianne
AU - Eichelberg, Christian
AU - Ahyai, Sascha
AU - Trinh, Quoc
AU - Seiler, Daniel
AU - Dahlem, Roland
AU - Hansen, Jens
AU - Rink, Michael
AU - Zacharias, Mario
AU - Mehnert, Anja
AU - Bergelt, Corinna
AU - Fisch, Margit
AU - Chun, Felix K.H.
N1 - Publisher Copyright:
© 2014, Springer-Verlag Berlin Heidelberg.
PY - 2015/3
Y1 - 2015/3
N2 - Results: Overall complication rates were similar in patients undergoing OPN or LPN (16.1 vs. 14.6 %, p = 0.8). Significantly less major complications (2.4 vs. 10.4 %, p = 0.025) occurred after LPN. Despite a shorter convalescence period for LPN patients (p = 0.035), in uni- and multivariable analyses, surgical approach was not associated with 30-day complications nor long-term differences in QoL (all p > 0.05).Objectives: Beyond oncological safety, consideration of 30-day complications according to Clavien–Dindo, as well as postoperative quality of life (QoL) after nephron-sparing surgery for clinical T1 renal masses, represents important factors for treatment decision counseling. The objective of this study was to compare the effect of laparoscopic versus open partial nephrectomy (LPN vs. OPN) on 30-day complications and long-term postoperative QoL for clinical T1 renal masses.Methods: Retrospective, longitudinal analysis of 293 patients treated with either LPN versus OPN for T1 renal masses. The investigated endpoints were 30-day Clavien–Dindo complications and health-related QoL (EORTC QLQ-C30). Respectively, logistic and linear regression models analyzed the effect of surgical partial nephrectomy approach on endpoints.Conclusions: Despite a faster recovery time after LPN, our findings suggest that LPN and OPN are equivalent with regard to 30-day Clavien–Dindo complication rates and long-term QoL.
AB - Results: Overall complication rates were similar in patients undergoing OPN or LPN (16.1 vs. 14.6 %, p = 0.8). Significantly less major complications (2.4 vs. 10.4 %, p = 0.025) occurred after LPN. Despite a shorter convalescence period for LPN patients (p = 0.035), in uni- and multivariable analyses, surgical approach was not associated with 30-day complications nor long-term differences in QoL (all p > 0.05).Objectives: Beyond oncological safety, consideration of 30-day complications according to Clavien–Dindo, as well as postoperative quality of life (QoL) after nephron-sparing surgery for clinical T1 renal masses, represents important factors for treatment decision counseling. The objective of this study was to compare the effect of laparoscopic versus open partial nephrectomy (LPN vs. OPN) on 30-day complications and long-term postoperative QoL for clinical T1 renal masses.Methods: Retrospective, longitudinal analysis of 293 patients treated with either LPN versus OPN for T1 renal masses. The investigated endpoints were 30-day Clavien–Dindo complications and health-related QoL (EORTC QLQ-C30). Respectively, logistic and linear regression models analyzed the effect of surgical partial nephrectomy approach on endpoints.Conclusions: Despite a faster recovery time after LPN, our findings suggest that LPN and OPN are equivalent with regard to 30-day Clavien–Dindo complication rates and long-term QoL.
KW - Complication
KW - EORTC
KW - Outcomes
KW - Quality of life
KW - Renal cell carcinoma
KW - Renal mass
UR - https://www.scopus.com/pages/publications/84939884548
UR - https://www.scopus.com/inward/citedby.url?scp=84939884548&partnerID=8YFLogxK
U2 - 10.1007/s00345-014-1318-1
DO - 10.1007/s00345-014-1318-1
M3 - Article
C2 - 24879404
AN - SCOPUS:84939884548
SN - 0724-4983
VL - 33
SP - 421
EP - 426
JO - World journal of urology
JF - World journal of urology
IS - 3
ER -
