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Comparison of open and robotic-assisted partial nephrectomy approaches using multicentric data (UroCCR-47 study)

dc.rights.licenseopenen_US
dc.contributor.authorINGELS, A.
dc.contributor.authorBENSALAH, K.
dc.contributor.authorBEAUVAL, J. B.
dc.contributor.authorPAPAREL, P.
dc.contributor.authorROUPRET, M.
dc.contributor.authorLANG, H.
dc.contributor.authorNOUHAUD, F. X.
dc.contributor.authorHENON, F.
dc.contributor.authorBRUYERE, F.
dc.contributor.authorAUDENET, F.
dc.contributor.authorLEBACLE, C.
dc.contributor.authorBAUMERT, H.
dc.contributor.authorLONG, J. A.
dc.contributor.authorTAMBWE, R.
dc.contributor.authorCHARLES, T.
dc.contributor.authorXYLINAS, E.
dc.contributor.authorWAECKEL, T.
dc.contributor.authorMICHIELS, C.
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorASSELINEAU, Julien
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorBENARD, Antoine
dc.contributor.authorMARGUE, G.
dc.contributor.authorBOISSIER, R.
dc.contributor.authorBIGOT, P.
dc.contributor.authorBERNHARD, J. C.
dc.date.accessioned2022-12-16T08:39:25Z
dc.date.available2022-12-16T08:39:25Z
dc.date.issued2022-11-08
dc.identifier.issn2045-2322 (Electronic) 2045-2322 (Linking)en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/171540
dc.description.abstractEnWe compared the outcomes of robotic-assisted partial nephrectomy (RPN) and open partial nephrectomy (OPN) using contemporary data to respond to unmet clinical needs. Data from patients included in the registry who underwent partial nephrectomy between January 01, 2014 and June 30, 2017 within 20 centres of the French Network for Research on Kidney Cancer UroCCR were collected (NCT03293563). Statistical methods included adjusted multivariable analyses. Rates of peri- and post-operative transfusion, and of surgical revision, were lower in the RPN (n = 1434) than the OPN (n = 571) group (2.9% vs. 6.0%, p = 0.0012; 3.8% vs. 11.5%, p < 0.0001; 2.4% vs. 6.7%, p < 0.0001, respectively). In multivariable analyses, RPN was independently associated with fewer early post-operative complications than OPN (overall: odds-ratio [95% confidence interval, CI] = 0.48 [0.35–0.66]; severe: 0.29 [0.16–0.54], p < 0.0001 for both) and shorter hospital stays (34% [30%; 37%], p < 0.0001). RPN was also a significantly associated with a decresedrisk of post-operative acute renal failure, and new-onset chronic kidney disease at 3 and 12 months post-surgery. There were no between-group differences in oncological outcomes. In comparison with OPN, RPN was associated with improved peri- and post-operative morbidity, better functional outcomes, and shorter hospital stays. Our results support the use of RPN, even for large and complex tumours.
dc.language.isoENen_US
dc.rightsAttribution 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/us/*
dc.title.enComparison of open and robotic-assisted partial nephrectomy approaches using multicentric data (UroCCR-47 study)
dc.typeArticle de revueen_US
dc.identifier.doi10.1038/s41598-022-22912-8en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed36347900en_US
bordeaux.journalScientific Reportsen_US
bordeaux.page18981en_US
bordeaux.volume12en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.issue1en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamUSMRen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.identifier.funderIDIntuitive Surgicalen_US
hal.identifierhal-03902734
hal.version1
hal.date.transferred2022-12-16T08:39:32Z
hal.exporttrue
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&amp;rft_val_fmt=info:ofi/fmt:kev:mtx:journal&amp;rft.jtitle=Scientific%20Reports&amp;rft.date=2022-11-08&amp;rft.volume=12&amp;rft.issue=1&amp;rft.spage=18981&amp;rft.epage=18981&amp;rft.eissn=2045-2322%20(Electronic)%202045-2322%20(Linking)&amp;rft.issn=2045-2322%20(Electronic)%202045-2322%20(Linking)&amp;rft.au=INGELS,%20A.&amp;BENSALAH,%20K.&amp;BEAUVAL,%20J.%20B.&amp;PAPAREL,%20P.&amp;ROUPRET,%20M.&amp;rft.genre=article


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