1100 COMPARISON OF PERIOPERATIVE OUTCOMES OF TRANSPERITONEAL VERSUS RETROPERITONEAL ROBOT ASSISTED PARTIAL NEPHRECTOMY - A MATCHED PAIR ANALYSIS BY NEPHROMETRY

Abstract

You have accessJournal of UrologyKidney Cancer: Localized I1 Apr 20121100 COMPARISON OF PERIOPERATIVE OUTCOMES OF TRANSPERITONEAL VERSUS RETROPERITONEAL ROBOT ASSISTED PARTIAL NEPHRECTOMY - A MATCHED PAIR ANALYSIS BY NEPHROMETRY Seo Yeon Lee, Jae Duck Choi, Sin-Woo Lee, Jung Hun Kang, Joong Seo Ahn, Hyung Joon Kim, Hyun Hwan Sung, Bum Soo Park, Byong Chang Jeong, Seong Soo Jeon, Hyun Moo Lee, Han Yong Choi, and Seong Il Seo Seo Yeon LeeSeo Yeon Lee Goyang, Gyeonggi, Korea, Republic of More articles by this author , Jae Duck ChoiJae Duck Choi Gyeongju, Korea, Republic of More articles by this author , Sin-Woo LeeSin-Woo Lee Seoul, Korea, Republic of More articles by this author , Jung Hun KangJung Hun Kang Seoul, Korea, Republic of More articles by this author , Joong Seo AhnJoong Seo Ahn Seoul, Korea, Republic of More articles by this author , Hyung Joon KimHyung Joon Kim Seoul, Korea, Republic of More articles by this author , Hyun Hwan SungHyun Hwan Sung Seoul, Korea, Republic of More articles by this author , Bum Soo ParkBum Soo Park Seoul, Korea, Republic of More articles by this author , Byong Chang JeongByong Chang Jeong Seoul, Korea, Republic of More articles by this author , Seong Soo JeonSeong Soo Jeon Seoul, Korea, Republic of More articles by this author , Hyun Moo LeeHyun Moo Lee Seoul, Korea, Republic of More articles by this author , Han Yong ChoiHan Yong Choi Seoul, Korea, Republic of More articles by this author , and Seong Il SeoSeong Il Seo Seoul, Korea, Republic of More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.1208AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To compare transperitoneal and retroperitoneal robot assisted partial nephrectomy (RPN) with matched analysis using the three nephrometry systems, RENAL, PADUA and C-index. METHODS Ninety two patients underwent RPN from December 2008 to June 2011. Initial 20 cases and 4 cases performed with other operation or multiple renal masses were excluded. Nephrometry scores were calculated with the computed tomography. Transperitoneal and retroperitoneal approach groups were matched by the three nephrometry systems each other and the perioperative outcomes were compared. RESULTS Forty one transperitoneal RPN and 27 retroperitoneal RPN cases were matched by 1:1. There was no significant difference of age, sex, laterality, clinical stage between two groups when matched by each system. Matched by RENAL system, operative time and warm ischemic time (WIT) was shorter and estimated blood loss (EBL) was less in the retroperitoneal RPN group (p<0.05). Matched by PADUA, retroperitoneal RPN group showed shorter operative time, WIT and period to oral resumption (p<0.05). Matched by C-index, operative time, WIT, period to oral resumption was shorter and EBL was less in the retroperitoneal approach (p<0.05). There was no significant difference in the visual analogue pain scale score and complication between the two groups. CONCLUSIONS Matching with the three nephrometry systems, retroperitoneal RPN showed shorter operative time, WIT, period to oral resumption and lesser EBL compared to transperitoneal RPN showing no significant difference in the pain score and complication. Therefore retroperitoneal RPN is considered as a recommended modality for the surgeons who are experienced with retroperitoneal approach. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e446-e447 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Seo Yeon Lee Goyang, Gyeonggi, Korea, Republic of More articles by this author Jae Duck Choi Gyeongju, Korea, Republic of More articles by this author Sin-Woo Lee Seoul, Korea, Republic of More articles by this author Jung Hun Kang Seoul, Korea, Republic of More articles by this author Joong Seo Ahn Seoul, Korea, Republic of More articles by this author Hyung Joon Kim Seoul, Korea, Republic of More articles by this author Hyun Hwan Sung Seoul, Korea, Republic of More articles by this author Bum Soo Park Seoul, Korea, Republic of More articles by this author Byong Chang Jeong Seoul, Korea, Republic of More articles by this author Seong Soo Jeon Seoul, Korea, Republic of More articles by this author Hyun Moo Lee Seoul, Korea, Republic of More articles by this author Han Yong Choi Seoul, Korea, Republic of More articles by this author Seong Il Seo Seoul, Korea, Republic of More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...