TAIPEI, TAIWAN (UroToday.com) - Introduction and Objectives: To analyze the complications according to the Clavien classification after laparoscopic partial nephrectomy (LPN) and Robotic-assisted partial nephrectomy (RPN).
FREE DAILY AND WEEKLY NEWSLETTERS OFFERED BY CONTENT OF INTEREST
Did you find this article relevant? Subscribe to UroToday-GUOncToday!
The fields of GU Oncology and Urology are advancing rapidly including new treatments, enrolling clinical trials, screening and surveillance recommendations along with updated guidelines. Join us as one of our subscribers who rely on UroToday as their must-read source for the latest news and data on drugs. Sign up today for blogs, video conversations, conference highlights and abstracts from peer-review publications by disease and condition delivered to your inbox and read on the go.
Methods: We analyzed consecutive LPN (n = 85) and RPN (n = 93) cases at our institution between April 1994 and December 2012. The data were retrospectively reviewed froma prospectively collected database. All complications that occurred within 3 months postoperatively were recorded and classified according to the modified Clavien classification system.
Results: The mean tumor size was 3.90 +/- 1.77 cm. The mean operative time was 255.0 +/- 83.5min, and the mean warm ischemia time was 31.6 +/- 22.0min. The overall complication rate was 18.5%. Clavien grades 1, 2, 3a, and 3b complications accounted for 3.93%, 11.2%, 2.81%, and 1.69% patients, respectively. The most common complication was perioperative hemorrhage, which required blood transfusion. Delayed bleeding occurred in 7 patients and 4 patients underwent angiographic embolization. The proportions of intermediate and high PADUA score (≥ 8) and RENAL score (≥ 7) are 70.8% and 74.2% respectively. A higher PADUA or RENAL score was associated with a significantly greater complication rate (p = 0.024 and 0.02 respectively).
Conclusions: The overall complication rate in the present study was comparable to that reported in previous studies, although our patients had a larger mean tumor size and higher complexity procedures.
Source of Funding: None
|Listen to an interview with Chia-Min Yang, one of the authors of this study.|
Presented by Chia-Min Yang,1 Hsiao-Jen Chung,1, 2 Yi-Hsiu Huang,1, 2 Tzu-Ping Lin,1, 2 and Alex T.L. Lin1, 2 at the 32nd World Congress of Endourology & SWL - September 3 - 7, 2014 - Taipei, Taiwan
1Department of Urology, Taipei Veteran General Hospital, Taiwan
2Department of Urology, School of Medicine, Shu-Tien Urological Research Institute National Yang-Ming University, Taiwan