原创力文档a prospective comparison of the pathologic and surgical outcomes obtained after elective treatment of renal cell carcinoma by open or robot-assisted partial nephrectomy：开放式或机械式辅助肾部分切除术治疗肾细胞癌术后病理及手术结果的前瞻性比较.pdfVIP
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a prospective comparison of the pathologic and surgical outcomes obtained after elective treatment of renal cell carcinoma by open or robot-assisted partial nephrectomy：开放式或机械式辅助肾部分切除术治疗肾细胞癌术后病理及手术结果的前瞻性比较
Urologic Oncology: Seminars and Original Investigations 31 (2013) 924–929
Original article
A prospective comparison of the pathologic and surgical outcomes
obtained after elective treatment of renal cell carcinoma by open or
robot-assisted partial nephrectomy
Alexandra Masson-Lecomte, M.D., David R. Yates, M.D., Vincent Hupertan, M.D.,
Alain Haertig, M.D., Emmanuel Chartier-Kastler, M.D., Ph.D.,
Marc-Olivier Bitker, M.D., Ph.D., Christophe Vaessen, M.D., Morgan Rouprêt, M.D., Ph.D.*
Department of Urology, Groupe Hospitalo-Universitaire EST, Pitié-Salpétrière Hospital, Assistance Publique-Hôpitaux de Paris (AP-HP), Faculté de
Médecine Pierre et Marie Curie, University Paris VI, Paris, France
Received 1 July 2011; received in revised form 5 August 2011; accepted 5 August 2011
Abstract
Objective: To prospectively compare surgical and pathologic outcomes obtained by elective robot-assisted (RAPN) or open partial
nephrectomy (OPN) for small renal cell carcinoma (RCC).
Materials and methods: Between 2008 and 2010, after protocol design and patient consent, we prospectively collected clinical data for
100 patients who concurrently underwent either OPN (58) or RAPN (42) by an individual experienced surgeon. Clinical data included age,
BMI, and past medical history. Operative data included operative time, warm ischemia time (WIT), and estimated blood loss (EBL).
Postoperative outcomes included hospital stay (LOS), creatinine variation, Clavien complications, pathologic results, and survival. We
stratified the complexity of the renal tumor using the R.E.N.A.L Nephrometry score.
Results: Of note, RAPN was superior to OPN in terms of EBL
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