On-Clamp vs. Off-Clamp Robot-Assisted Partial Nephrectomy for cT2 Renal Tumors: Retrospective Propensity-Score-Matched Multicenter Outcome Analysis.
Publication Title
Cancers (Basel)
Document Type
Article
Publication Date
9-13-2022
Keywords
washington; swedish; clinical T2; hilar clamping; off-clamp; on-clamp; outcomes; partial nephrectomy; renal mass; renal neoplasm; robot-assisted
Abstract
We compared perioperative outcomes after on-clamp versus off-clamp robot-assisted partial nephrectomy (RAPN) for >7 cm renal masses. A multicenter dataset was queried for patients who had undergone RAPN for a cT2cN0cM0 kidney tumor from July 2007 to February 2022. The Trifecta achievement (negative surgical margins, no severe complications, and ≤ 30% postoperative estimated glomerular filtration rate (eGFR) reduction) was considered a surrogate of surgical quality. Overall, 316 cases were included in the analysis, and 58% achieved the Trifecta. A propensity-score-matched analysis generated two cohorts of 89 patients homogeneous for age, ASA score, preoperative eGFR, and RENAL score (all
Clinical Institute
Kidney & Diabetes
Clinical Institute
Cancer
Specialty/Research Institute
Nephrology
Specialty/Research Institute
Urology
Specialty/Research Institute
Surgery
