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Comparison of Renal Function between Robot-Assisted and Open Partial Nephrectomy as Determined by Tc 99m-DTPA Renal Scintigraphy

We compared postoperative renal function impairment between patients undergoing robot-assisted partial nephrectomy (RAPN) and those undergoing open partial nephrectomy (OPN) by using Tc-99m diethylenetriaminepentaacetic acid (DTPA) renal scintigraphy. Patients who underwent partial nephrectomy by a...

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Autores principales: Lee, Chanwoo, Kwon, Taekmin, Yoo, Sangjun, Jung, Jaeyoon, Lee, Chunwoo, You, Dalsan, Jeong, In Gab, Kim, Choung-Soo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Academy of Medical Sciences 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4835600/
https://www.ncbi.nlm.nih.gov/pubmed/27134496
http://dx.doi.org/10.3346/jkms.2016.31.5.743
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author Lee, Chanwoo
Kwon, Taekmin
Yoo, Sangjun
Jung, Jaeyoon
Lee, Chunwoo
You, Dalsan
Jeong, In Gab
Kim, Choung-Soo
author_facet Lee, Chanwoo
Kwon, Taekmin
Yoo, Sangjun
Jung, Jaeyoon
Lee, Chunwoo
You, Dalsan
Jeong, In Gab
Kim, Choung-Soo
author_sort Lee, Chanwoo
collection PubMed
description We compared postoperative renal function impairment between patients undergoing robot-assisted partial nephrectomy (RAPN) and those undergoing open partial nephrectomy (OPN) by using Tc-99m diethylenetriaminepentaacetic acid (DTPA) renal scintigraphy. Patients who underwent partial nephrectomy by a single surgeon between 2007 and 2013 were eligible and were matched by propensity score, based on age, tumor size, exophytic properties of tumor, and location relative to the polar lines. Of the 403 patients who underwent partial nephrectomy, 114 (28%) underwent RAPN and 289 (72%) underwent OPN. Mean follow-up duration was 35.2 months. Following propensity matching, there were no significant differences between the two groups in tumor exophytic properties (P = 0.818) or nephrometry score (P = 0.527). Renal ischemic time (24.4 minutes vs. 17.8 minutes, P < 0.001) was significantly longer in the RAPN group than in the OPN group, while the other characteristics were similar. Multivariate analysis showed that greater preoperative renal unit function (P = 0.011) and nephrometry score (P = 0.041) were independently correlated with a reduction in glomerular filtration rate. The operative method did not correlate with renal function impairment (P = 0.704). Postoperative renal function impairment was similar between patients who underwent OPN and those who underwent RAPN, despite RAPN having a longer ischemic time.
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spelling pubmed-48356002016-05-01 Comparison of Renal Function between Robot-Assisted and Open Partial Nephrectomy as Determined by Tc 99m-DTPA Renal Scintigraphy Lee, Chanwoo Kwon, Taekmin Yoo, Sangjun Jung, Jaeyoon Lee, Chunwoo You, Dalsan Jeong, In Gab Kim, Choung-Soo J Korean Med Sci Original Article We compared postoperative renal function impairment between patients undergoing robot-assisted partial nephrectomy (RAPN) and those undergoing open partial nephrectomy (OPN) by using Tc-99m diethylenetriaminepentaacetic acid (DTPA) renal scintigraphy. Patients who underwent partial nephrectomy by a single surgeon between 2007 and 2013 were eligible and were matched by propensity score, based on age, tumor size, exophytic properties of tumor, and location relative to the polar lines. Of the 403 patients who underwent partial nephrectomy, 114 (28%) underwent RAPN and 289 (72%) underwent OPN. Mean follow-up duration was 35.2 months. Following propensity matching, there were no significant differences between the two groups in tumor exophytic properties (P = 0.818) or nephrometry score (P = 0.527). Renal ischemic time (24.4 minutes vs. 17.8 minutes, P < 0.001) was significantly longer in the RAPN group than in the OPN group, while the other characteristics were similar. Multivariate analysis showed that greater preoperative renal unit function (P = 0.011) and nephrometry score (P = 0.041) were independently correlated with a reduction in glomerular filtration rate. The operative method did not correlate with renal function impairment (P = 0.704). Postoperative renal function impairment was similar between patients who underwent OPN and those who underwent RAPN, despite RAPN having a longer ischemic time. The Korean Academy of Medical Sciences 2016-05 2016-03-18 /pmc/articles/PMC4835600/ /pubmed/27134496 http://dx.doi.org/10.3346/jkms.2016.31.5.743 Text en © 2016 The Korean Academy of Medical Sciences. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Lee, Chanwoo
Kwon, Taekmin
Yoo, Sangjun
Jung, Jaeyoon
Lee, Chunwoo
You, Dalsan
Jeong, In Gab
Kim, Choung-Soo
Comparison of Renal Function between Robot-Assisted and Open Partial Nephrectomy as Determined by Tc 99m-DTPA Renal Scintigraphy
title Comparison of Renal Function between Robot-Assisted and Open Partial Nephrectomy as Determined by Tc 99m-DTPA Renal Scintigraphy
title_full Comparison of Renal Function between Robot-Assisted and Open Partial Nephrectomy as Determined by Tc 99m-DTPA Renal Scintigraphy
title_fullStr Comparison of Renal Function between Robot-Assisted and Open Partial Nephrectomy as Determined by Tc 99m-DTPA Renal Scintigraphy
title_full_unstemmed Comparison of Renal Function between Robot-Assisted and Open Partial Nephrectomy as Determined by Tc 99m-DTPA Renal Scintigraphy
title_short Comparison of Renal Function between Robot-Assisted and Open Partial Nephrectomy as Determined by Tc 99m-DTPA Renal Scintigraphy
title_sort comparison of renal function between robot-assisted and open partial nephrectomy as determined by tc 99m-dtpa renal scintigraphy
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4835600/
https://www.ncbi.nlm.nih.gov/pubmed/27134496
http://dx.doi.org/10.3346/jkms.2016.31.5.743
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