Experiences of laparoscopic partial nephrectomy for T1a kidney tumours: Results of two hundred and fifteen patients

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dc.contributor.authorÇınar, Önder
dc.contributor.authorBolat, Mustafa Suat
dc.contributor.authorÖzmerdiven, Çağdaş Gökhun
dc.contributor.buuauthorÇiçek, Mehmet Çağatay
dc.contributor.buuauthorVuruşkan, Berna Aytaç
dc.contributor.buuauthorVuruşkan, Hakan
dc.contributor.departmentBursa Uludağ Üniversitesi/Tıp Fakültesi/Üroloji Anabilim Dalı.tr_TR
dc.contributor.departmentBursa Uludağ Üniversitesi/Tıp Fakültesi/Tıbbi Patoloji Anabilim Dalı.tr_TR
dc.contributor.orcid0000-0002-0471-5404tr_TR
dc.contributor.orcid0000-0001-9549-8435tr_TR
dc.contributor.orcid0000-0002-3917-4847tr_TR
dc.contributor.researcheridAAH-9746-2021tr_TR
dc.date.accessioned2022-12-29T08:40:12Z
dc.date.available2022-12-29T08:40:12Z
dc.date.issued2020-09
dc.description.abstractObjective: The best therapeutic option for renal tumours smaller than 7 cm is partial nephrectomy. The aim of this study was to compare the positive surgical margin (PSM) rates, recurrence rates and oncological outcomes between laparoscopic partial nephrectomies and open partial nephrectomies at a single tertiary referral centre. Materials and Methods: We included patients with renal tumours treated with partial nephrectomies between January 2008 and December 2016 in the study. We retrospectively reviewed the patients' demographic data, surgical reports, clinical charts, laboratory results and histopathological reports. Binary regression analysis was used to assess the impact of the tumour diameter, laterality, polarity and localization for PSM. Results: We included a total of 215 patients in the study. The mean preoperative and postoperative haemoglobin and creatinine levels, blood loss, time of surgery and follow-up periods was similar between the two groups. The mean ischaemic time in the open partial nephrectomy group was significantly lower than that of the laparoscopic partial nephrectomy group (p<0.05). Local recurrence was seen in a patient with a PSM in the laparoscopic partial nephrectomy group. However, recurrences were also seen in the negative surgical margin patients in both the open partial nephrectomy and laparoscopic partial nephrectomy groups. Conclusion: The presence of a PSM is not associated with an increased risk of distant metastases or local recurrences. However, higher PSM rates were associated with the early learning curve for a laparoscopic procedure. Finally, an open partial nephrectomy is associated with shorter warm ischaemia time compared to laparoscopic partial nephrectomy group.en_US
dc.identifier.citationÇınar, Ö. vd. (2020). "Experiences of laparoscopic partial nephrectomy for T1a kidney tumours: Results of two hundred and fifteen patients". Bulletin of Urooncology, 19(3), 130-135.tr_TR
dc.identifier.endpage135tr_TR
dc.identifier.issn2147-2270
dc.identifier.issue3tr_TR
dc.identifier.startpage130tr_TR
dc.identifier.urihttps://doi.org/10.4274/uob.galenos.2020.1772
dc.identifier.urihttps://cms.galenos.com.tr/Uploads/Article_40058/UOB-19-130-En.pdf
dc.identifier.urihttp://hdl.handle.net/11452/30163
dc.identifier.volume19tr_TR
dc.identifier.wos000562705900008tr_TR
dc.indexed.trdizinTrDizintr_TR
dc.indexed.wosESCIen_US
dc.language.isoenen_US
dc.publisherGalenos Yayıncılıktr_TR
dc.relation.collaborationYurt içitr_TR
dc.relation.journalBulletin of Urooncologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergitr_TR
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectDistant metastasisen_US
dc.subjectKidney tumouren_US
dc.subjectLocal recurrenceen_US
dc.subjectPartial nephrectomyen_US
dc.subjectSurgical margin positivityen_US
dc.subjectRenal-cell carcinomaen_US
dc.subjectSurgical marginen_US
dc.subjectOutcomesen_US
dc.subjectComplicationsen_US
dc.subjectTrifectaen_US
dc.subjectOncologyen_US
dc.subject.wosOncologyen_US
dc.titleExperiences of laparoscopic partial nephrectomy for T1a kidney tumours: Results of two hundred and fifteen patientsen_US
dc.typeArticle

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