Laparoscopic versus open partial nephrectomy for clinical T1 renal masses: no impact of surgical approach on perioperative complications and long-term postoperative quality of life

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Laparoscopic versus open partial nephrectomy for clinical T1 renal masses: no impact of surgical approach on perioperative complications and long-term postoperative quality of life. / Becker, Andreas; Pradel, Lea; Kluth, Luis; Schmid, Marianne; Eichelberg, Christian; Ahyai, Sascha; Trinh, Quoc; Seiler, Daniel; Dahlem, Roland; Hansen, Jens; Rink, Michael; Zacharias, Mario; Mehnert, Anja; Bergelt, Corinna; Fisch, Margit; Chun, Felix K H.

in: WORLD J UROL, Jahrgang 33, 2015, S. 421-426.

Publikationen: SCORING: Beitrag in Fachzeitschrift/ZeitungSCORING: ZeitschriftenaufsatzForschungBegutachtung

Harvard

Becker, A, Pradel, L, Kluth, L, Schmid, M, Eichelberg, C, Ahyai, S, Trinh, Q, Seiler, D, Dahlem, R, Hansen, J, Rink, M, Zacharias, M, Mehnert, A, Bergelt, C, Fisch, M & Chun, FKH 2015, 'Laparoscopic versus open partial nephrectomy for clinical T1 renal masses: no impact of surgical approach on perioperative complications and long-term postoperative quality of life', WORLD J UROL, Jg. 33, S. 421-426. https://doi.org/10.1007/s00345-014-1318-1

APA

Becker, A., Pradel, L., Kluth, L., Schmid, M., Eichelberg, C., Ahyai, S., Trinh, Q., Seiler, D., Dahlem, R., Hansen, J., Rink, M., Zacharias, M., Mehnert, A., Bergelt, C., Fisch, M., & Chun, F. K. H. (2015). Laparoscopic versus open partial nephrectomy for clinical T1 renal masses: no impact of surgical approach on perioperative complications and long-term postoperative quality of life. WORLD J UROL, 33, 421-426. https://doi.org/10.1007/s00345-014-1318-1

Vancouver

Bibtex

@article{02e9a867d91f471bbe2ac4e54685c689,
title = "Laparoscopic versus open partial nephrectomy for clinical T1 renal masses: no impact of surgical approach on perioperative complications and long-term postoperative quality of life",
abstract = "OBJECTIVES: Beyond oncological safety, consideration of 30-day complications according to Clavien-Dindo, as well as postoperative quality of life (QoL) after nephron-sparing surgery for clinical T1 renal masses, represents important factors for treatment decision counseling. The objective of this study was to compare the effect of laparoscopic versus open partial nephrectomy (LPN vs. OPN) on 30-day complications and long-term postoperative QoL for clinical T1 renal masses.METHODS: Retrospective, longitudinal analysis of 293 patients treated with either LPN versus OPN for T1 renal masses. The investigated endpoints were 30-day Clavien-Dindo complications and health-related QoL (EORTC QLQ-C30). Respectively, logistic and linear regression models analyzed the effect of surgical partial nephrectomy approach on endpoints.RESULTS: Overall complication rates were similar in patients undergoing OPN or LPN (16.1 vs. 14.6 %, p = 0.8). Significantly less major complications (2.4 vs. 10.4 %, p = 0.025) occurred after LPN. Despite a shorter convalescence period for LPN patients (p = 0.035), in uni- and multivariable analyses, surgical approach was not associated with 30-day complications nor long-term differences in QoL (all p > 0.05).CONCLUSIONS: Despite a faster recovery time after LPN, our findings suggest that LPN and OPN are equivalent with regard to 30-day Clavien-Dindo complication rates and long-term QoL.",
author = "Andreas Becker and Lea Pradel and Luis Kluth and Marianne Schmid and Christian Eichelberg and Sascha Ahyai and Quoc Trinh and Daniel Seiler and Roland Dahlem and Jens Hansen and Michael Rink and Mario Zacharias and Anja Mehnert and Corinna Bergelt and Margit Fisch and Chun, {Felix K H}",
year = "2015",
doi = "10.1007/s00345-014-1318-1",
language = "English",
volume = "33",
pages = "421--426",
journal = "WORLD J UROL",
issn = "0724-4983",
publisher = "Springer",

}

RIS

TY - JOUR

T1 - Laparoscopic versus open partial nephrectomy for clinical T1 renal masses: no impact of surgical approach on perioperative complications and long-term postoperative quality of life

AU - Becker, Andreas

AU - Pradel, Lea

AU - Kluth, Luis

AU - Schmid, Marianne

AU - Eichelberg, Christian

AU - Ahyai, Sascha

AU - Trinh, Quoc

AU - Seiler, Daniel

AU - Dahlem, Roland

AU - Hansen, Jens

AU - Rink, Michael

AU - Zacharias, Mario

AU - Mehnert, Anja

AU - Bergelt, Corinna

AU - Fisch, Margit

AU - Chun, Felix K H

PY - 2015

Y1 - 2015

N2 - OBJECTIVES: Beyond oncological safety, consideration of 30-day complications according to Clavien-Dindo, as well as postoperative quality of life (QoL) after nephron-sparing surgery for clinical T1 renal masses, represents important factors for treatment decision counseling. The objective of this study was to compare the effect of laparoscopic versus open partial nephrectomy (LPN vs. OPN) on 30-day complications and long-term postoperative QoL for clinical T1 renal masses.METHODS: Retrospective, longitudinal analysis of 293 patients treated with either LPN versus OPN for T1 renal masses. The investigated endpoints were 30-day Clavien-Dindo complications and health-related QoL (EORTC QLQ-C30). Respectively, logistic and linear regression models analyzed the effect of surgical partial nephrectomy approach on endpoints.RESULTS: Overall complication rates were similar in patients undergoing OPN or LPN (16.1 vs. 14.6 %, p = 0.8). Significantly less major complications (2.4 vs. 10.4 %, p = 0.025) occurred after LPN. Despite a shorter convalescence period for LPN patients (p = 0.035), in uni- and multivariable analyses, surgical approach was not associated with 30-day complications nor long-term differences in QoL (all p > 0.05).CONCLUSIONS: Despite a faster recovery time after LPN, our findings suggest that LPN and OPN are equivalent with regard to 30-day Clavien-Dindo complication rates and long-term QoL.

AB - OBJECTIVES: Beyond oncological safety, consideration of 30-day complications according to Clavien-Dindo, as well as postoperative quality of life (QoL) after nephron-sparing surgery for clinical T1 renal masses, represents important factors for treatment decision counseling. The objective of this study was to compare the effect of laparoscopic versus open partial nephrectomy (LPN vs. OPN) on 30-day complications and long-term postoperative QoL for clinical T1 renal masses.METHODS: Retrospective, longitudinal analysis of 293 patients treated with either LPN versus OPN for T1 renal masses. The investigated endpoints were 30-day Clavien-Dindo complications and health-related QoL (EORTC QLQ-C30). Respectively, logistic and linear regression models analyzed the effect of surgical partial nephrectomy approach on endpoints.RESULTS: Overall complication rates were similar in patients undergoing OPN or LPN (16.1 vs. 14.6 %, p = 0.8). Significantly less major complications (2.4 vs. 10.4 %, p = 0.025) occurred after LPN. Despite a shorter convalescence period for LPN patients (p = 0.035), in uni- and multivariable analyses, surgical approach was not associated with 30-day complications nor long-term differences in QoL (all p > 0.05).CONCLUSIONS: Despite a faster recovery time after LPN, our findings suggest that LPN and OPN are equivalent with regard to 30-day Clavien-Dindo complication rates and long-term QoL.

U2 - 10.1007/s00345-014-1318-1

DO - 10.1007/s00345-014-1318-1

M3 - SCORING: Journal article

C2 - 24879404

VL - 33

SP - 421

EP - 426

JO - WORLD J UROL

JF - WORLD J UROL

SN - 0724-4983

ER -