지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 742 - 748 (7page)
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초록· 키워드
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Purpose: Current clinical data support a safe warm ischemia time (WIT) limit of 30 minutes during laparoscopic partial nephrectomy (LPN) or robot-assisted partial nephrectomy (RPN). We evaluated independent factors predicting prolonged WIT (more than 30 minutes) after LPN or RPN. Materials and Methods: A retrospective data review was performed for 317 consecutive patients who underwent LPN or RPN performed by the same surgeon from October 2007 to May 2013. Patients were divided into two groups: group A was defined as prolonged WIT (≥30 minutes) and group B as short WIT (<30 minutes). We compared clinical factors between the two groups to evaluate predictors of prolonged WIT. Results: Among 317 consecutive patients, 80 were in the prolonged WIT group. Baseline characteristics were not significantly different between the groups. In the univariable analysis, PADUA (preoperative aspects and dimensions used for an anatomical) score (p=0.001), approach method (transperitoneal or retroperitoneal approach; p<0.001), and surgeon experience (p<0.001) were significantly associated with prolonged WIT. In the multivariable analysis, PADUA score (p=0.032), tumor size (≥25 mm; odds ratio, 2.98; 95% confidence interval, 1.48-5.96; p=0.002), and surgeon experience (p<0.001) were independent predictors of prolonged WIT. Conclusions: Surgeon experience, tumor size, and PADUA score predicted prolonged WIT after RPN or LPN. Among these factors, increasing surgical experience with LPN or RPN is the most important factor for preventing prolonged WIT.
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참고문헌 (16)
참고문헌 신청
Jemal A / 2011 / Global cancer statistics / CA Cancer J Clin 61:69~90
Patard JJ / 2004 / Safety and efficacy of partial nephrectomy for all T1 tumors based on an international multicenter experience / J Urol 171(6 Pt 1):):2181~2185
Benway BM / 2009 / Robot assisted partial nephrectomy versus laparoscopic partial nephrectomy for renal tumors: a multi-institutional analysis of perioperative outcomes / J Urol 182:866~872
Lane BR / 2008 / Factors predicting renal functional outcome after partial nephrectomy / J Urol 180:2363~2368
Becker F / 2009 / Assessing the impact of ischaemia time during partial nephrectomy / Eur Urol 56:625~634
Patard JJ / 2004 / Safety and efficacy of partial nephrectomy for all T1 tumors based on an international multicenter experience / J Urol 171(6 Pt 1):):2181~2185
Benway BM / 2009 / Robot assisted partial nephrectomy versus laparoscopic partial nephrectomy for renal tumors: a multi-institutional analysis of perioperative outcomes / J Urol 182:866~872
Lane BR / 2008 / Factors predicting renal functional outcome after partial nephrectomy / J Urol 180:2363~2368
Becker F / 2009 / Assessing the impact of ischaemia time during partial nephrectomy / Eur Urol 56:625~634
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