Comparison of Posterior and Antero-Lateral Renal Tumors in Retroperitoneal Laparoscopic Partial Nephrectomy: a Propensity Score Matching Analysis
dc.authorid | Anil, Hakan/0000-0002-6333-0213 | |
dc.authorwosid | Güzel, Ahmet/Adh-5964-2022 | |
dc.authorwosid | Anıl, Hakan/Abe-4814-2022 | |
dc.authorwosid | Karamık, Kaan/Aar-2899-2020 | |
dc.contributor.author | Anil, Hakan | |
dc.contributor.author | Yildiz, Ali | |
dc.contributor.author | Guzel, Ahmet | |
dc.contributor.author | Akdemir, Serkan | |
dc.contributor.author | Karamik, Kaan | |
dc.contributor.author | Arslan, Murat | |
dc.date.accessioned | 2025-05-31T20:21:01Z | |
dc.date.available | 2025-05-31T20:21:01Z | |
dc.date.issued | 2023 | |
dc.department | Okan University | en_US |
dc.department-temp | [Anil, Hakan] Adana Seyhan State Hosp, Dept Urol, Adana, Turkiye; [Yildiz, Ali; Arslan, Murat] Okan Univ Hosp, Fac Med, Dept Urol, Istanbul, Turkiye; [Guzel, Ahmet] Aydin State Hosp, Dept Urol, Aydin, Turkiye; [Akdemir, Serkan] Private Tinaztepe Hosp, Dept Urol, Izmir, Turkiye; [Karamik, Kaan] Korkuteli State Hosp, Dept Urol, Antalya, Turkiye | en_US |
dc.description | Anil, Hakan/0000-0002-6333-0213 | en_US |
dc.description.abstract | This study aimed to compare the antero-lateral and posterior localized renal masses in laparoscopic partial nephrectomy with the retroperitoneal approach in terms of operative, functional, and oncological outcomes. Patients who underwent retroperitoneal laparoscopic partial nephrec-tomy by a single surgeon between January 2013 and January 2021 were included in the study. A one-to-one propensity score matching (PSM) analysis was conducted to obtain two balanced groups. The patients were divided into two groups as posterior and antero-lateral according to the localization of the mass. A total of 239 patients were included in the PSM analysis, with 65 patients allocated to each group. The mean operative time was 79.2 & PLUSMN; 11.2 min in the posterior group, while it was 90.0 & PLUSMN; 11.6 min in the antero-lateral group (P < 0.001). Warm ischemia time was 15.9 & PLUSMN; 2.4 min in the posterior group and 18.6 & PLUSMN; 2.7 min in the antero-lateral group (P < 0.001). The median decrease in eGFR at 1 year was 4.8 (IQR, 2.9-6.9) mL/min in the posterior group and 5.0 (IQR, 2.8-11) mL/min in the antero-lateral group (P = 0.219). The warm isch-emia time and clamping technique were found to be significant factors for predicting eGFR change after surgery (13:0.693, 95% CI: 0.39-0.99, P < 0.001; 13:6.43, 95% CI: 1.1-11.7, P = 0.017, respectively). We report that retroperitoneal laparoscopic partial nephrectomy provided longer warm ischemia and operative time for antero-lateral renal masses than posterior masses. However, long-term oncological and functional results were similar for both localizations. | en_US |
dc.description.woscitationindex | Emerging Sources Citation Index | |
dc.identifier.doi | 10.15586/jkcvhl.v10i3.273 | |
dc.identifier.endpage | 16 | en_US |
dc.identifier.issn | 2203-5826 | |
dc.identifier.issue | 3 | en_US |
dc.identifier.pmid | 37457633 | |
dc.identifier.scopusquality | N/A | |
dc.identifier.startpage | 9 | en_US |
dc.identifier.uri | https://doi.org/10.15586/jkcvhl.v10i3.273 | |
dc.identifier.uri | https://hdl.handle.net/20.500.14517/7936 | |
dc.identifier.volume | 10 | en_US |
dc.identifier.wos | WOS:001027889200001 | |
dc.identifier.wosquality | N/A | |
dc.language.iso | en | en_US |
dc.publisher | Codon Publications | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.subject | Anterior | en_US |
dc.subject | Laparoscopy | en_US |
dc.subject | Partial Nephrectomy | en_US |
dc.subject | Posterior | en_US |
dc.subject | Renal Masses | en_US |
dc.title | Comparison of Posterior and Antero-Lateral Renal Tumors in Retroperitoneal Laparoscopic Partial Nephrectomy: a Propensity Score Matching Analysis | en_US |
dc.type | Article | en_US |