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

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