BACKGROUND: We sought to analyze the predictive factors of intraoperative complications in patients submitted to PN and the impact of intraoperative complications on postoperative outcomes. METHODS: Data of 1055 patients who underwent PN for cortical renal masses were recorded from a multicenter prospective observational study (RECORd1 project). RESULTS: Overall, 48 (5%) patients experienced 49 intraoperative complications (4 medical, 45 surgical). At multivariable analysis, age (OR 1.02, CI 1.00-1.08 p=0.03), imperative vs elective surgical indication (OR 2.55, CI 1.12-5.85, p=0.03), open (OR 5.76, 95%CI 1.05-9.21, p=0.01) and laparoscopic (OR 2.35, CI 1.11-4.95, P=0.03) vs robotic approaches resulted independent predictive factors of intraoperative complications. Patients experiencing intraoperative complications had a significantly higher rate of overall postoperative complications (41.6% vs 17.3%, p<0.0001), surgical postoperative complications (29.2% vs. 12.6%, p<0.0001), Clavien 2 surgical postoperative complications (14.6% vs 7.2%, p=0.05) and a significantly longer length of stay (8 (6-9) vs 7 (5-8) days, p<0.0001) than those with an uneventful intraoperative course. CONCLUSIONS: Efforts should be made to minimize the risk of intraoperative complications during PN, and, in that case, patients should be carefully monitored.
The occurrence of intraoperative complications during partial nephrectomy has a significant impact on postoperative outcome: results from the RECORd1 project / Minervini A, Mari A, Borghesi M, Antonelli A, Bertolo R, Bianchi G, Brunocilla E, Ficarra V, Fiori C, Longo N, Mirone V, Morgia G, Porpiglia F, Rocco B, Serni S, Simeone C, Tellini R, Volpe A, Carini M, Schiavina R. - In: MINERVA UROLOGICA E NEFROLOGICA. - ISSN 0393-2249. - ELETTRONICO. - 71:1(2019), pp. 47-54. [10.23736/S0393-2249.18.03202-2]
The occurrence of intraoperative complications during partial nephrectomy has a significant impact on postoperative outcome: results from the RECORd1 project.
Borghesi M;Brunocilla E;Schiavina R
2019
Abstract
BACKGROUND: We sought to analyze the predictive factors of intraoperative complications in patients submitted to PN and the impact of intraoperative complications on postoperative outcomes. METHODS: Data of 1055 patients who underwent PN for cortical renal masses were recorded from a multicenter prospective observational study (RECORd1 project). RESULTS: Overall, 48 (5%) patients experienced 49 intraoperative complications (4 medical, 45 surgical). At multivariable analysis, age (OR 1.02, CI 1.00-1.08 p=0.03), imperative vs elective surgical indication (OR 2.55, CI 1.12-5.85, p=0.03), open (OR 5.76, 95%CI 1.05-9.21, p=0.01) and laparoscopic (OR 2.35, CI 1.11-4.95, P=0.03) vs robotic approaches resulted independent predictive factors of intraoperative complications. Patients experiencing intraoperative complications had a significantly higher rate of overall postoperative complications (41.6% vs 17.3%, p<0.0001), surgical postoperative complications (29.2% vs. 12.6%, p<0.0001), Clavien 2 surgical postoperative complications (14.6% vs 7.2%, p=0.05) and a significantly longer length of stay (8 (6-9) vs 7 (5-8) days, p<0.0001) than those with an uneventful intraoperative course. CONCLUSIONS: Efforts should be made to minimize the risk of intraoperative complications during PN, and, in that case, patients should be carefully monitored.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
