Complications Associated With Partial Nephrectomy for Renal Cancer

Central Hospital, Nancy, France

Status: Completed

Conditions: Partial Nephrectomy; Renal Cancer

Treatments: Procedure: partial nephrectomy

Study type: Observational

Funder types: Other

Identifiers

NCT05168761

2040/1205

Details and patient eligibility

About

This paper evaluates the initial complications and the complications two years postoperatively necessitating re-hospitalisation for three surgical procedures for renal tumour partial nephrectomy .

Full description

This paper evaluates the initial complications and the complications two years postoperatively necessitating re-hospitalisation for three surgical procedures for renal tumour partial nephrectomy (open (OPN), standard laparoscopy (LPN) and robot assisted laparoscopy (RAPN)) in 2016-2017 in France (9119 initial hospitalisations included 4035 OPN, 1900 RAPN, 1709 LPN). The investigators have extracted for these all hospitalisations from the French national hospital data base (PMSI-MCO). The investigators concluded mini-invasive and robotic surgery had lower morbidity and a shorter initial hospitalisation.

Enrollment: 7,664 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• hospitalisations between the 1st January 2016 and the 31st December 2017 with one of the partial nephrectomy codes

Exclusion criteria

• partial nephrectomy for non-cancerous pathology
• no technical information

Trial design

7,664 participants in 3 patient groups

laparoscopic partial nephrectomy

Description:

The investigators included all hospitalisations for LPN using CCAM(Classification Commune des actes médicaux) code (JAFC005) after removing the 83 hospitals using RAPN in 2017. LPN complications were from hospitals using exclusively LPN.

Treatment:

Procedure: partial nephrectomy

open partial nephrectomy

Description:

OPN has its own CCAM codes; they group laparotomy (JAFA019 / JAFA030) and lumbotomy (JAFA008 / JAFA024)

Treatment:

Procedure: partial nephrectomy

robot assisted partial nephrectomy

Description:

At the time of this study, RAPN did not have a specific coding. The investigators had contacted the hospitals with Vinci robotic surgical procedures in 2013 and the investigators included here PN from hospitalisations from the 25 centres using exclusively RAPN for more than five years. Thus, in this study, RAPN was performed by experts in robotic surgery.

Treatment:

Procedure: partial nephrectomy