LPN in Patients With High-complex Renal Tumors

Samsun Liv Hospital

Status: Completed

Conditions: Oncology; Urologic Cancer; Surgery; Renal Neoplasm; Renal Cancer; Kidney Neoplasms; Kidney Injury; Kidney Ischemia; Renal Cell Carcinoma; Urologic Neoplasms

Treatments: Procedure: Laparoscopic radical nephrectomy; Procedure: laparoscopic partial nephrectomy

Study type: Observational

Funder types: Other

Identifiers

NCT04933604

OMU KAEK 11.07.2019/538

Details and patient eligibility

About

The study aims to investigate the rationale for LPN in patients with high-complexity renal tumors in terms of oncologic and functional outcomes.

Full description

From November 2009 to October 2018, 399 patients underwent LPN and 307 patients to laparoscopic radical nephrectomy (LRN). 41 patients with RENAL score ≥ 10 enrolled in LPN and 265 patients to the LRN group. Propensity score matching (matched by age, gender, clinical tumor stage, tumor size, baseline renal function, comorbidities such as diabetes mellitus (DM), hypertension (HT), coronary artery disease (CAD), and final tumor pathology of RCC) was used to reduce selection bias. Functional and oncological outcomes were compared between the two groups. After propensity score analysis, 39 patients in the LRN group were matched with 39 in the LPN group.

Enrollment: 78 patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients with complete data
• Patients with single renal tumor on the effected side
• Patients who approved the written consent form

Exclusion criteria

• Patients who not approved the written consent form
• Patients with incomplete data
• Patients with low or mild complexity renal tumors

Trial design

78 participants in 2 patient groups

LPN group

Description:

39 patients with high complexity renal tumors who underwent laparoscopic partial nephrectomy

Treatment:

Procedure: laparoscopic partial nephrectomy

LRN group

Description:

39 patients with high complexity renal tumors who underwent laparoscopic radical nephrectomy

Treatment:

Procedure: Laparoscopic radical nephrectomy