首页|University of Verona Reports Findings in Nephrectomy (Postoperative outcomes of transperitoneal versus retroperitoneal robotic partial nephrectomy:a propensity -score matched comparison focused on patient mobilization,return to bowel funct ion,...)
University of Verona Reports Findings in Nephrectomy (Postoperative outcomes of transperitoneal versus retroperitoneal robotic partial nephrectomy:a propensity -score matched comparison focused on patient mobilization,return to bowel funct ion,...)
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By a News Reporter-Staff News Editor at Robotics & Machine Learning Daily News Daily News-New research on Surgery - Nephrectomy is the subject of a report.According to news reporting from Verona,Italy,by N ewsRx journalists,research stated,"Literature meta-analyses comparing transper itoneal versus retroperitoneal approach to robotic partial nephrectomy (RPN) sug gested some advantages favoring retroperitoneoscopy.Unfortunately,patient-cent ered data about mobilization,canalization,pain,and use of painkillers remaine d anecdotally reported." Financial support for this research came from Universita degli Studi di Verona.The news correspondents obtained a quote from the research from the University o f Verona,"The present analysis aimed to compare transperitoneal versus retroper itoneal RPN focusing on such outcomes.Study data including baseline variables,perioperative,and postoperative outcomes of interest were retrieved from prospe ctively maintained institutional database (Jan 2018-May 2023) and compared betwe en treatment groups (transperitoneal versus retroperitoneal).Propensity score m atching was performed using the STATA command psmatch2 considering age,sex,bod y mass index,previous abdominal surgery,RENAL score,tumor size and location,and cT stage.The logit of propensity score was used for matching,with a 1:1 ne arest neighbor algorithm,without replacement (caliper of 0.001).A total of 442 patients were included in the unmatched analysis:330 underwent transperitoneal RPN 112 retroperitoneal RPN.After propensity score,98 patients who underwent retroperitoneal RPN were matched with 98 patients who underwent transperitoneal RPN.Matched cohorts had comparable patients' demographics and tumor features.W e found similarity between the two laparoscopic accesses in all outcomes but in blood loss,which favored retroperitoneoscopic RPN (median 150 (IQR 100-300) ver sus 100 (IQR 0-100) ml,p = 0.03).No differences were found in terms of time to mobilization with ambulation,return to complete bowel function,postoperative pain,but higher painkillers consumption was reported after transperitoneal RPN (p <0.004).The present study compared the transperitoneal versus the retroperitoneal approach to RPN,confirming the similarity between t he two approaches in all perioperative outcomes."
VeronaItalyEuropeEmerging Technolo giesHealth and MedicineMachine LearningNephrectomyRoboticsRobotsSurg eryUrologic Surgical Procedures
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