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 originating from Florenc e, Italy, by NewsRx correspondents, research stated, “To compare two cohorts of patients submitted to robot-assisted partial nephrectomy (RAPN) for highly-compl ex renal masses (PADUA 10) with versus without the use of 3DVMs. We screened a p rospective consecutive cohort of 152 patients submitted to RAPN with 3DVM and 12 64 patients submitted to RAPN without 3DVM between 2019 and 2022.” Our news editors obtained a quote from the research from the University of Flore nce, “Only PADUA 10 cases were considered eligible for analysis. Propensity scor e matching (PSM) analysis was applied. Primary endpoint was to evaluate whereas RAPNs with 3DVM were superior in terms of functional outcomes at 12-month. Secon dary outcomes were to compare perioperative and oncological outcomes. Multivaria ble logistic regression analyses (MVA) tested the associations of clinically sig nificant eGFR drop and 3DVMs. Subgroups analysis was performed for PAUDA-risk ca tegories. Thirty seven patients for each group were analyzed after PSM. RAPN wit h 3DVM presented a higher rate of selective/no clamping procedure (32.5 % vs 16.2%, = 0.03) and a higher enucleation rate (43.2% vs 29.8%, = 0.04). Twelve-month functional preservation performed b etter within 3DVM group in terms of creatinine serum level (median 1.2 [IQR 1.1-1.4] vs 1.6 [IQR 1.1-1.8] , = 0.03) and eGFR (median 64.6 [IQR 56.2-74.1] vs 52.3 [IQR 49.2-74.1], = 0.03). MVA conf irmed 3DVM as a protective factor for clinically significant eGFR drop in this s ubgroup of patients. RAPN performed with the use of 3DVM assistance for PADUA 10 cases resulted in lower incidence of global ischemia and higher rate of enuclea tions.”
Key words
Florence/Italy/Europe/Emerging Techno logies/Health and Medicine/Machine Learning/Nephrectomy/Robot/Robotics/Sur gery
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