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Oncologic outcomes after minimally invasive surgery for cT1 renal masses: a comprehensive review
Mihai Dorin Vartolomei1,2, Beat Foerster1,3, Shoji Kimura1,4
1Department of Urology, Medical University of Vienna, Vienna, Austria.
Purpose Of Review:
To evaluate current literature reporting oncologic outcomes after robot-assisted partial nephrectomy (RAPN) and laparoscopic partial nephrectomy (LPN).
Recent Findings:
Recently, there have been published first mid-term results after RAPN (5 years). To date, there are no randomized trials to guide decision-making regarding LPN or robotic partial nephrectomy (RPN), and such trials are unlikely to be forthcoming, given the rapid adoption of RAPN worldwide. We performed a literature search according to Cochrane guidelines up to 1 September 2017, including studies that had more than 40 months of oncologic follow-up.
Summary:
A total of 2933 patients were included from 14 studies (1498 RAPN, 1525 LPN). RAPN had similar mid-term (5 years) oncologic outcomes as LPN. Large collaborative efforts are still necessary to provide solid long-term oncologic outcomes of open, laparoscopic, and RPN.
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