A nomogram predicting intraoperative adverse events during minimally invasive radical nephrectomy and thrombectomy
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View abstract on PubMed
Summary
This summary is machine-generated.Intraoperative adverse events (IOAEs) during minimally invasive radical nephrectomy and thrombectomy (RNAT) are predicted by tumor side, surgical approach, and Mayo grade. IOAEs do not impact long-term cancer survival but increase postoperative complication risk.
Area Of Science
- Urology
- Surgical Oncology
- Minimally Invasive Surgery
Background
- Intraoperative adverse events (IOAEs) can complicate minimally invasive radical nephrectomy and thrombectomy (RNAT).
- Understanding predictive factors and outcomes of IOAEs is crucial for patient management.
Purpose Of The Study
- To identify independent predictors of IOAEs in minimally invasive RNAT.
- To assess the impact of IOAEs on oncological outcomes and postoperative complications.
Main Methods
- Retrospective analysis of 294 patients undergoing minimally invasive RNAT.
- Multivariate logistic regression to determine predictive factors for IOAEs.
- Kaplan-Meier analysis to compare survival outcomes based on IOAE occurrence.
Main Results
- 19.4% of patients experienced IOAEs, most commonly conversion to open surgery and hemorrhage.
- Tumor side, surgical approach, and Mayo grade were independent predictors of IOAEs.
- IOAEs predicted postoperative complications but did not affect overall or cancer-specific survival.
Conclusions
- Tumor side, surgical approach, and Mayo grade are key predictors for IOAEs in minimally invasive RNAT.
- While IOAEs increase postoperative complication risk, they do not compromise long-term oncological outcomes.
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