| Item type |
文献 / Documents(1) |
| 公開日 |
2025-12-10 |
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版社版DOI |
|
|
|
関連識別子 |
https://doi.org/10.1007/s00345-024-04917-2 |
|
|
関連名称 |
10.1007/s00345-024-04917-2 |
| 出版タイプ |
|
|
出版タイプ |
AM |
|
出版タイプResource |
http://purl.org/coar/version/c_ab4af688f83e57aa |
| タイトル |
|
|
タイトル |
Robot-assisted partial nephrectomy in younger versus older adults with renal cell carcinoma : a propensity score-matched analysis |
| 著者 |
冨田, 諒太郎
布川, 朋也
楠原, 義人
Hashimoto, Keisuke
Shiozaki, Keito
Izumi, Kazuyoshi
Ninomiya, Iku
Kadoriku, Fumiya
井﨑, 博文
Naroda, Takushi
Okamoto, Kenjiro
Kawanishi, Yasuo
金山, 博臣
高橋, 正幸
|
| 抄録 |
|
|
内容記述 |
Purpose
Our study aimed to compare the surgical outcomes of robot-assisted partial nephrectomy (RAPN) between younger and older patients after adjusting for their background differences. We particularly assessed RAPN outcomes and safety in older patients.
Methods
We retrospectively evaluated 559 patients clinically diagnosed with T1 renal cell carcinoma (RCC) and treated with RAPN between 2013 and 2022 at five institutions in Japan. The patients were classified into two groups according to their age during surgery (younger group: <75 years, older group: ≥75 years). Propensity score matching (PSM) was performed to adjust for the differences in the backgrounds between younger and older patients, and surgical outcomes were compared.
Results
Among the 559 patients, 422 (75.5%) and 137 (24.5%) were classified into the younger and older groups, respectively; 204 and 102 patients from the younger and older groups were matched according to PSM, respectively. Subsequently, patient characteristics other than age were not significantly different between the two groups. In the matched cohort, the older group had more patients with major complications (younger, 3.0%; older, 8.8%; P=0.045).
Conclusion
Surgical outcomes of RAPN in older patients with RCC were comparable with those in younger patients, although older patients experienced-significantly more complications than younger patients. These results suggest the need for further detailed preoperative evaluation and appropriate postoperative management in older patients receiving RAPN. |
| キーワード |
|
|
主題 |
Robot-assisted partial nephrectomy |
| キーワード |
|
|
主題 |
Renal cell carcinoma |
| キーワード |
|
|
主題 |
Chronic kidney disease |
| キーワード |
|
|
主題 |
Robot-assisted surgery |
| 書誌情報 |
en : World Journal of Urology
巻 42,
号 1,
p. 326,
発行日 2024-05-15
|
| 収録物ID |
|
|
収録物識別子タイプ |
EISSN |
|
収録物識別子 |
14338726 |
| 収録物ID |
|
|
収録物識別子タイプ |
PISSN |
|
収録物識別子 |
07244983 |
| 収録物ID |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA10638523 |
| 出版者 |
|
|
出版者 |
Springer Nature |
| 備考 |
|
|
値 |
This version of the article has been accepted for publication, after peer review (when applicable) and is subject to Springer Nature’s AM terms of use, but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at: https://doi.org/10.1007/s00345-024-04917-2 |
| EID |
|
|
識別子 |
442958 |
| 言語 |
|
|
言語 |
eng |
wju_42_1_326.pdf (606 KB)
