Comparison of tumor enucleation and standard partial nephrectomy according to trifecta outcomes: A multicenter study by the Turkish Academy of Urology, Uro-Oncology Working Group

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dc.authorid0000-0003-3916-6625en_US
dc.contributor.authorCulpan, Meftun
dc.contributor.authorAtış, Gökhan
dc.contributor.authorSanlı, Öner
dc.contributor.authorBozkurt, Yaşar
dc.contributor.authorAtmaca, Ali Fuat
dc.contributor.authorSemerci, Bülent
dc.contributor.authorKutsal, Cemil
dc.contributor.authorCanda, Abdullah Erdem
dc.contributor.authorAkbulut, Fatih
dc.contributor.authorTuğcu, Volkan
dc.contributor.authorBoylu, Uğur
dc.contributor.authorErturhan, Sakip
dc.contributor.authorKoca, Orhan
dc.contributor.authorHalis, Fikret
dc.contributor.authorSoyupek, Sedat
dc.contributor.authorTurna, Burak
dc.contributor.authorÇakmak, Sedat
dc.contributor.authorŞahin, Selçuk
dc.contributor.authorErdem, Selçuk
dc.contributor.authorYıldırım, Asif
dc.date.accessioned2021-12-30T11:23:31Z
dc.date.available2021-12-30T11:23:31Z
dc.date.issued2021en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalıen_US
dc.descriptionWOS:000730954400001
dc.descriptionPMID: 34913804
dc.description.abstractIntroduction We aimed to evaluate the impact of the resection technique (tumor enucleation (TE) or standard partial nephrectomy (SPN)) on trifecta outcomes in patients having undergone partial nephrectomy (PN). Materials and Methods We retrospectively analyzed the clinical and pathologic parameters in patients with localized renal cell carcinoma (pT1-2N0M0) who had undergone PN between January 2001-December 2018 at one of 15 different tertiary referral centers. Multivariable logistic regression analysis was applied to investigate independent predictors of trifecta failure, decreased postoperative renal functions (decreased estimated glomerular filtration rate (eGFR) > 10%), perioperative complications (Clavien-Dindo > 1), and positive surgical margins. Results A total of 1070 patients with a mean age 56.11 +/- 11.88 years were included in our study. PN was performed with TE in 848 (79.25%) and SPN in 222 (20.75%) patients. Trifecta failure rate was 56.2% for TE and 64.4% for SPN (p = 0.028). On multivariable analysis, TE was associated with less trifecta failure (p = 0.025) and eGFR decrease >10% rates (p = 0.024). On the other hand, there was no statistically significant difference between TE and SPN according to positive surgical margins (p = 0.450) and complication > Clavien-Dindo grade 1 (p = 0.888) rates. The only independent predictive factor for complications > Clavien-Dindo 1 was the Charlson comorbidity index (CCI) (p = 0.001). Conclusion TE is associated with less trifecta failure than SPN. This result is mainly due to better preservation of renal function with TE.en_US
dc.identifier.citationCulpan, M., Atış, G., Sanlı, Ö., Bozkurt, Y., Atmaca, A.F., Semerci, B. ve diğerleri. (2021). Comparison of tumor enucleation and standard partial nephrectomy according to trifecta outcomes: A multicenter study by the Turkish Academy of Urology, Uro-Oncology Working Group. Journal of Investigative Surgery. Early Access, 1-8.en_US
dc.identifier.doi10.1080/08941939.2021.2015490
dc.identifier.endpage8en_US
dc.identifier.issn0894-1939
dc.identifier.issn1521-0553
dc.identifier.pmid34913804
dc.identifier.scopus2-s2.0-85121484825
dc.identifier.scopusqualityQ1
dc.identifier.startpage1en_US
dc.identifier.urihttps://hdl.handle.net/11468/8888
dc.identifier.volumeEarly Accessen_US
dc.identifier.wosWOS:000730954400001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorBozkurt, Yaşar
dc.language.isoenen_US
dc.publisherTaylor & Francisen_US
dc.relation.ispartofJournal of Investigative Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectComplicationen_US
dc.subjectEnucleationen_US
dc.subjectPartial nephrectomyen_US
dc.subjectRCCen_US
dc.subjectTrifectaen_US
dc.titleComparison of tumor enucleation and standard partial nephrectomy according to trifecta outcomes: A multicenter study by the Turkish Academy of Urology, Uro-Oncology Working Groupen_US
dc.titleComparison of tumor enucleation and standard partial nephrectomy according to trifecta outcomes: A multicenter study by the Turkish Academy of Urology, Uro-Oncology Working Group
dc.typeArticleen_US

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