Adherent perinephric fat affects perioperative outcomes after partial nephrectomy: a systematic review and meta-analysis
Abstract To investigate the association of adherent perinephric fat (APF) with perioperative outcomes, we conducted a systematic review and meta-analysis of the literature to clarify the impact of APF in patients undergoing partial nephrectomy. A systematic literature search using the Medline, Scopu...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Khene, Zine-Eddine [verfasserIn] Dosin, Gilles [verfasserIn] Peyronnet, Benoit [verfasserIn] Gasmi, Anis [verfasserIn] Doumerc, Nicolas [verfasserIn] Ouzaid, Idir [verfasserIn] Pradere, Benjamin [verfasserIn] Brassier, Marie [verfasserIn] Roumiguié, Mathieu [verfasserIn] Mathieu, Romain [verfasserIn] Rioux-Leclercq, Nathalie [verfasserIn] Raman, Jay D. [verfasserIn] Shariat, Shahrokh [verfasserIn] Bensalah, Karim [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2021 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: International journal of clinical oncology - Tokyo : Springer, 1996, 26(2021), 4 vom: 27. Jan., Seite 636-646 |
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| Übergeordnetes Werk: |
volume:26 ; year:2021 ; number:4 ; day:27 ; month:01 ; pages:636-646 |
| Links: |
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| DOI / URN: |
10.1007/s10147-021-01871-6 |
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SPR043550290 |
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| 520 | |a Abstract To investigate the association of adherent perinephric fat (APF) with perioperative outcomes, we conducted a systematic review and meta-analysis of the literature to clarify the impact of APF in patients undergoing partial nephrectomy. A systematic literature search using the Medline, Scopus, and Cochrane databases was performed in April 2019 and updated in November 2019 to identify studies investigating the effect of APF on perioperative outcomes in patients treated with partial nephrectomy with the aim of evaluating its impact on intraoperative, postoperative and oncological outcomes. The Newcastle–Ottawa Scale (NOS) was used to assess the quality of the included studies. A total of 1534 patients in nine nonrandomized, observational studies met our inclusion criteria. Patients with APF were significantly older (p = 0.0001), had a higher BMI (p = 0.0001) and were predominately male (p = 0.003). APF was associated with a higher operative time (p = 0.001) and higher blood loss (p = 0.002). No significant impact of APF was found in terms of postoperative complications, positive margins or length of stay. APF was also found to be associated with malignant renal histology of RCC on final pathology (p = 0.005). APF was associated with some adverse perioperative outcomes, especially a prolonged operating time and higher blood loss. In addition, APF was also associated with underlying renal malignancy, but the precise causal mechanism requires further exploration. | ||
| 650 | 4 | |a Kidney cancer |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Partial nephrectomy |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Robotic surgery |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Complications |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Adherent perinephric fat |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Renal cell carcinoma |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Dosin, Gilles |e verfasserin |4 aut | |
| 700 | 1 | |a Peyronnet, Benoit |e verfasserin |4 aut | |
| 700 | 1 | |a Gasmi, Anis |e verfasserin |4 aut | |
| 700 | 1 | |a Doumerc, Nicolas |e verfasserin |4 aut | |
| 700 | 1 | |a Ouzaid, Idir |e verfasserin |4 aut | |
| 700 | 1 | |a Pradere, Benjamin |e verfasserin |4 aut | |
| 700 | 1 | |a Brassier, Marie |e verfasserin |4 aut | |
| 700 | 1 | |a Roumiguié, Mathieu |e verfasserin |4 aut | |
| 700 | 1 | |a Mathieu, Romain |e verfasserin |4 aut | |
| 700 | 1 | |a Rioux-Leclercq, Nathalie |e verfasserin |4 aut | |
| 700 | 1 | |a Raman, Jay D. |e verfasserin |4 aut | |
| 700 | 1 | |a Shariat, Shahrokh |e verfasserin |4 aut | |
| 700 | 1 | |a Bensalah, Karim |e verfasserin |4 aut | |
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10.1007/s10147-021-01871-6 doi (DE-627)SPR043550290 (DE-599)SPRs10147-021-01871-6-e (SPR)s10147-021-01871-6-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.81 bkl Khene, Zine-Eddine verfasserin aut Adherent perinephric fat affects perioperative outcomes after partial nephrectomy: a systematic review and meta-analysis 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract To investigate the association of adherent perinephric fat (APF) with perioperative outcomes, we conducted a systematic review and meta-analysis of the literature to clarify the impact of APF in patients undergoing partial nephrectomy. A systematic literature search using the Medline, Scopus, and Cochrane databases was performed in April 2019 and updated in November 2019 to identify studies investigating the effect of APF on perioperative outcomes in patients treated with partial nephrectomy with the aim of evaluating its impact on intraoperative, postoperative and oncological outcomes. The Newcastle–Ottawa Scale (NOS) was used to assess the quality of the included studies. A total of 1534 patients in nine nonrandomized, observational studies met our inclusion criteria. Patients with APF were significantly older (p = 0.0001), had a higher BMI (p = 0.0001) and were predominately male (p = 0.003). APF was associated with a higher operative time (p = 0.001) and higher blood loss (p = 0.002). No significant impact of APF was found in terms of postoperative complications, positive margins or length of stay. APF was also found to be associated with malignant renal histology of RCC on final pathology (p = 0.005). APF was associated with some adverse perioperative outcomes, especially a prolonged operating time and higher blood loss. In addition, APF was also associated with underlying renal malignancy, but the precise causal mechanism requires further exploration. Kidney cancer (dpeaa)DE-He213 Partial nephrectomy (dpeaa)DE-He213 Robotic surgery (dpeaa)DE-He213 Complications (dpeaa)DE-He213 Adherent perinephric fat (dpeaa)DE-He213 Renal cell carcinoma (dpeaa)DE-He213 Dosin, Gilles verfasserin aut Peyronnet, Benoit verfasserin aut Gasmi, Anis verfasserin aut Doumerc, Nicolas verfasserin aut Ouzaid, Idir verfasserin aut Pradere, Benjamin verfasserin aut Brassier, Marie verfasserin aut Roumiguié, Mathieu verfasserin aut Mathieu, Romain verfasserin aut Rioux-Leclercq, Nathalie verfasserin aut Raman, Jay D. verfasserin aut Shariat, Shahrokh verfasserin aut Bensalah, Karim verfasserin aut Enthalten in International journal of clinical oncology Tokyo : Springer, 1996 26(2021), 4 vom: 27. Jan., Seite 636-646 (DE-627)300187033 (DE-600)1481773-1 1437-7772 nnns volume:26 year:2021 number:4 day:27 month:01 pages:636-646 https://dx.doi.org/10.1007/s10147-021-01871-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.81 ASE AR 26 2021 4 27 01 636-646 |
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10.1007/s10147-021-01871-6 doi (DE-627)SPR043550290 (DE-599)SPRs10147-021-01871-6-e (SPR)s10147-021-01871-6-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.81 bkl Khene, Zine-Eddine verfasserin aut Adherent perinephric fat affects perioperative outcomes after partial nephrectomy: a systematic review and meta-analysis 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract To investigate the association of adherent perinephric fat (APF) with perioperative outcomes, we conducted a systematic review and meta-analysis of the literature to clarify the impact of APF in patients undergoing partial nephrectomy. A systematic literature search using the Medline, Scopus, and Cochrane databases was performed in April 2019 and updated in November 2019 to identify studies investigating the effect of APF on perioperative outcomes in patients treated with partial nephrectomy with the aim of evaluating its impact on intraoperative, postoperative and oncological outcomes. The Newcastle–Ottawa Scale (NOS) was used to assess the quality of the included studies. A total of 1534 patients in nine nonrandomized, observational studies met our inclusion criteria. Patients with APF were significantly older (p = 0.0001), had a higher BMI (p = 0.0001) and were predominately male (p = 0.003). APF was associated with a higher operative time (p = 0.001) and higher blood loss (p = 0.002). No significant impact of APF was found in terms of postoperative complications, positive margins or length of stay. APF was also found to be associated with malignant renal histology of RCC on final pathology (p = 0.005). APF was associated with some adverse perioperative outcomes, especially a prolonged operating time and higher blood loss. In addition, APF was also associated with underlying renal malignancy, but the precise causal mechanism requires further exploration. Kidney cancer (dpeaa)DE-He213 Partial nephrectomy (dpeaa)DE-He213 Robotic surgery (dpeaa)DE-He213 Complications (dpeaa)DE-He213 Adherent perinephric fat (dpeaa)DE-He213 Renal cell carcinoma (dpeaa)DE-He213 Dosin, Gilles verfasserin aut Peyronnet, Benoit verfasserin aut Gasmi, Anis verfasserin aut Doumerc, Nicolas verfasserin aut Ouzaid, Idir verfasserin aut Pradere, Benjamin verfasserin aut Brassier, Marie verfasserin aut Roumiguié, Mathieu verfasserin aut Mathieu, Romain verfasserin aut Rioux-Leclercq, Nathalie verfasserin aut Raman, Jay D. verfasserin aut Shariat, Shahrokh verfasserin aut Bensalah, Karim verfasserin aut Enthalten in International journal of clinical oncology Tokyo : Springer, 1996 26(2021), 4 vom: 27. Jan., Seite 636-646 (DE-627)300187033 (DE-600)1481773-1 1437-7772 nnns volume:26 year:2021 number:4 day:27 month:01 pages:636-646 https://dx.doi.org/10.1007/s10147-021-01871-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.81 ASE AR 26 2021 4 27 01 636-646 |
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10.1007/s10147-021-01871-6 doi (DE-627)SPR043550290 (DE-599)SPRs10147-021-01871-6-e (SPR)s10147-021-01871-6-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.81 bkl Khene, Zine-Eddine verfasserin aut Adherent perinephric fat affects perioperative outcomes after partial nephrectomy: a systematic review and meta-analysis 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract To investigate the association of adherent perinephric fat (APF) with perioperative outcomes, we conducted a systematic review and meta-analysis of the literature to clarify the impact of APF in patients undergoing partial nephrectomy. A systematic literature search using the Medline, Scopus, and Cochrane databases was performed in April 2019 and updated in November 2019 to identify studies investigating the effect of APF on perioperative outcomes in patients treated with partial nephrectomy with the aim of evaluating its impact on intraoperative, postoperative and oncological outcomes. The Newcastle–Ottawa Scale (NOS) was used to assess the quality of the included studies. A total of 1534 patients in nine nonrandomized, observational studies met our inclusion criteria. Patients with APF were significantly older (p = 0.0001), had a higher BMI (p = 0.0001) and were predominately male (p = 0.003). APF was associated with a higher operative time (p = 0.001) and higher blood loss (p = 0.002). No significant impact of APF was found in terms of postoperative complications, positive margins or length of stay. APF was also found to be associated with malignant renal histology of RCC on final pathology (p = 0.005). APF was associated with some adverse perioperative outcomes, especially a prolonged operating time and higher blood loss. In addition, APF was also associated with underlying renal malignancy, but the precise causal mechanism requires further exploration. Kidney cancer (dpeaa)DE-He213 Partial nephrectomy (dpeaa)DE-He213 Robotic surgery (dpeaa)DE-He213 Complications (dpeaa)DE-He213 Adherent perinephric fat (dpeaa)DE-He213 Renal cell carcinoma (dpeaa)DE-He213 Dosin, Gilles verfasserin aut Peyronnet, Benoit verfasserin aut Gasmi, Anis verfasserin aut Doumerc, Nicolas verfasserin aut Ouzaid, Idir verfasserin aut Pradere, Benjamin verfasserin aut Brassier, Marie verfasserin aut Roumiguié, Mathieu verfasserin aut Mathieu, Romain verfasserin aut Rioux-Leclercq, Nathalie verfasserin aut Raman, Jay D. verfasserin aut Shariat, Shahrokh verfasserin aut Bensalah, Karim verfasserin aut Enthalten in International journal of clinical oncology Tokyo : Springer, 1996 26(2021), 4 vom: 27. Jan., Seite 636-646 (DE-627)300187033 (DE-600)1481773-1 1437-7772 nnns volume:26 year:2021 number:4 day:27 month:01 pages:636-646 https://dx.doi.org/10.1007/s10147-021-01871-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.81 ASE AR 26 2021 4 27 01 636-646 |
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10.1007/s10147-021-01871-6 doi (DE-627)SPR043550290 (DE-599)SPRs10147-021-01871-6-e (SPR)s10147-021-01871-6-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.81 bkl Khene, Zine-Eddine verfasserin aut Adherent perinephric fat affects perioperative outcomes after partial nephrectomy: a systematic review and meta-analysis 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract To investigate the association of adherent perinephric fat (APF) with perioperative outcomes, we conducted a systematic review and meta-analysis of the literature to clarify the impact of APF in patients undergoing partial nephrectomy. A systematic literature search using the Medline, Scopus, and Cochrane databases was performed in April 2019 and updated in November 2019 to identify studies investigating the effect of APF on perioperative outcomes in patients treated with partial nephrectomy with the aim of evaluating its impact on intraoperative, postoperative and oncological outcomes. The Newcastle–Ottawa Scale (NOS) was used to assess the quality of the included studies. A total of 1534 patients in nine nonrandomized, observational studies met our inclusion criteria. Patients with APF were significantly older (p = 0.0001), had a higher BMI (p = 0.0001) and were predominately male (p = 0.003). APF was associated with a higher operative time (p = 0.001) and higher blood loss (p = 0.002). No significant impact of APF was found in terms of postoperative complications, positive margins or length of stay. APF was also found to be associated with malignant renal histology of RCC on final pathology (p = 0.005). APF was associated with some adverse perioperative outcomes, especially a prolonged operating time and higher blood loss. In addition, APF was also associated with underlying renal malignancy, but the precise causal mechanism requires further exploration. Kidney cancer (dpeaa)DE-He213 Partial nephrectomy (dpeaa)DE-He213 Robotic surgery (dpeaa)DE-He213 Complications (dpeaa)DE-He213 Adherent perinephric fat (dpeaa)DE-He213 Renal cell carcinoma (dpeaa)DE-He213 Dosin, Gilles verfasserin aut Peyronnet, Benoit verfasserin aut Gasmi, Anis verfasserin aut Doumerc, Nicolas verfasserin aut Ouzaid, Idir verfasserin aut Pradere, Benjamin verfasserin aut Brassier, Marie verfasserin aut Roumiguié, Mathieu verfasserin aut Mathieu, Romain verfasserin aut Rioux-Leclercq, Nathalie verfasserin aut Raman, Jay D. verfasserin aut Shariat, Shahrokh verfasserin aut Bensalah, Karim verfasserin aut Enthalten in International journal of clinical oncology Tokyo : Springer, 1996 26(2021), 4 vom: 27. Jan., Seite 636-646 (DE-627)300187033 (DE-600)1481773-1 1437-7772 nnns volume:26 year:2021 number:4 day:27 month:01 pages:636-646 https://dx.doi.org/10.1007/s10147-021-01871-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.81 ASE AR 26 2021 4 27 01 636-646 |
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10.1007/s10147-021-01871-6 doi (DE-627)SPR043550290 (DE-599)SPRs10147-021-01871-6-e (SPR)s10147-021-01871-6-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.81 bkl Khene, Zine-Eddine verfasserin aut Adherent perinephric fat affects perioperative outcomes after partial nephrectomy: a systematic review and meta-analysis 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract To investigate the association of adherent perinephric fat (APF) with perioperative outcomes, we conducted a systematic review and meta-analysis of the literature to clarify the impact of APF in patients undergoing partial nephrectomy. A systematic literature search using the Medline, Scopus, and Cochrane databases was performed in April 2019 and updated in November 2019 to identify studies investigating the effect of APF on perioperative outcomes in patients treated with partial nephrectomy with the aim of evaluating its impact on intraoperative, postoperative and oncological outcomes. The Newcastle–Ottawa Scale (NOS) was used to assess the quality of the included studies. A total of 1534 patients in nine nonrandomized, observational studies met our inclusion criteria. Patients with APF were significantly older (p = 0.0001), had a higher BMI (p = 0.0001) and were predominately male (p = 0.003). APF was associated with a higher operative time (p = 0.001) and higher blood loss (p = 0.002). No significant impact of APF was found in terms of postoperative complications, positive margins or length of stay. APF was also found to be associated with malignant renal histology of RCC on final pathology (p = 0.005). APF was associated with some adverse perioperative outcomes, especially a prolonged operating time and higher blood loss. In addition, APF was also associated with underlying renal malignancy, but the precise causal mechanism requires further exploration. Kidney cancer (dpeaa)DE-He213 Partial nephrectomy (dpeaa)DE-He213 Robotic surgery (dpeaa)DE-He213 Complications (dpeaa)DE-He213 Adherent perinephric fat (dpeaa)DE-He213 Renal cell carcinoma (dpeaa)DE-He213 Dosin, Gilles verfasserin aut Peyronnet, Benoit verfasserin aut Gasmi, Anis verfasserin aut Doumerc, Nicolas verfasserin aut Ouzaid, Idir verfasserin aut Pradere, Benjamin verfasserin aut Brassier, Marie verfasserin aut Roumiguié, Mathieu verfasserin aut Mathieu, Romain verfasserin aut Rioux-Leclercq, Nathalie verfasserin aut Raman, Jay D. verfasserin aut Shariat, Shahrokh verfasserin aut Bensalah, Karim verfasserin aut Enthalten in International journal of clinical oncology Tokyo : Springer, 1996 26(2021), 4 vom: 27. Jan., Seite 636-646 (DE-627)300187033 (DE-600)1481773-1 1437-7772 nnns volume:26 year:2021 number:4 day:27 month:01 pages:636-646 https://dx.doi.org/10.1007/s10147-021-01871-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.81 ASE AR 26 2021 4 27 01 636-646 |
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Enthalten in International journal of clinical oncology 26(2021), 4 vom: 27. Jan., Seite 636-646 volume:26 year:2021 number:4 day:27 month:01 pages:636-646 |
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Khene, Zine-Eddine @@aut@@ Dosin, Gilles @@aut@@ Peyronnet, Benoit @@aut@@ Gasmi, Anis @@aut@@ Doumerc, Nicolas @@aut@@ Ouzaid, Idir @@aut@@ Pradere, Benjamin @@aut@@ Brassier, Marie @@aut@@ Roumiguié, Mathieu @@aut@@ Mathieu, Romain @@aut@@ Rioux-Leclercq, Nathalie @@aut@@ Raman, Jay D. @@aut@@ Shariat, Shahrokh @@aut@@ Bensalah, Karim @@aut@@ |
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Khene, Zine-Eddine |
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Khene, Zine-Eddine ddc 610 bkl 44.81 misc Kidney cancer misc Partial nephrectomy misc Robotic surgery misc Complications misc Adherent perinephric fat misc Renal cell carcinoma Adherent perinephric fat affects perioperative outcomes after partial nephrectomy: a systematic review and meta-analysis |
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610 ASE 44.81 bkl Adherent perinephric fat affects perioperative outcomes after partial nephrectomy: a systematic review and meta-analysis Kidney cancer (dpeaa)DE-He213 Partial nephrectomy (dpeaa)DE-He213 Robotic surgery (dpeaa)DE-He213 Complications (dpeaa)DE-He213 Adherent perinephric fat (dpeaa)DE-He213 Renal cell carcinoma (dpeaa)DE-He213 |
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ddc 610 bkl 44.81 misc Kidney cancer misc Partial nephrectomy misc Robotic surgery misc Complications misc Adherent perinephric fat misc Renal cell carcinoma |
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ddc 610 bkl 44.81 misc Kidney cancer misc Partial nephrectomy misc Robotic surgery misc Complications misc Adherent perinephric fat misc Renal cell carcinoma |
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ddc 610 bkl 44.81 misc Kidney cancer misc Partial nephrectomy misc Robotic surgery misc Complications misc Adherent perinephric fat misc Renal cell carcinoma |
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Adherent perinephric fat affects perioperative outcomes after partial nephrectomy: a systematic review and meta-analysis |
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Khene, Zine-Eddine Dosin, Gilles Peyronnet, Benoit Gasmi, Anis Doumerc, Nicolas Ouzaid, Idir Pradere, Benjamin Brassier, Marie Roumiguié, Mathieu Mathieu, Romain Rioux-Leclercq, Nathalie Raman, Jay D. Shariat, Shahrokh Bensalah, Karim |
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adherent perinephric fat affects perioperative outcomes after partial nephrectomy: a systematic review and meta-analysis |
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Adherent perinephric fat affects perioperative outcomes after partial nephrectomy: a systematic review and meta-analysis |
| abstract |
Abstract To investigate the association of adherent perinephric fat (APF) with perioperative outcomes, we conducted a systematic review and meta-analysis of the literature to clarify the impact of APF in patients undergoing partial nephrectomy. A systematic literature search using the Medline, Scopus, and Cochrane databases was performed in April 2019 and updated in November 2019 to identify studies investigating the effect of APF on perioperative outcomes in patients treated with partial nephrectomy with the aim of evaluating its impact on intraoperative, postoperative and oncological outcomes. The Newcastle–Ottawa Scale (NOS) was used to assess the quality of the included studies. A total of 1534 patients in nine nonrandomized, observational studies met our inclusion criteria. Patients with APF were significantly older (p = 0.0001), had a higher BMI (p = 0.0001) and were predominately male (p = 0.003). APF was associated with a higher operative time (p = 0.001) and higher blood loss (p = 0.002). No significant impact of APF was found in terms of postoperative complications, positive margins or length of stay. APF was also found to be associated with malignant renal histology of RCC on final pathology (p = 0.005). APF was associated with some adverse perioperative outcomes, especially a prolonged operating time and higher blood loss. In addition, APF was also associated with underlying renal malignancy, but the precise causal mechanism requires further exploration. |
| abstractGer |
Abstract To investigate the association of adherent perinephric fat (APF) with perioperative outcomes, we conducted a systematic review and meta-analysis of the literature to clarify the impact of APF in patients undergoing partial nephrectomy. A systematic literature search using the Medline, Scopus, and Cochrane databases was performed in April 2019 and updated in November 2019 to identify studies investigating the effect of APF on perioperative outcomes in patients treated with partial nephrectomy with the aim of evaluating its impact on intraoperative, postoperative and oncological outcomes. The Newcastle–Ottawa Scale (NOS) was used to assess the quality of the included studies. A total of 1534 patients in nine nonrandomized, observational studies met our inclusion criteria. Patients with APF were significantly older (p = 0.0001), had a higher BMI (p = 0.0001) and were predominately male (p = 0.003). APF was associated with a higher operative time (p = 0.001) and higher blood loss (p = 0.002). No significant impact of APF was found in terms of postoperative complications, positive margins or length of stay. APF was also found to be associated with malignant renal histology of RCC on final pathology (p = 0.005). APF was associated with some adverse perioperative outcomes, especially a prolonged operating time and higher blood loss. In addition, APF was also associated with underlying renal malignancy, but the precise causal mechanism requires further exploration. |
| abstract_unstemmed |
Abstract To investigate the association of adherent perinephric fat (APF) with perioperative outcomes, we conducted a systematic review and meta-analysis of the literature to clarify the impact of APF in patients undergoing partial nephrectomy. A systematic literature search using the Medline, Scopus, and Cochrane databases was performed in April 2019 and updated in November 2019 to identify studies investigating the effect of APF on perioperative outcomes in patients treated with partial nephrectomy with the aim of evaluating its impact on intraoperative, postoperative and oncological outcomes. The Newcastle–Ottawa Scale (NOS) was used to assess the quality of the included studies. A total of 1534 patients in nine nonrandomized, observational studies met our inclusion criteria. Patients with APF were significantly older (p = 0.0001), had a higher BMI (p = 0.0001) and were predominately male (p = 0.003). APF was associated with a higher operative time (p = 0.001) and higher blood loss (p = 0.002). No significant impact of APF was found in terms of postoperative complications, positive margins or length of stay. APF was also found to be associated with malignant renal histology of RCC on final pathology (p = 0.005). APF was associated with some adverse perioperative outcomes, especially a prolonged operating time and higher blood loss. In addition, APF was also associated with underlying renal malignancy, but the precise causal mechanism requires further exploration. |
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Adherent perinephric fat affects perioperative outcomes after partial nephrectomy: a systematic review and meta-analysis |
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1803587027963215872 |
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<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">SPR043550290</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230519230114.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">210320s2021 xx |||||o 00| ||eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1007/s10147-021-01871-6</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)SPR043550290</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)SPRs10147-021-01871-6-e</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(SPR)s10147-021-01871-6-e</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="082" ind1="0" ind2="4"><subfield code="a">610</subfield><subfield code="q">ASE</subfield></datafield><datafield tag="082" ind1="0" ind2="4"><subfield code="a">610</subfield><subfield code="q">ASE</subfield></datafield><datafield tag="084" ind1=" " ind2=" "><subfield code="a">44.81</subfield><subfield code="2">bkl</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Khene, Zine-Eddine</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Adherent perinephric fat affects perioperative outcomes after partial nephrectomy: a systematic review and meta-analysis</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2021</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Abstract To investigate the association of adherent perinephric fat (APF) with perioperative outcomes, we conducted a systematic review and meta-analysis of the literature to clarify the impact of APF in patients undergoing partial nephrectomy. 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