Open versus mini-invasive partial and radical nephrectomy complications: results from the French national health database

Background Laparoscopic surgery is associated with a lower morbidity than open surgery. No recent data compared kidney cancer surgery in the French population using the National Health Insurance database (PMSI-MCO). Aims We explore and compare the surgical morbidity rates between laparoscopic and op...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Pascal, Guillaume [verfasserIn] Eschwège, Pascal [verfasserIn] Salleron, Julia [verfasserIn] Balkau, Beverley [verfasserIn] Hubert, Jacques [verfasserIn] Mazeaud, Charles [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2024

Schlagwörter:	Complications Kidney Laparoscopy Neoplasia Surgery

Anmerkung:	© The Author(s) 2024

Übergeordnetes Werk:	Enthalten in: BMC urology - BioMed Central, 2001, 24(2024), 1 vom: 21. Okt.
Übergeordnetes Werk:	volume:24 ; year:2024 ; number:1 ; day:21 ; month:10

Links:	Volltext

DOI / URN:	10.1186/s12894-024-01620-7

Katalog-ID:	SPR057937346

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520			\|a Background Laparoscopic surgery is associated with a lower morbidity than open surgery. No recent data compared kidney cancer surgery in the French population using the National Health Insurance database (PMSI-MCO). Aims We explore and compare the surgical morbidity rates between laparoscopic and open laparotomy for kidney cancer. Methods The initial length of stay and complications parameters during the three postoperative months were described for renal cancer in every French center in 2018. We compared Relative Risks (RR [95% CI]) between laparoscopic and open surgery for both radical and partial nephrectomy. Results Among 8,162 patients, 3,525 had a radical nephrectomy, 978 open, 2,547 laparoscopic surgeries; 4,637 patients had partial nephrectomies, 1,778 open 2,859 laparoscopic surgeries. For radical surgery, the most common complications were urinary infections (7.8%), acute renal failure (8.9%), sepsis (8.4%), bleeding (9.3%), and postoperative anemia (5.9%); the RR for laparoscopic versus open surgery were respectively 0.68 [0.54;0.86], 0.71 [0.57;0.88], 0.69 [0.55;0.86], 0.83 [0.66;1.03], 0.56 [0.43;0.73]. For partial nephrectomies, the most common complications were urinary infections (7.7%), bleeding (11.6%), and postoperative anemia (5.8%), with RR of 0.71 [0.58;0.87], 0.61 [0.52;0.71], and 0.64 [0.51;0.81]. The mean length of stay was 7.7 for open radical nephrectomy, 6.3 for laparoscopic radical nephrectomy, 7.5 for open partial nephrectomy, and 5 for laparoscopic partial nephrectomy. Conclusions The laparoscopic approach had fewer postoperative complications and a shorter length of stay than open surgery for partial and radical nephrectomy. The PMSI analysis provided an exhaustive description of surgical practice for kidney cancer and surgical complications in France. Clinical trial number Not applicable.
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allfields	10.1186/s12894-024-01620-7 doi (DE-627)SPR057937346 (SPR)s12894-024-01620-7-e DE-627 ger DE-627 rakwb eng 610 VZ 44.00 bkl Pascal, Guillaume verfasserin (orcid)0000-0003-0414-6093 aut Open versus mini-invasive partial and radical nephrectomy complications: results from the French national health database 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Laparoscopic surgery is associated with a lower morbidity than open surgery. No recent data compared kidney cancer surgery in the French population using the National Health Insurance database (PMSI-MCO). Aims We explore and compare the surgical morbidity rates between laparoscopic and open laparotomy for kidney cancer. Methods The initial length of stay and complications parameters during the three postoperative months were described for renal cancer in every French center in 2018. We compared Relative Risks (RR [95% CI]) between laparoscopic and open surgery for both radical and partial nephrectomy. Results Among 8,162 patients, 3,525 had a radical nephrectomy, 978 open, 2,547 laparoscopic surgeries; 4,637 patients had partial nephrectomies, 1,778 open 2,859 laparoscopic surgeries. For radical surgery, the most common complications were urinary infections (7.8%), acute renal failure (8.9%), sepsis (8.4%), bleeding (9.3%), and postoperative anemia (5.9%); the RR for laparoscopic versus open surgery were respectively 0.68 [0.54;0.86], 0.71 [0.57;0.88], 0.69 [0.55;0.86], 0.83 [0.66;1.03], 0.56 [0.43;0.73]. For partial nephrectomies, the most common complications were urinary infections (7.7%), bleeding (11.6%), and postoperative anemia (5.8%), with RR of 0.71 [0.58;0.87], 0.61 [0.52;0.71], and 0.64 [0.51;0.81]. The mean length of stay was 7.7 for open radical nephrectomy, 6.3 for laparoscopic radical nephrectomy, 7.5 for open partial nephrectomy, and 5 for laparoscopic partial nephrectomy. Conclusions The laparoscopic approach had fewer postoperative complications and a shorter length of stay than open surgery for partial and radical nephrectomy. The PMSI analysis provided an exhaustive description of surgical practice for kidney cancer and surgical complications in France. Clinical trial number Not applicable. Complications (dpeaa)DE-He213 Kidney (dpeaa)DE-He213 Laparoscopy (dpeaa)DE-He213 Neoplasia (dpeaa)DE-He213 Surgery (dpeaa)DE-He213 Eschwège, Pascal verfasserin aut Salleron, Julia verfasserin aut Balkau, Beverley verfasserin aut Hubert, Jacques verfasserin aut Mazeaud, Charles verfasserin aut Enthalten in BMC urology BioMed Central, 2001 24(2024), 1 vom: 21. Okt. (DE-627)335488811 (DE-600)2059857-9 1471-2490 nnns volume:24 year:2024 number:1 day:21 month:10 https://dx.doi.org/10.1186/s12894-024-01620-7 X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_72 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 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_4338 GBV_ILN_4367 GBV_ILN_4700 44.00 VZ AR 24 2024 1 21 10
spelling	10.1186/s12894-024-01620-7 doi (DE-627)SPR057937346 (SPR)s12894-024-01620-7-e DE-627 ger DE-627 rakwb eng 610 VZ 44.00 bkl Pascal, Guillaume verfasserin (orcid)0000-0003-0414-6093 aut Open versus mini-invasive partial and radical nephrectomy complications: results from the French national health database 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Laparoscopic surgery is associated with a lower morbidity than open surgery. No recent data compared kidney cancer surgery in the French population using the National Health Insurance database (PMSI-MCO). Aims We explore and compare the surgical morbidity rates between laparoscopic and open laparotomy for kidney cancer. Methods The initial length of stay and complications parameters during the three postoperative months were described for renal cancer in every French center in 2018. We compared Relative Risks (RR [95% CI]) between laparoscopic and open surgery for both radical and partial nephrectomy. Results Among 8,162 patients, 3,525 had a radical nephrectomy, 978 open, 2,547 laparoscopic surgeries; 4,637 patients had partial nephrectomies, 1,778 open 2,859 laparoscopic surgeries. For radical surgery, the most common complications were urinary infections (7.8%), acute renal failure (8.9%), sepsis (8.4%), bleeding (9.3%), and postoperative anemia (5.9%); the RR for laparoscopic versus open surgery were respectively 0.68 [0.54;0.86], 0.71 [0.57;0.88], 0.69 [0.55;0.86], 0.83 [0.66;1.03], 0.56 [0.43;0.73]. For partial nephrectomies, the most common complications were urinary infections (7.7%), bleeding (11.6%), and postoperative anemia (5.8%), with RR of 0.71 [0.58;0.87], 0.61 [0.52;0.71], and 0.64 [0.51;0.81]. The mean length of stay was 7.7 for open radical nephrectomy, 6.3 for laparoscopic radical nephrectomy, 7.5 for open partial nephrectomy, and 5 for laparoscopic partial nephrectomy. Conclusions The laparoscopic approach had fewer postoperative complications and a shorter length of stay than open surgery for partial and radical nephrectomy. The PMSI analysis provided an exhaustive description of surgical practice for kidney cancer and surgical complications in France. Clinical trial number Not applicable. Complications (dpeaa)DE-He213 Kidney (dpeaa)DE-He213 Laparoscopy (dpeaa)DE-He213 Neoplasia (dpeaa)DE-He213 Surgery (dpeaa)DE-He213 Eschwège, Pascal verfasserin aut Salleron, Julia verfasserin aut Balkau, Beverley verfasserin aut Hubert, Jacques verfasserin aut Mazeaud, Charles verfasserin aut Enthalten in BMC urology BioMed Central, 2001 24(2024), 1 vom: 21. Okt. (DE-627)335488811 (DE-600)2059857-9 1471-2490 nnns volume:24 year:2024 number:1 day:21 month:10 https://dx.doi.org/10.1186/s12894-024-01620-7 X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_72 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 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_4338 GBV_ILN_4367 GBV_ILN_4700 44.00 VZ AR 24 2024 1 21 10
allfields_unstemmed	10.1186/s12894-024-01620-7 doi (DE-627)SPR057937346 (SPR)s12894-024-01620-7-e DE-627 ger DE-627 rakwb eng 610 VZ 44.00 bkl Pascal, Guillaume verfasserin (orcid)0000-0003-0414-6093 aut Open versus mini-invasive partial and radical nephrectomy complications: results from the French national health database 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Laparoscopic surgery is associated with a lower morbidity than open surgery. No recent data compared kidney cancer surgery in the French population using the National Health Insurance database (PMSI-MCO). Aims We explore and compare the surgical morbidity rates between laparoscopic and open laparotomy for kidney cancer. Methods The initial length of stay and complications parameters during the three postoperative months were described for renal cancer in every French center in 2018. We compared Relative Risks (RR [95% CI]) between laparoscopic and open surgery for both radical and partial nephrectomy. Results Among 8,162 patients, 3,525 had a radical nephrectomy, 978 open, 2,547 laparoscopic surgeries; 4,637 patients had partial nephrectomies, 1,778 open 2,859 laparoscopic surgeries. For radical surgery, the most common complications were urinary infections (7.8%), acute renal failure (8.9%), sepsis (8.4%), bleeding (9.3%), and postoperative anemia (5.9%); the RR for laparoscopic versus open surgery were respectively 0.68 [0.54;0.86], 0.71 [0.57;0.88], 0.69 [0.55;0.86], 0.83 [0.66;1.03], 0.56 [0.43;0.73]. For partial nephrectomies, the most common complications were urinary infections (7.7%), bleeding (11.6%), and postoperative anemia (5.8%), with RR of 0.71 [0.58;0.87], 0.61 [0.52;0.71], and 0.64 [0.51;0.81]. The mean length of stay was 7.7 for open radical nephrectomy, 6.3 for laparoscopic radical nephrectomy, 7.5 for open partial nephrectomy, and 5 for laparoscopic partial nephrectomy. Conclusions The laparoscopic approach had fewer postoperative complications and a shorter length of stay than open surgery for partial and radical nephrectomy. The PMSI analysis provided an exhaustive description of surgical practice for kidney cancer and surgical complications in France. Clinical trial number Not applicable. Complications (dpeaa)DE-He213 Kidney (dpeaa)DE-He213 Laparoscopy (dpeaa)DE-He213 Neoplasia (dpeaa)DE-He213 Surgery (dpeaa)DE-He213 Eschwège, Pascal verfasserin aut Salleron, Julia verfasserin aut Balkau, Beverley verfasserin aut Hubert, Jacques verfasserin aut Mazeaud, Charles verfasserin aut Enthalten in BMC urology BioMed Central, 2001 24(2024), 1 vom: 21. Okt. (DE-627)335488811 (DE-600)2059857-9 1471-2490 nnns volume:24 year:2024 number:1 day:21 month:10 https://dx.doi.org/10.1186/s12894-024-01620-7 X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_72 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 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_4338 GBV_ILN_4367 GBV_ILN_4700 44.00 VZ AR 24 2024 1 21 10
allfieldsGer	10.1186/s12894-024-01620-7 doi (DE-627)SPR057937346 (SPR)s12894-024-01620-7-e DE-627 ger DE-627 rakwb eng 610 VZ 44.00 bkl Pascal, Guillaume verfasserin (orcid)0000-0003-0414-6093 aut Open versus mini-invasive partial and radical nephrectomy complications: results from the French national health database 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Laparoscopic surgery is associated with a lower morbidity than open surgery. No recent data compared kidney cancer surgery in the French population using the National Health Insurance database (PMSI-MCO). Aims We explore and compare the surgical morbidity rates between laparoscopic and open laparotomy for kidney cancer. Methods The initial length of stay and complications parameters during the three postoperative months were described for renal cancer in every French center in 2018. We compared Relative Risks (RR [95% CI]) between laparoscopic and open surgery for both radical and partial nephrectomy. Results Among 8,162 patients, 3,525 had a radical nephrectomy, 978 open, 2,547 laparoscopic surgeries; 4,637 patients had partial nephrectomies, 1,778 open 2,859 laparoscopic surgeries. For radical surgery, the most common complications were urinary infections (7.8%), acute renal failure (8.9%), sepsis (8.4%), bleeding (9.3%), and postoperative anemia (5.9%); the RR for laparoscopic versus open surgery were respectively 0.68 [0.54;0.86], 0.71 [0.57;0.88], 0.69 [0.55;0.86], 0.83 [0.66;1.03], 0.56 [0.43;0.73]. For partial nephrectomies, the most common complications were urinary infections (7.7%), bleeding (11.6%), and postoperative anemia (5.8%), with RR of 0.71 [0.58;0.87], 0.61 [0.52;0.71], and 0.64 [0.51;0.81]. The mean length of stay was 7.7 for open radical nephrectomy, 6.3 for laparoscopic radical nephrectomy, 7.5 for open partial nephrectomy, and 5 for laparoscopic partial nephrectomy. Conclusions The laparoscopic approach had fewer postoperative complications and a shorter length of stay than open surgery for partial and radical nephrectomy. The PMSI analysis provided an exhaustive description of surgical practice for kidney cancer and surgical complications in France. Clinical trial number Not applicable. Complications (dpeaa)DE-He213 Kidney (dpeaa)DE-He213 Laparoscopy (dpeaa)DE-He213 Neoplasia (dpeaa)DE-He213 Surgery (dpeaa)DE-He213 Eschwège, Pascal verfasserin aut Salleron, Julia verfasserin aut Balkau, Beverley verfasserin aut Hubert, Jacques verfasserin aut Mazeaud, Charles verfasserin aut Enthalten in BMC urology BioMed Central, 2001 24(2024), 1 vom: 21. Okt. (DE-627)335488811 (DE-600)2059857-9 1471-2490 nnns volume:24 year:2024 number:1 day:21 month:10 https://dx.doi.org/10.1186/s12894-024-01620-7 X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_72 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 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_4338 GBV_ILN_4367 GBV_ILN_4700 44.00 VZ AR 24 2024 1 21 10
allfieldsSound	10.1186/s12894-024-01620-7 doi (DE-627)SPR057937346 (SPR)s12894-024-01620-7-e DE-627 ger DE-627 rakwb eng 610 VZ 44.00 bkl Pascal, Guillaume verfasserin (orcid)0000-0003-0414-6093 aut Open versus mini-invasive partial and radical nephrectomy complications: results from the French national health database 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Laparoscopic surgery is associated with a lower morbidity than open surgery. No recent data compared kidney cancer surgery in the French population using the National Health Insurance database (PMSI-MCO). Aims We explore and compare the surgical morbidity rates between laparoscopic and open laparotomy for kidney cancer. Methods The initial length of stay and complications parameters during the three postoperative months were described for renal cancer in every French center in 2018. We compared Relative Risks (RR [95% CI]) between laparoscopic and open surgery for both radical and partial nephrectomy. Results Among 8,162 patients, 3,525 had a radical nephrectomy, 978 open, 2,547 laparoscopic surgeries; 4,637 patients had partial nephrectomies, 1,778 open 2,859 laparoscopic surgeries. For radical surgery, the most common complications were urinary infections (7.8%), acute renal failure (8.9%), sepsis (8.4%), bleeding (9.3%), and postoperative anemia (5.9%); the RR for laparoscopic versus open surgery were respectively 0.68 [0.54;0.86], 0.71 [0.57;0.88], 0.69 [0.55;0.86], 0.83 [0.66;1.03], 0.56 [0.43;0.73]. For partial nephrectomies, the most common complications were urinary infections (7.7%), bleeding (11.6%), and postoperative anemia (5.8%), with RR of 0.71 [0.58;0.87], 0.61 [0.52;0.71], and 0.64 [0.51;0.81]. The mean length of stay was 7.7 for open radical nephrectomy, 6.3 for laparoscopic radical nephrectomy, 7.5 for open partial nephrectomy, and 5 for laparoscopic partial nephrectomy. Conclusions The laparoscopic approach had fewer postoperative complications and a shorter length of stay than open surgery for partial and radical nephrectomy. The PMSI analysis provided an exhaustive description of surgical practice for kidney cancer and surgical complications in France. Clinical trial number Not applicable. Complications (dpeaa)DE-He213 Kidney (dpeaa)DE-He213 Laparoscopy (dpeaa)DE-He213 Neoplasia (dpeaa)DE-He213 Surgery (dpeaa)DE-He213 Eschwège, Pascal verfasserin aut Salleron, Julia verfasserin aut Balkau, Beverley verfasserin aut Hubert, Jacques verfasserin aut Mazeaud, Charles verfasserin aut Enthalten in BMC urology BioMed Central, 2001 24(2024), 1 vom: 21. Okt. (DE-627)335488811 (DE-600)2059857-9 1471-2490 nnns volume:24 year:2024 number:1 day:21 month:10 https://dx.doi.org/10.1186/s12894-024-01620-7 X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_72 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 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_4338 GBV_ILN_4367 GBV_ILN_4700 44.00 VZ AR 24 2024 1 21 10
language	English
source	Enthalten in BMC urology 24(2024), 1 vom: 21. Okt. volume:24 year:2024 number:1 day:21 month:10
sourceStr	Enthalten in BMC urology 24(2024), 1 vom: 21. Okt. volume:24 year:2024 number:1 day:21 month:10
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institution	findex.gbv.de
topic_facet	Complications Kidney Laparoscopy Neoplasia Surgery
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authorswithroles_txt_mv	Pascal, Guillaume @@aut@@ Eschwège, Pascal @@aut@@ Salleron, Julia @@aut@@ Balkau, Beverley @@aut@@ Hubert, Jacques @@aut@@ Mazeaud, Charles @@aut@@
publishDateDaySort_date	2024-10-21T00:00:00Z
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No recent data compared kidney cancer surgery in the French population using the National Health Insurance database (PMSI-MCO). Aims We explore and compare the surgical morbidity rates between laparoscopic and open laparotomy for kidney cancer. Methods The initial length of stay and complications parameters during the three postoperative months were described for renal cancer in every French center in 2018. We compared Relative Risks (RR [95% CI]) between laparoscopic and open surgery for both radical and partial nephrectomy. Results Among 8,162 patients, 3,525 had a radical nephrectomy, 978 open, 2,547 laparoscopic surgeries; 4,637 patients had partial nephrectomies, 1,778 open 2,859 laparoscopic surgeries. For radical surgery, the most common complications were urinary infections (7.8%), acute renal failure (8.9%), sepsis (8.4%), bleeding (9.3%), and postoperative anemia (5.9%); the RR for laparoscopic versus open surgery were respectively 0.68 [0.54;0.86], 0.71 [0.57;0.88], 0.69 [0.55;0.86], 0.83 [0.66;1.03], 0.56 [0.43;0.73]. For partial nephrectomies, the most common complications were urinary infections (7.7%), bleeding (11.6%), and postoperative anemia (5.8%), with RR of 0.71 [0.58;0.87], 0.61 [0.52;0.71], and 0.64 [0.51;0.81]. The mean length of stay was 7.7 for open radical nephrectomy, 6.3 for laparoscopic radical nephrectomy, 7.5 for open partial nephrectomy, and 5 for laparoscopic partial nephrectomy. Conclusions The laparoscopic approach had fewer postoperative complications and a shorter length of stay than open surgery for partial and radical nephrectomy. 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author	Pascal, Guillaume
spellingShingle	Pascal, Guillaume ddc 610 bkl 44.00 misc Complications misc Kidney misc Laparoscopy misc Neoplasia misc Surgery Open versus mini-invasive partial and radical nephrectomy complications: results from the French national health database
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topic_title	610 VZ 44.00 bkl Open versus mini-invasive partial and radical nephrectomy complications: results from the French national health database Complications (dpeaa)DE-He213 Kidney (dpeaa)DE-He213 Laparoscopy (dpeaa)DE-He213 Neoplasia (dpeaa)DE-He213 Surgery (dpeaa)DE-He213
topic	ddc 610 bkl 44.00 misc Complications misc Kidney misc Laparoscopy misc Neoplasia misc Surgery
topic_unstemmed	ddc 610 bkl 44.00 misc Complications misc Kidney misc Laparoscopy misc Neoplasia misc Surgery
topic_browse	ddc 610 bkl 44.00 misc Complications misc Kidney misc Laparoscopy misc Neoplasia misc Surgery
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title	Open versus mini-invasive partial and radical nephrectomy complications: results from the French national health database
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title_full	Open versus mini-invasive partial and radical nephrectomy complications: results from the French national health database
author_sort	Pascal, Guillaume
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author_browse	Pascal, Guillaume Eschwège, Pascal Salleron, Julia Balkau, Beverley Hubert, Jacques Mazeaud, Charles
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title_sort	open versus mini-invasive partial and radical nephrectomy complications: results from the french national health database
title_auth	Open versus mini-invasive partial and radical nephrectomy complications: results from the French national health database
abstract	Background Laparoscopic surgery is associated with a lower morbidity than open surgery. No recent data compared kidney cancer surgery in the French population using the National Health Insurance database (PMSI-MCO). Aims We explore and compare the surgical morbidity rates between laparoscopic and open laparotomy for kidney cancer. Methods The initial length of stay and complications parameters during the three postoperative months were described for renal cancer in every French center in 2018. We compared Relative Risks (RR [95% CI]) between laparoscopic and open surgery for both radical and partial nephrectomy. Results Among 8,162 patients, 3,525 had a radical nephrectomy, 978 open, 2,547 laparoscopic surgeries; 4,637 patients had partial nephrectomies, 1,778 open 2,859 laparoscopic surgeries. For radical surgery, the most common complications were urinary infections (7.8%), acute renal failure (8.9%), sepsis (8.4%), bleeding (9.3%), and postoperative anemia (5.9%); the RR for laparoscopic versus open surgery were respectively 0.68 [0.54;0.86], 0.71 [0.57;0.88], 0.69 [0.55;0.86], 0.83 [0.66;1.03], 0.56 [0.43;0.73]. For partial nephrectomies, the most common complications were urinary infections (7.7%), bleeding (11.6%), and postoperative anemia (5.8%), with RR of 0.71 [0.58;0.87], 0.61 [0.52;0.71], and 0.64 [0.51;0.81]. The mean length of stay was 7.7 for open radical nephrectomy, 6.3 for laparoscopic radical nephrectomy, 7.5 for open partial nephrectomy, and 5 for laparoscopic partial nephrectomy. Conclusions The laparoscopic approach had fewer postoperative complications and a shorter length of stay than open surgery for partial and radical nephrectomy. The PMSI analysis provided an exhaustive description of surgical practice for kidney cancer and surgical complications in France. Clinical trial number Not applicable. © The Author(s) 2024
abstractGer	Background Laparoscopic surgery is associated with a lower morbidity than open surgery. No recent data compared kidney cancer surgery in the French population using the National Health Insurance database (PMSI-MCO). Aims We explore and compare the surgical morbidity rates between laparoscopic and open laparotomy for kidney cancer. Methods The initial length of stay and complications parameters during the three postoperative months were described for renal cancer in every French center in 2018. We compared Relative Risks (RR [95% CI]) between laparoscopic and open surgery for both radical and partial nephrectomy. Results Among 8,162 patients, 3,525 had a radical nephrectomy, 978 open, 2,547 laparoscopic surgeries; 4,637 patients had partial nephrectomies, 1,778 open 2,859 laparoscopic surgeries. For radical surgery, the most common complications were urinary infections (7.8%), acute renal failure (8.9%), sepsis (8.4%), bleeding (9.3%), and postoperative anemia (5.9%); the RR for laparoscopic versus open surgery were respectively 0.68 [0.54;0.86], 0.71 [0.57;0.88], 0.69 [0.55;0.86], 0.83 [0.66;1.03], 0.56 [0.43;0.73]. For partial nephrectomies, the most common complications were urinary infections (7.7%), bleeding (11.6%), and postoperative anemia (5.8%), with RR of 0.71 [0.58;0.87], 0.61 [0.52;0.71], and 0.64 [0.51;0.81]. The mean length of stay was 7.7 for open radical nephrectomy, 6.3 for laparoscopic radical nephrectomy, 7.5 for open partial nephrectomy, and 5 for laparoscopic partial nephrectomy. Conclusions The laparoscopic approach had fewer postoperative complications and a shorter length of stay than open surgery for partial and radical nephrectomy. The PMSI analysis provided an exhaustive description of surgical practice for kidney cancer and surgical complications in France. Clinical trial number Not applicable. © The Author(s) 2024
abstract_unstemmed	Background Laparoscopic surgery is associated with a lower morbidity than open surgery. No recent data compared kidney cancer surgery in the French population using the National Health Insurance database (PMSI-MCO). Aims We explore and compare the surgical morbidity rates between laparoscopic and open laparotomy for kidney cancer. Methods The initial length of stay and complications parameters during the three postoperative months were described for renal cancer in every French center in 2018. We compared Relative Risks (RR [95% CI]) between laparoscopic and open surgery for both radical and partial nephrectomy. Results Among 8,162 patients, 3,525 had a radical nephrectomy, 978 open, 2,547 laparoscopic surgeries; 4,637 patients had partial nephrectomies, 1,778 open 2,859 laparoscopic surgeries. For radical surgery, the most common complications were urinary infections (7.8%), acute renal failure (8.9%), sepsis (8.4%), bleeding (9.3%), and postoperative anemia (5.9%); the RR for laparoscopic versus open surgery were respectively 0.68 [0.54;0.86], 0.71 [0.57;0.88], 0.69 [0.55;0.86], 0.83 [0.66;1.03], 0.56 [0.43;0.73]. For partial nephrectomies, the most common complications were urinary infections (7.7%), bleeding (11.6%), and postoperative anemia (5.8%), with RR of 0.71 [0.58;0.87], 0.61 [0.52;0.71], and 0.64 [0.51;0.81]. The mean length of stay was 7.7 for open radical nephrectomy, 6.3 for laparoscopic radical nephrectomy, 7.5 for open partial nephrectomy, and 5 for laparoscopic partial nephrectomy. Conclusions The laparoscopic approach had fewer postoperative complications and a shorter length of stay than open surgery for partial and radical nephrectomy. The PMSI analysis provided an exhaustive description of surgical practice for kidney cancer and surgical complications in France. Clinical trial number Not applicable. © The Author(s) 2024
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container_issue	1
title_short	Open versus mini-invasive partial and radical nephrectomy complications: results from the French national health database
url	https://dx.doi.org/10.1186/s12894-024-01620-7
remote_bool	true
author2	Eschwège, Pascal Salleron, Julia Balkau, Beverley Hubert, Jacques Mazeaud, Charles
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doi_str	10.1186/s12894-024-01620-7
up_date	2024-10-22T04:52:09.084Z
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