Predictive factors of prolonged warm ischemic time (> or =30 minutes) during partial nephrectomy under pneumoperitoneum
Korean Journal of Urology
;
: 742-748, 2015.
Article
in English
| WPRIM
| ID: wpr-198015
ABSTRACT
PURPOSE:
Current clinical data support a safe warm ischemia time (WIT) limit of 30 minutes during laparoscopic partial nephrectomy (LPN) or robot-assisted partial nephrectomy (RPN). We evaluated independent factors predicting prolonged WIT (more than 30 minutes) after LPN or RPN. MATERIALS ANDMETHODS:
A retrospective data review was performed for 317 consecutive patients who underwent LPN or RPN performed by the same surgeon from October 2007 to May 2013. Patients were divided into two groups group A was defined as prolonged WIT (> or =30 minutes) and group B as short WIT ( or =25 mm; odds ratio, 2.98; 95% confidence interval, 1.48-5.96; p=0.002), and surgeon experience (p<0.001) were independent predictors of prolonged WIT.CONCLUSIONS:
Surgeon experience, tumor size, and PADUA score predicted prolonged WIT after RPN or LPN. Among these factors, increasing surgical experience with LPN or RPN is the most important factor for preventing prolonged WIT.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pneumoperitoneum, Artificial
/
Carcinoma, Renal Cell
/
Retrospective Studies
/
Risk Factors
/
Clinical Competence
/
Laparoscopy
/
Warm Ischemia
/
Robotic Surgical Procedures
/
Intraoperative Period
/
Kidney Neoplasms
Type of study:
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
English
Journal:
Korean Journal of Urology
Year:
2015
Type:
Article
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