Table 1.
Partial Nephrectomy versus Ablation: Clinical, Surgical, and Pathologic Outcomes
Variable | Ablation | Partial nephrectomy | P value |
---|---|---|---|
# patients | 98 | 100 | |
# procedures | 105 | 100 | – |
Mean age (years) (range) | 64 (38–86) | 64 (35–92) | 0.85 |
Mean tumor size (cm) (range) | 2.5(1–4.4) | 3.9 (1–10) | <0.001 |
Mean preoperative creatinine (mg/dL) | 1.4 | 1.4 | 0.65 |
Side: # (%) | |||
Left | 48 (46) | 42 (42) | 0.39 |
Right | 50 (48) | 56 (56) | |
Unknown | 7 (6) | – | |
Mean operative time (min)(range) | 155 (69–300) | 169 (68–270) | 0.10 |
Median EBL (mL)(range) | 50 (5–400) | 400 (25–3900) | <0.001 |
Pathology: # (%) | |||
Clear–cell | 51 (49) | 70 (70) | |
Papillary | 5 (4.7) | 18 (18) | |
Chromophobe | – | 6 (6) | |
Oncocytoma | 13 (12) | 3 (3) | – |
AML | 6 (5.7) | 3 (3) | |
Nondiagnostic | 8 (7.6) | – | |
No biopsy | 22 (21) | – | |
Mean length of stay (days)(range) | 1.7 (1–8) | 4.1 (1–21) | <0.001 |
# Intraoperative complications (%) | 1 (1) | 6 (6) | 0.16 |
# Postoperative complications (%) | 9 (8.6) | 18 (18) | 0.05 |
Mean follow-up (months) | 31 | 24 | 0.04 |
# Tumor persistence | 3 (2.9) | 0 | 0.25 |
# Local recurrences (%) | 7 (6.7) | 3 (3) | 0.04 |
# Metastasis | 2 (1.9) | 1 (1) | 0.33 |
# Deaths (%) | 0 (0) | 1 (1) | 0.50 |
EBL=estimated blood loss; AML=acute myeloid leukemia.