Table 1.
Preoperative demographic data and postoperative oncologic and functional outcomes of studies
Study | Groups | Number of patients | Tumor size (cm) | RENAL score | Operation time (minutes) | EBL (mL) | Complication rate (%), CG >3 | Positive margins (%) | Change in last eGFR (%) | Mean follow-up, (months) | WIT |
---|---|---|---|---|---|---|---|---|---|---|---|
Kaczmarek et al, 201324 | On-C/Off-C (RPN) | 283/49 | NA/2.5 | 5.6/5.3 | 185/156 | 157/228 | 0–0 | NA/3 | 6.2/1.6 | 21 | 18.5/0 |
Acar et al, 201425 | On-C/Off-C (OPN) | 14/30 | 3.6/3.8 | 6.6/5.9 | 149.2/142.3 | 170.3/201.6 | 21.4–6.7 | 0/0 | 6.7/10.8 | 18.9 | 22.5/0 |
Çömez et al, 201622 | On-C/Off-C (OPN) | 33/40 | 3.48/3.76 | 6.6/6.6 | 150.9/157.5 | – | 3.03–7.5 | 15.2/20 | 10.21/3.71 | 27 | 18.3/0 |
Komninos et al, 201537 | On-C/SC/Off-C (RPN) | 114/25/23 | 3.3/3.5/1.7 | 8/8/6 | 175/163/120 | 200/500/100 | 2.6/4/0 | 6.5/8.6/0 | 3.5/6/3 | 25.42 | 24.8/18/0 |
Zhao et al, 201247 | RFA-assisted LPN | 42 | 3.4 | NA | 120 | 82.5 | 7.14 | 0 | 4.7 | 37.5 | 0 |
Simone et al, 201223 | Sutureless LPN | 101 | 2.4 | 4 | 60 | 100 | 0 | 0 | 1.6 | 57 | 0 |
Simone et al, 201140 | P-STE followed by Off-C (LPN) | 210 | 4.2 | 7 | 62 | 150 | 6 | 0 | 5 | 46 | 0 |
Sönmez et al, 201742 | Modified SPSR-PN (LPN) | 16 | 2.72 | 5.3 | 126 | 244 | 0 | 0 | 4.01 | 16.2 | 0 |
Raheem et al, 201827 | Off-C RPN (<3.2 vs >3.2) | 46/16 | 1.7/4.8 | 7.7/9.8 (PADUA) | 116/163 | 150/575 | 4.3/0 | 6.9/11.1 | 4.4/3.3 | 20 | 0 |
Zhang et al, 201848 | RFA-assisted PN (O-L) | 182 (12–170) | 3.2 | NA | 100 | 80 | 3.3 | NA | 5.44 | 55.5 | 0 |
Smith et al, 201121 | On-C (L-O-R)/Off-C (L) | 116(57-51-8)/192 | 2.8/3 | NA | 192/226.5 | 200/500 | 11.2/9.9 | 6/4.7 | 12.3/9.8 | 12 | 23/0 |
Martin et al, 201238 | On-C/PC/SC/Off-C (LPN-RPN) | 32/8/13/4 | 2.9/2.7/2.9/2.1 | NA | 196/193/184/182 | 150/250/192/288 | 13/25/15/0 | 1.7/0/0/0 | 6.8/7.8/6.6/2.5 | 13.5 | 32/18/ 0/0 |
Kopp et al, 201249 | On-C/Off-C (OPN) | 164/64 | 3.5/4 | 6.9/6.4 | NA | 300/200 | 0.6/3.2 | 1.2/0 | 13.5/9.4 | 24.7 | 24.5/0 |
Rimar et al, 201646 | RFA RPN / RPN | 36/49 | 2/2.6 | NA/5.7 | 293/370 | 250/231 | 16.3/11.1 | 3.3/4.1 | 16.5/14.8 | 54 | 31.1/0 |
Abbreviations: CG, Clavien grade; EBL, estimated blood loss; eGFR, estimated glomerular filtration rate; L, laparoscopic; LPN, laparoscopic partial nephrectomy; O, Open; Off-C, off-clamp; On-C, on-clamp; OPN, open partial nephrectomy; NA, not available; PADUA, Preoperative Aspects and Dimensions Used for an Anatomical; PC, progressive clamping; P-STE, preoperative superselective transarterial embolization; R, robotic; RENAL, radius, exophytic extent, nearness to the renal sinus, anterior/posterior location, and location relative to the polar lines; RFA, radio frequency ablation; RPN, robotic partial nephrectomy; SC, selective clamp. SPSR-PN, sequential preplaced suture renorrhaphy partial nephrectomy; WIT, warm ischemia time.