MP49-17 COMPARISON OF OPEN AND MINIMALLY INVASIVE APPROACH FOR NEPHRECTOMY WITH IVC THROMBECTOMY

You have accessJournal of UrologyKidney Cancer: Localized: Surgical Therapy IV (MP49)1 Sep 2021MP49-17 COMPARISON OF OPEN AND MINIMALLY INVASIVE APPROACH FOR NEPHRECTOMY WITH IVC THROMBECTOMY Dominic Barresi, Allison May, Facundo Davaro, Loren Roustio, Sameer Siddiqui, and Zachary Hamilton BarresiDominic Barresi More articles by this author , MayAllison May DavaroFacundo Davaro RoustioLoren Roustio SiddiquiSameer Siddiqui HamiltonZachary View All Author Informationhttps://doi.org/10.1097/JU.0000000000002075.17AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION OBJECTIVE: Minimally invasive (MI) techniques for nephrectomy with tumor thrombus remain understudied. We compared a traditional open approach MI respect short-term readmission mortality using national dataset. METHODS: The National Cancer Database was queried patients who were diagnosed cT3b cT3c renal cell carcinoma from 2010-2016 underwent subsequent thrombectomy. Our primary outcomes length stay, readmission, mortality. secondary outcome included the trend utilization over time. RESULTS: 2265 met inclusion criteria analysis. Utilization ranged 9-16% between 2010 2016 approximately 11% cohort receiving (Figure 1). Compared cohort, surgery had higher rate disease (21% vs 13%), metastatic (27% 21%), lower income. approach, associated shorter stay (5.5 vs. 8 days). There no difference in 30-day or surgical approaches. Logistic regression not approach. Cox showed increased risk increasing age but CONCLUSIONS: treatment similar perioperative may provide decreased stay. Further research is necessary determine best role thrombus. Source Funding: None © 2021 American Urological Association Education Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e882-e883 Advertisement Copyright & Permissions© Inc.MetricsAuthor Information Expand Loading ...