PD64-02 SURVIVAL AFTER MINIMALLY INVASIVE VERSUS OPEN RADICAL NEPHRECTOMY FOR STAGE I AND II RENAL CELL CARCINOMA

You have accessJournal of UrologyKidney Cancer: Localized: Surgical Therapy VI (PD64)1 Sep 2021PD64-02 SURVIVAL AFTER MINIMALLY INVASIVE VERSUS OPEN RADICAL NEPHRECTOMY FOR STAGE I AND II RENAL CELL CARCINOMA Furkan Dursun, Ahmed Elshabrawy, Hanzhang Wang, Ronald Rodriguez, Dharam Kaushik, and M. Mansour DursunFurkan Dursun More articles by this author , ElshabrawyAhmed Elshabrawy WangHanzhang Wang RodriguezRonald Rodriguez KaushikDharam Kaushik MansourAhmed View All Author Informationhttps://doi.org/10.1097/JU.0000000000002108.02AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION OBJECTIVE: A phase III randomized trial comparing open minimally invasive hysterectomy showed significantly higher rates local recurrence after surgery (MIS) for cervical cancer. This raised concerns regarding patterns recurrences MIS in general. study aims determine the effect on all-cause mortality among patients undergoing radical nephrectomy (RN) renal cell carcinoma (RCC). METHODS: We utilized National Cancer Database identify diagnosed with clinical stage RCCs between 2010 2013. Patients whom a laparoscopic or robotic RN was attempted (including whose converted open) were compared who underwent (ORN). Multivariable adjusted regression models inverse probability propensity score weighting (IPW) independent predictors receiving MIS. All-cause using IPW survival functions log-rank tests. weighed Cox proportional hazard fitted OS. RESULTS: Overall, 27,642 identified; 11,524 (41.7%) had MIS, while 16,118 (58.3%) an ORN. Treatment at academic centers (odds ratio [OR] 1.76, 95% confidence interval [CI] 1.62–1.91, p<0.001) having highest quartile median household income (OR 1.41, CI 1.3–1.53, associated increased likelihood Conversely, African American race 0.88, 0.81–0.95, p=0.001) T2 disease 0.58, 0.55–0.61, decreased At follow up 44.7 months, Kaplan Meier curves cohort OS advantage (HR 0.84, 0.8–0.87, (Table 1). Furthermore, length hospital stay (3 vs. 4 days), 30-day readmission (2.4% 2.87%), (0.53% 0.96%) 90-day (1.04% 1.77%) ORN group (p<0.001). CONCLUSIONS: After weighing, better 3-year overall RCC. Additionally, lower post-operative readmission, 30- rates. Source Funding: None © 2021 Urological Association Education Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e1143-e1144 Advertisement Copyright & Permissions© Inc.MetricsAuthor Information Expand Loading ...