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17-04-2024 | Nephrectomy | Urologic Oncology

Perioperative and Oncological Outcomes of Partial Versus Radical Nephrectomy for Complex Renal Tumors (RENAL Score ≥ 7): Systematic Review and Meta-Analysis

Authors: Zhiqiang Zeng, MM, Si Ge, MM, Yunxiang Li, PhD, Lijian Gan, MM, Chunyang Meng, MM, Kangsen Li, MM, Zuoping Wang, MM, Lei Zheng, MM

Published in: Annals of Surgical Oncology

Abstract

Objective

Which is superior, partial nephrectomy (PN) or radical nephrectomy (RN), for the treatment of complex renal tumours (RENAL or score ≥ 7)?

Methods

This systematic review and meta-analysis was conducted in accordance with the PRISMA statement. A systematic search of the literature published before November 2023 was conducted using Pubmed, Embase, Cochran, and Web of Science libraries. We included studies comparing perioperative and oncologic outcomes of partial nephrectomy and radical nephrectomy for complex renal tumors.

Results

A total of 2602 patients from six studies meeting the criteria were included. The PN group had a longer operative time, increased estimated blood loss, and major complications but a smaller reduction in renal function. There were no significant differences in complications, length of hospital stay, and blood transfusion. In terms of oncological outcomes, the PN group had longer OS, CSS, and no significant difference in RFS.

Conclusions

For complex renal tumours, PN requires more operative time and has a higher chance of complications in the short term. However, in long-term follow-up, PN has a small decrease in renal function with longer OS and CSS.

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Title: Perioperative and Oncological Outcomes of Partial Versus Radical Nephrectomy for Complex Renal Tumors (RENAL Score ≥ 7): Systematic Review and Meta-Analysis
Authors: Zhiqiang Zeng, MM
Si Ge, MM
Yunxiang Li, PhD
Lijian Gan, MM
Chunyang Meng, MM
Kangsen Li, MM
Zuoping Wang, MM
Lei Zheng, MM
Publication date: 17-04-2024
Publisher: Springer International Publishing
Keywords: Nephrectomy
Nephrectomy
Nephrectomy
Renal Cancer
Published in: Annals of Surgical Oncology
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI: https://doi.org/10.1245/s10434-024-15223-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Perioperative and Oncological Outcomes of Partial Versus Radical Nephrectomy for Complex Renal Tumors (RENAL Score ≥ 7): Systematic Review and Meta-Analysis

Abstract

Objective

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Results

Conclusions

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