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Conference Paper: Elective nephron-sparing surgery for renal cell carcinoma: Trifecta outcomes in a university teaching hospital

TitleElective nephron-sparing surgery for renal cell carcinoma: Trifecta outcomes in a university teaching hospital
Authors
Issue Date2017
PublisherWiley-Blackwell Publishing Ltd. The Journal's web site is located at http://www.bjui.org/
Citation
22nd Annual Scientific Meeting of the Hong Kong Urological Association, Hong Kong, 20 November 2016. In BJU International, 2017, v. 119 n. suppl. 3, p. 10-11 How to Cite?
AbstractObjective: To report the trifecta results ofnephron-sparing surgery (NSS) for renalcell carcinoma (RCC).Patients and Methods: This is a retro-spective review of patients with RCC whounderwent NSS as elective indication.Between January 2001 and December2014, 112 patients with unilateral RCCand a normal contralateral kidney under-went PN. Patients with previous nephrec-tomy, bilateral or multiple RCCs,metastasis and familial cancer syndromeswere excluded.Results: In our cohort. 61.4% had openPN, 14.9% had laparoscopic PN and23.7% had robotic PN. Median follow upwas 61.8 months. Overall complicationrate was 7.0%, with 2.6% being Clavian IIIor above (1 case of bleeding and 2 cases ofurinary leakage/fistula). The positive mar-gin rate was 2.7% and local recurrence ratewas 0.9%. 43.0% of the patients developed chronic kidney disease (glomerular filtra-tion rate <60). The 5-year overall survival(OS) was 83.1% and cancer-specific sur-vival (CSS) was 97.4%. Subgroup analysisshowed that there was no difference inpostoperative GFR between the group withopen PN (mean GFR 55.7) and minimallyinvasive PN (mean GFR 54.6), p = 0.87.Conclusion: This retrospective study sug-gests a low complication rate, preservationof renal function and high 5-year CSS ofNSS comparable to international series.
DescriptionAbstract
Persistent Identifierhttp://hdl.handle.net/10722/241788
ISSN
2017 Impact Factor: 4.688
2015 SCImago Journal Rankings: 2.009

 

DC FieldValueLanguage
dc.contributor.authorWong, TF-
dc.contributor.authorTsang, CF-
dc.contributor.authorWong, AHG-
dc.contributor.authorLai, TCT-
dc.contributor.authorWong, JKW-
dc.contributor.authorHo, SHB-
dc.contributor.authorNg, ATL-
dc.contributor.authorMa, WK-
dc.contributor.authorTsu, HLJ-
dc.contributor.authorYiu, MK-
dc.date.accessioned2017-06-20T01:48:34Z-
dc.date.available2017-06-20T01:48:34Z-
dc.date.issued2017-
dc.identifier.citation22nd Annual Scientific Meeting of the Hong Kong Urological Association, Hong Kong, 20 November 2016. In BJU International, 2017, v. 119 n. suppl. 3, p. 10-11-
dc.identifier.issn1464-4096-
dc.identifier.urihttp://hdl.handle.net/10722/241788-
dc.descriptionAbstract-
dc.description.abstractObjective: To report the trifecta results ofnephron-sparing surgery (NSS) for renalcell carcinoma (RCC).Patients and Methods: This is a retro-spective review of patients with RCC whounderwent NSS as elective indication.Between January 2001 and December2014, 112 patients with unilateral RCCand a normal contralateral kidney under-went PN. Patients with previous nephrec-tomy, bilateral or multiple RCCs,metastasis and familial cancer syndromeswere excluded.Results: In our cohort. 61.4% had openPN, 14.9% had laparoscopic PN and23.7% had robotic PN. Median follow upwas 61.8 months. Overall complicationrate was 7.0%, with 2.6% being Clavian IIIor above (1 case of bleeding and 2 cases ofurinary leakage/fistula). The positive mar-gin rate was 2.7% and local recurrence ratewas 0.9%. 43.0% of the patients developed chronic kidney disease (glomerular filtra-tion rate <60). The 5-year overall survival(OS) was 83.1% and cancer-specific sur-vival (CSS) was 97.4%. Subgroup analysisshowed that there was no difference inpostoperative GFR between the group withopen PN (mean GFR 55.7) and minimallyinvasive PN (mean GFR 54.6), p = 0.87.Conclusion: This retrospective study sug-gests a low complication rate, preservationof renal function and high 5-year CSS ofNSS comparable to international series.-
dc.languageeng-
dc.publisherWiley-Blackwell Publishing Ltd. The Journal's web site is located at http://www.bjui.org/-
dc.relation.ispartofBJU International-
dc.rightsPreprint This is the pre-peer reviewed version of the following article: [FULL CITE], which has been published in final form at [Link to final article]. Authors are not required to remove preprints posted prior to acceptance of the submitted version. Postprint This is the accepted version of the following article: [full citation], which has been published in final form at [Link to final article].-
dc.titleElective nephron-sparing surgery for renal cell carcinoma: Trifecta outcomes in a university teaching hospital-
dc.typeConference_Paper-
dc.identifier.emailHo, SHB: hobrian@hku.hk-
dc.identifier.emailMa, WK: mwk054@hku.hk-
dc.identifier.emailTsu, HLJ: jamestsu@hku.hk-
dc.identifier.emailYiu, MK: pmkyiu@hku.hk-
dc.identifier.doi10.1111/bju.13768-
dc.identifier.hkuros272640-
dc.identifier.volume119-
dc.identifier.issuesuppl. 3-
dc.identifier.spage10-
dc.identifier.epage11-
dc.publisher.placeUnited Kingdom-
dc.customcontrol.immutablecsl 170718-

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