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Predictors of perioperative outcomes during robot-assisted partial nephrectomy : 로봇 보조 부분신절제술의 수술 전후 결과를 예측하는 예후 인자에 대한 연구
DC Field | Value | Language |
---|---|---|
dc.contributor.advisor | 변석수 | - |
dc.contributor.author | 연제승 | - |
dc.date.accessioned | 2017-07-19T10:12:08Z | - |
dc.date.available | 2017-07-19T10:12:08Z | - |
dc.date.issued | 2014-02 | - |
dc.identifier.other | 000000017207 | - |
dc.identifier.uri | https://hdl.handle.net/10371/132405 | - |
dc.description | 학위논문 (석사)-- 서울대학교 대학원 : 임상의과학과, 2014. 2. 변석수. | - |
dc.description.abstract | Abstract
Purpose: Robot-assisted partial nephrectomy (RPN) has emerged as an alternative treatment for the management of small renal masses. This study was designed to investigate parameters that predict perioperative outcomes during RPN. Materials and methods: We retrospectively reviewed the medical records of 113 patients who underwent RPN between September 2008 and May 2012, at the Seoul National University Bundang Hospital. Clinical parameters, including warm ischemia time (WIT), estimated blood loss (EBL), R.E.N.A.L and PADUA score, were evaluated to predict perioperative outcomes. Results: Of the 113 patients, 81 were men and 32 women. Mean age was 53.5 years, and mean body mass index was 22.3 kg/m². Age, gender, and mass laterality had no effect on perioperative complications, WIT, or EBL. Univariate analysis revealed that the distance between the tumor and the collecting system ≤4 mm or renal mass size >4cm were associated with adverse profiles of WIT and EBL. However, multivariate analysis showed no association between the predictive parameters and tumor complexity as assessed by nephrometry scores. Tumor size of >4 cm increased the risk of blood loss >300 mL(OR: 3.5, 95% CI 1.3-9.7, P = 0.016). A distance between the tumor and the collecting system of ≤4 mm was associated with increased risk of WIT exceeding 20 min (OR: 2.8, 95% CI 1.3-6.3, P = 0.012). Conclusions: Tumor size and proximity of the mass to the collecting system showed significant association with EBL and WIT, respectively, during RPN. R.E.N.A.L and PADUA nephrometry scoring system itself did not predict perioperative outcomes. Keywords: Carcinoma, Renal cell | - |
dc.description.abstract | Nephrectomy | - |
dc.description.abstract | Robotics | - |
dc.description.abstract | Warm Ischemia | - |
dc.description.abstract | Blood Loss, Surgical | - |
dc.description.tableofcontents | Table of Contents
Abstract (English) --------------------- i Introduction -------------------------- 1 Materials and Methods ---------------- 3 Results ------------------------------ 4 Discussion --------------------------- 6 Conclusion --------------------------- 8 References --------------------------- 9 Abstract (Korean) ---------------------16 List of tables Table 1. ----------------------------- 11 Table 2. ----------------------------- 13 Table 3. ----------------------------- 15 | - |
dc.format | application/pdf | - |
dc.format.extent | 488599 bytes | - |
dc.format.medium | application/pdf | - |
dc.language.iso | en | - |
dc.publisher | 서울대학교 대학원 | - |
dc.subject | renal cell carcinoma | - |
dc.subject | nephrectomy | - |
dc.subject | robotics | - |
dc.subject | warm ischemia | - |
dc.subject | blood loss | - |
dc.subject.ddc | 610 | - |
dc.title | Predictors of perioperative outcomes during robot-assisted partial nephrectomy | - |
dc.title.alternative | 로봇 보조 부분신절제술의 수술 전후 결과를 예측하는 예후 인자에 대한 연구 | - |
dc.type | Thesis | - |
dc.contributor.AlternativeAuthor | Yeon Jae Seung | - |
dc.description.degree | Master | - |
dc.citation.pages | ii, 16 | - |
dc.contributor.affiliation | 의과대학 임상의과학과 | - |
dc.date.awarded | 2014-02 | - |
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