Conversion to Radical Nephrectomy From Robotic Partial Nephrectomy Is Most Commonly Due to Anatomic and Oncologic Complexity.

Yuzhi Wang, Samantha Wilder, Mohit Butaney, Mahmoud Hijazi, David Gandham, Monica Van Til, Benjamin Goldman, Ji Qi, Mahin Mirza, Anna Johnson, Michael Rudoff, David Wenzler, Craig G Rogers, Brian R Lane
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Abstract

Partial nephrectomy is standard-of-care treatment for small renal masses. As utilization of partial nephrectomy increases and includes larger and complex tumors, the risk of conversion to radical nephrectomy likely increases. We evaluated incidence and reason for conversion to radical nephrectomy in patients scheduled for partial nephrectomy by surgeons participating in MUSIC (the Michigan Urologic Surgery Improvement Collaborative).
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从机器人肾部分切除术转为根治性肾切除术最常见的原因是解剖和肿瘤学上的复杂性。
肾部分切除术是治疗肾脏小肿块的标准方法。随着肾部分切除术使用率的提高,包括较大和复杂肿瘤在内的肾部分切除术转为根治性肾切除术的风险可能会增加。我们评估了参与 MUSIC(密歇根州泌尿外科手术改进协作组织)的外科医生计划进行肾部分切除术的患者转为根治性肾切除术的发生率和原因。
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