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Oncologic outcomes after minimally invasive surgery for cT1 renal masses: a comprehensive review

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Purpose of review To evaluate current literature reporting oncologic outcomes after robot-assisted partial nephrectomy (RAPN) and laparoscopic partial nephrectomy (LPN). Recent findings Recently, there have been published first mid-term results… Click to show full abstract

Purpose of review To evaluate current literature reporting oncologic outcomes after robot-assisted partial nephrectomy (RAPN) and laparoscopic partial nephrectomy (LPN). Recent findings Recently, there have been published first mid-term results after RAPN (5 years). To date, there are no randomized trials to guide decision-making regarding LPN or robotic partial nephrectomy (RPN), and such trials are unlikely to be forthcoming, given the rapid adoption of RAPN worldwide. We performed a literature search according to Cochrane guidelines up to 1 September 2017, including studies that had more than 40 months of oncologic follow-up. Summary A total of 2933 patients were included from 14 studies (1498 RAPN, 1525 LPN). RAPN had similar mid-term (5 years) oncologic outcomes as LPN. Large collaborative efforts are still necessary to provide solid long-term oncologic outcomes of open, laparoscopic, and RPN.

Keywords: partial nephrectomy; outcomes minimally; invasive surgery; minimally invasive; oncologic outcomes; review

Journal Title: Current Opinion in Urology
Year Published: 2018

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