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Table 2 Complications at initial hospitalization for partial nephrectomy, national French data from the PMSI

From: Complications after partial nephrectomy: robotics overcomes open surgery and laparoscopy: the PMSI French national database

 

OPN

RAPN

LPN

Relative risk and 95% confidence interval

 

N = 4035

 N = 1900

 N = 1709

RAPN vs. OPN

LPN vs. OPN

RAPN vs. LPN

CLAVIEN I/II

1303 (32.29)

262 (13.79)

331 (19,37

0.43 [0.38;0.48]1

0.60 [0.54;0.67]1

0.71 [0.61;0.83]1

Acute renal failure

200 (4.96)

38 (2.0)

39 (2.28)

0.40 [0.29;0.57] 1

0.46 [0.33;0.65] 1

0.88 [0.56;1.36]

Surgical incision complications

71 (1.76)

10 (0.53)

10 (0.59)

0.30 [0.15;0.58] 1

0.33 [0.17;0.64] 1

0.9 [0.38;2.16]

Anaemia

243 (6.02)

52 (2.74)

68 (3.98)

0.45 [0.34;0.61] 1

0.66 [0.51;0.86] 1

0.69 [0.48;0.98] 1

Urinary tract infection

288 (7.14)

75 (3.95)

75 (4.39)

0.55 [0.43;0.71] 1

0.61 [0.48;0.79] 1

0.90 [0.66;1.23]

Renal abscess

11 (0.27)

1 (0.01)

3 (0.18)

0.19 [0.02;1.49]

0.64 [0.18;2.31]

0.30 [0.03;2.88]

Venous thromboembolic disease

51 (1.26)

9 (0.47)

17 (0.99)

0.37 [0.18;0.76] 1

0.79 [0.46;1.36]

0.48 [0.21;1.07]

Infectious lung diseases

77 (1.91)

15 (0.79)

17 (0.99)

0.41 [0.24;0.72] 1

0.52 [0.31;0.88] 1

0.79 [0.4;1.58]

Surgical incision complications

71 (1.76)

10 (0.53)

10 (0.59)

0.30 [0.15;0.58] 1

0.33 [0.17;0.64] 1

0.9 [0.38;2.16]

Sepsis

291 (7.21)

52 (2.74)

92 (5.38)

0.38 [0.28;0.51] 1

0.75 [0.59;0.94] 1

0.51 [0.36;0.71] 1

CLAVIEN ≥ III

464 (11.50)

104 (5.47)

160 (9.36)

0,48 [0.39;0.58]1

0.81 [0.69;0.97]1

0,58 [0.46;0.74]1

Haemorrhage

365 (9.05)

88 (4.63)

143 (8.37)

0.51 [0.41;0.64] 1

0.93 [0.77;1.11]

0.55 [0.43;0.72] 1

Peritonitis

20 (0.50)

4 (0.21)

6 (0.35)

0.42 [0.15;1.24]

0.71 [0.28;1.76]

0.60 [0.17;2.12]

False aneurysm

17 (0.42)

3 (0.16)

1 (0.06)

0.37 [0.11;1.28]

0.14 [0.02;1.04]

2.70 [0.28;25.92]

Renal fistula

35 (0.87)

7 (0.37)

10 (0.59)

0.42 [0.19;0.95] 1

0.67 [0.33;1.36]

0.63 [0.24;1.65]

Traumatic pneumothorax

27 (0.67)

2 (0.11)

0 (0)

0.16 [0.04;0.66] 1

-

-

Mortality

0

0

0

-

-

-

  1. Data shown are n (%) and relative risk (RR) with 95% CI
  2. OPN: Open partial nephrectomy; RAPN: Robot-assisted partial nephrectomy; LPN: Laparoscopic partial nephrectomy
  3. 1 Significantly decreased risk