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Table 3 Complications during the two years after the 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

1306 (32.37)

445 (23.42)

432 (25.28)

0.72 [0.66;0.79]1

0.8 [0.73;0.88]1

0.93 [0.83;1.04]

Acute renal failure

174 (4.31)

60 (3.16)

60 (3.51)

0.73 [0.55;0.98] 1

0.81 [0.61;1.09]

0.9 [0.63;1.28]

Surgical incision complications

193 (4.78)

63 (3.32)

59 (3.45)

0.69 [0.52;0.92] 1

0.72 [0.54;0.96] 1

0.96 [0.68;1.36]

Anaemia

110 (2.73)

40 (2.11)

47 (2.75)

0.77 [0.54;1.1]

1.01 [0.72;1.41]

0.77 [0.50;1.16]

Urinary tract infection

201 (4.98)

51 (2.68)

72 (4.21)

0.54 [0.40;0.73] 1

0.85 [0.65;1.1]

0.64 [0.45;0.91] 1

Renal abscess

67 (1.66)

13 (0.68)

17 (0.99)

0.41 [0.23;0.74] 1

0.60 [0.35;1.02]

0.69 [0.34;1.41]

Venous thromboembolic disease

69 (1.71)

22 (1.16)

27 (1.58)

0.68 [0.42;1.09]

0.92 [0.59;1.44]

0.73 [0.42;1.28]

Infectious lung diseases

92 (2.28)

45 (2.37)

24 (1.40)

1.04 [0.73;1.48]

0.62 [0.39;0.96] 1

1.69 [1.03;2.76] 2

Surgical incision complications

193 (4.78)

63 (3.32)

59 (3.45)

0.69 [0.52;0.92] 1

0.72 [0.54;0.96] 1

0.96 [0.68;1.36]

Sepsis

207 (5.13)

88 (4.63)

67 (3.92)

0.90 [0.71;1.15]

0.76 [0.58;1]

1.18 [0.87;1.61]

CLAVIEN ≥ III

297 (7.36)

123 (6.47)

77 (4.51)

0.88 [0.72;1.08]

0.61 [0.48;0.78]1

1.44 [1.09;1.90]

Haemorrhage

163 (4.04)

72 (3.79)

47 (2.75)

0.94 [0.71;1.23]

0.68 [0.49;0.94] 1

1.38 [0.96;1.98]

Peritonitis

38 (0.94)

14 (0.74)

5 (0.29)

0.78 [0.42;1.44]

0.31 [0.12;0.79] 1

2.52 [0.91;6.98]

False aneurysm

36 (0.89)

21 (1.11)

13 (0.76)

1.24 [0.73;2.12]

0.85 [0.45;1.60]

1.45 [0.73;2.89]

Renal fistula

59 (1.46)

16 (0.84)

12 (0.70)

0.58 [0.33;1]

0.48 [0.26;0.89] 1

1.2 [0.57;2.53]

Traumatic pneumothorax

1 (0.02)

0 (0.0)

0 (0.0)

-

-

-

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 Significant decrease risk; 2 Significant increase risk