From: A contemporary comparison of laparoscopic versus open partial nephrectomy for renal cell carcinoma
Laparoscopic | Open | P value | |||||
---|---|---|---|---|---|---|---|
N = 485 | N = 162 | ||||||
Data are presented as median (IQR) or n (%) | |||||||
Age at surgery (years) | 59 | (51–68) | 57 | (49–67) | 0.183 | ||
Sex | |||||||
Male | 346 | (71.34%) | 106 | (65.43%) | 0.156 | ||
Female | 139 | (28.66%) | 56 | (34.57%) | |||
BMI (kg/m^2) | 29 | (26–33) | 29 | (27–33) | 0.166 | ||
ASA Score | |||||||
Low Grade (1–2) | 365 | (75.88%) | 102 | (70.83%) | 0.221 | ||
High Grade (3–4) | 116 | (24.12%) | 42 | (29.17%) | |||
Pre-Op GFR (mL/min/1.73 m2) | 81.30 | (66.26–92.16) | 78.08 | (62.69–93.38) | 0.560 | ||
Pre-Op CKD Staging | |||||||
LG (Stages 1–2) HG (Stages 3–5) | 414 71 | (85.36%) (14.64%) | 130 31 | (80.75%) (19.25%) | 0.164 | ||
Tumor Size (cm) | 2.6 | (1.9–3.7) | 2.8 | (2.1-4.0) | 0.142 | ||
Clinical Stage | |||||||
cT1a | 398 | (82.06%) | 124 | (76.54%) | 0.123 | ||
cT1b | 87 | (17.94%) | 38 | (23.46%) | |||
RENAL Nephrometry Score | |||||||
Low (4–6) | 252 | (56.25%) | 83 | (54.61%) | 0.229 | ||
Moderate (7–9) | 187 | (41.74%) | 62 | (40.79%) | |||
High (10–12) | 9 | (2.01%) | 7 | (4.61%) | |||
Exophytic versus Endophytic | |||||||
≥ 50% exophytic < 50% exophytic Entirely endophytic | 311 118 19 | (69.42%) (26.34%) (4.24%) | 94 42 16 | (61.84%) (27.63%) (10.53) | 0.017 | ||
Nearness to Collecting System (mm) | 10 | (2–20) | 10 | (2–20) | 0.304 | ||
Location Relative to Polar Lines | |||||||
Entirely above/below < 50% across Majority between/interpolar | 196 146 106 | (43.75%) (32.59%) (23.66%) | 61 60 31 | (40.13%) (39.47%) (20.39%) | 0.304 | ||
Pathologic Stage | |||||||
pT1a | 383 | (78.97%) | 123 | (75.93%) | 0.736 | ||
pT1b | 75 | (15.46%) | 29 | (17.90%) | |||
pT2a | 1 | (0.21%) | 0 | (0%) | |||
pT2b | 0 | (0%) | 0 | (0%) | |||
pT3a | 26 | (5.36%) | 10 | (6.17%) | |||
Tumor Grade | |||||||
Low Grade (1–2) High Grade (3–4) Not Reported | 39 3 443 | (8.04%) (0.62%) (91.34%) | 19 3 140 | (11.73%) (1.85%) (86.42%) | 0.107 | ||
RCC Subtype | |||||||
Clear Cell | 293 | (60.41%) | 99 | (61.11%) | 0.985 | ||
Papillary | 24 | (4.95%) | 9 | (5.56%) | |||
Papillary Type 1 | 71 | (14.64%) | 21 | (12.96%) | |||
Papillary Type 2 | 15 | (3.09%) | 6 | (3.70%) | |||
Chromophobe | 44 | (9.07%) | 14 | (8.64%) | |||
Other Unclassified | 34 4 | (7.01%) (0.82%) | 11 2 | (6.79%) (1.23%) |