Complications Associated With Partial Nephrectomy for Renal Cancer

Study Overview
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Brief Summary
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This paper evaluates the initial complications and the complications two years postoperatively necessitating re-hospitalisation for three surgical procedures for renal tumour partial nephrectomy .

Detailed Description
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This paper evaluates the initial complications and the complications two years postoperatively necessitating re-hospitalisation for three surgical procedures for renal tumour partial nephrectomy (open (OPN), standard laparoscopy (LPN) and robot assisted laparoscopy (RAPN)) in 2016-2017 in France (9119 initial hospitalisations included 4035 OPN, 1900 RAPN, 1709 LPN). The investigators have extracted for these all hospitalisations from the French national hospital data base (PMSI-MCO). The investigators concluded mini-invasive and robotic surgery had lower morbidity and a shorter initial hospitalisation.

Official Title
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Complications Associated With Partial Nephrectomy for Renal Cancer: PMSI French National Data

Conditions
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Renal Cancer, Partial Nephrectomy

Intervention / Treatment
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* Procedure: partial nephrectomy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: hospitalisations between the 1st January 2016 and the 31st December 2017 with one of the partial nephrectomy codes Exclusion Criteria: partial nephrectomy for non-cancerous pathology no technical information
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| laparoscopic partial nephrectomy<br>The investigators included all hospitalisations for LPN using CCAM(Classification Commune des actes médicaux) code (JAFC005) after removing the 83 hospitals using RAPN in 2017. LPN complications were from hospitals using exclusively LPN. | Procedure: partial nephrectomy<br> <br> |
| open partial nephrectomy<br>OPN has its own CCAM codes; they group laparotomy (JAFA019 / JAFA030) and lumbotomy (JAFA008 / JAFA024) | Procedure: partial nephrectomy<br> <br> |
| robot assisted partial nephrectomy<br>At the time of this study, RAPN did not have a specific coding. The investigators had contacted the hospitals with Vinci robotic surgical procedures in 2013 and the investigators included here PN from hospitalisations from the 25 centres using exclusively RAPN for more than five years. Thus, in this study, RAPN was performed by experts in robotic surgery. | Procedure: partial nephrectomy<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| post operative complication | Complications were documented for the initial hospitalisation and any subsequent re-hospitalisation | 2 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| length of initial hospitalisation | length of initial hospitalisation | 2 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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nephron sparing, robot, PMSI, laparoscopy, open surgery, nephron sparing surgery