Nonfunctional Kidney, Renal Cancer
Conditions
Keywords
Laparoscopic radical nephrectomy, Transperitoneal approach, Robotic surgery, Tubeless
Brief summary
To investigate the effect of single-layer robot-assisted retroperitoneal approach for radical nephrectomy without tubularization
Detailed description
In this study, a multi-center retrospective study was conducted to evaluate the clinical efficacy of single-layer robot-assisted peritoneal retroperitoneal radical nephrectomy in patients with nephrectomy, and to compare the safety and effectiveness of traditional robot-assisted peritoneal radical nephrectomy
Interventions
PROCEDURESingle-layer robot-assisted transperitoneal retroperitoneal tubeless radical nephrectomy
Free through the single layer of the posterior abdominal cavity
Sponsors
The First People's Hospital of Xiushui
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Patients with various causes requiring radical nephrectomy
Exclusion criteria
* patients who could not tolerate laparoscopic surgery for various reasons * patients whose preoperative blood pressure and blood glucose were not controlled to normal * patients with contralateral nonfunctioning kidney or solitary kidney * Multiple organ surgery at the same time
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| postoperative hospital stay | 2-5 Days | Length of hospital stay after surgery |
| intraoperative blood loss | 24 months | Blood loss during operation |
| postoperative time of getting out of bed | 24 months | Time to get out of bed after surgery |
| whether the tumor was completely removed | 24 months | Observe whether the tumor is complete according to the naked eye after surgery，Record and record to the surgical record, record when collecting the receipt. |
| Whether to convert to laparotomy or not | 24 months | According to the surgical records in the medical records, whether the operation was converted to laparotomy was checked, and the data were recorded when collecting the data. |
| Operation time | 1-3 Hours | Complete operative time |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clavien-Dindo grading | 24 months | Grade I : long-term pain, fever, continuous bleeding and exudate, transient intestinal obstruction ; grade II : need blood transfusion, pneumonia ; grade III : hematuria requiring cystoscopy ; level IV : renal insufficiency requiring hemodialysis, respiratory insufficiency requiring ICU treatment, and cardiac insufficiency requiring ICU care. |
Countries
China
Contacts
Primary ContactBaisheng Xu, Ph.D
Outcome results
None listed