Complications and Failure to Rescue After Laparoscopic Versus Open Radical Nephrectomy
作者： Hung-Jui Tan , J. Stuart Wolf , Zaojun Ye , John T. Wei , David C. Miller
DOI: 10.1016/J.JURO.2011.05.074
关键词: Kidney cancer 、 Complication 、 Case fatality rate 、 Nephrectomy 、 Surgery 、 Laparoscopy 、 Medicine 、 Renal cell carcinoma 、 Cancer 、 Epidemiology 、 Urology
摘要: Purpose: Since to our knowledge the population level impact of laparoscopy on post-radical nephrectomy morbidity and mortality remains unknown, we compared rates postoperative complications failure rescue (the fatality rate in patients with a complication) treated laparoscopic vs open radical nephrectomy.Materials Methods: Using linked SEER (Surveillance, Epidemiology End Results)-Medicare data identified kidney cancer who were or from 2000 through 2005. After measuring frequency fit multivariate logistic regression models estimate association these outcomes surgical approach, adjusting for patient characteristics, severity surgery year. We also assessed relationship between case volume, rescue.Results: 2,108 (26%) 5,895 (74%) ...
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