Perioperative Outcome Comparisons Between Open and Laparoscopic Nephroureterectomy Among a Population-Based Cohort from 2010 to 2012

作者: Toru Sugihara , Hideo Yasunaga , Changhong Yu , Hiromasa Horiguchi , Hiroaki Nishimatsu

DOI: 10.1089/END.2014.0428

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摘要: Abstract Purpose: To compare the perioperative outcomes and costs between open laparoscopic nephroureterectomy for malignant diseases on a contemporary population-based level. Patients Methods: Based Japanese Diagnosis Procedure Combination database 2010 to 2012, we compared six end points of in-hospital mortality, intraoperative postoperative complications, transfusion, anesthesia time, length stay, under one-to-one matching based propensity scores. Multivariate analyses included sex, age, Charlson comorbidity index, body mass oncologic stage, hospital volume, academic status. Missing values were filled in by five-copy multiple imputations. Results: Among 3595 3349 nephroureterectomies, an average 2902 matched pairs generated imputation process. The showing significantly favorable association with approach...

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