Surgical outcome analysis of 130 consecutive partial nephrectomies undertaken in the South Wales region and comparison with BAUS (STUKA) data

Teichmann, D., Whitehurst, L., Chaytor, R., Omar, I.l, Naser, O., Kamarizan, M., Carter, A., Moosa, S., Narahari, K. ORCID: https://orcid.org/0000-0003-0257-7033, Coulthard, R. and Fenn, N. 2016. Surgical outcome analysis of 130 consecutive partial nephrectomies undertaken in the South Wales region and comparison with BAUS (STUKA) data. International Journal of Surgery 36 (Supple) , 0970. 10.1016/j.ijsu.2016.08.474

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Abstract

Aim: Partial Nephrectomy is an increasingly popular technique for managing small renal tumours both via an open and laparoscopic approach. We wished to compare our regional numbers, approaches and complication rates to the nationally published BAUS STUKA audit Method: We performed a retrospective case-note analysis across 4 regional centres of 130 consecutive partial nephrectomies between the years of 2011-2015. We examined patient demographics, surgical approach, operation time, blood loss, warm/cold ischaemia time, tumour histology, margin positivity, length of stay and complication rates as classified by the Clavien-Dindo system (CD) Result: Our results compare favourably with the STUKA audit in the domains of post-operative complications as classified by CD 2-5 (10% vs 13%). A lower percentage of cases are done laparoscopically (14% vs 24% nationally) despite tumour size distribution being similar. Margin positivity was similar laparoscopically (5.5%), although higher than the national average in open cases (10.7% vs 5%). Malignant disease was 6% lower (81% vs 87%) and benign disease was 7% higher (11% vs 18%). There were no patient deaths and no recorded recurrences at present. Conclusion: We believe this practice evaluation provides the foundation for service development. Varied numbers between units favour centralisation of care thus allowing development in laparoscopic techniques including the recently acquired robotic service.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Schools > Medicine
Publisher:	Wolters Kluwer
ISSN:	1743-9191
Last Modified:	19 Nov 2024 16:28
URI:	https://orca.cardiff.ac.uk/id/eprint/173971

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