Evidence map›Paper›PMID 30083964›Full record

ArticleInternational journal of clinical oncology2019

Does tumour effraction during robotic partial nephrectomy have any impact on recurrence?

Zine-Eddine Khene, Benoit Peyronnet, Benjamin Pradère, Corentin Robert, Anna Goujon, Solène-Florence Kammerer-Jacquet, Grégory Verhoest, Nathalie Rioux-Leclercq, Romain Mathieu, Karim Bensalah

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Article in International journal of clinical oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Zine-Eddine KheneDepartment of Urology, Rennes University Hospital, 2, Rue Henri Le Guilloux, 35033, Rennes Cedex, France. zineddine.khene@gmail.com.ORCID http://orcid.org/0000-0002-4124-789X
Benoit PeyronnetDepartment of Urology, Rennes University Hospital, 2, Rue Henri Le Guilloux, 35033, Rennes Cedex, France.
Benjamin PradèreDepartment of Urology, Rennes University Hospital, 2, Rue Henri Le Guilloux, 35033, Rennes Cedex, France.
Corentin RobertDepartment of Radiology, Rennes University Hospital, Rennes, France.
Anna GoujonDepartment of Urology, Rennes University Hospital, 2, Rue Henri Le Guilloux, 35033, Rennes Cedex, France.
Solène-Florence Kammerer-JacquetDepartment of Pathology, Rennes University Hospital, Rennes, France.
Grégory VerhoestDepartment of Urology, Rennes University Hospital, 2, Rue Henri Le Guilloux, 35033, Rennes Cedex, France.
Nathalie Rioux-LeclercqDepartment of Pathology, Rennes University Hospital, Rennes, France.
Romain MathieuDepartment of Urology, Rennes University Hospital, 2, Rue Henri Le Guilloux, 35033, Rennes Cedex, France.
Karim BensalahDepartment of Urology, Rennes University Hospital, 2, Rue Henri Le Guilloux, 35033, Rennes Cedex, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the impact of accidental surgical incision into the tumour (ASIT) on oncological outcomes in patients undergoing RPN for a malignant tumour. MATERIALS AND

methodsA retrospective review of our prospectively maintained database was performed to identify all patients who underwent RPN for a localized RCC between June 2010 and July 2016. We stratified our cohort into two groups according to the presence of an ASIT. Perioperative data were compared between the two groups. Logistic regression analyses were used to assess the variables associated with ASIT. Recurrence-free survival was estimated using the Kaplan-Meier method and compared between groups with the log-rank test.

resultsA total of 234 patients were identified. 32 (14%) ASIT were observed. Patients' characteristics were similar in the two groups. Most of intraoperative outcomes were comparable between the two groups, but patients in the ASIT group had greater EBL (475 vs. 300 mL; p = 0.01). In multivariate analysis, tumour size (p = 0.02), RENAL score (p = 0.02), EBL (p = 0.05) and low surgeon experience (p = 0.03) were all predictive factors of ASIT. 15 (6%) of recurrences were observed over a median follow-up of 36 months. There was no difference in recurrence-free survival between the two groups (p = 0.57).

conclusionsIn our experience, accidental surgical incision into the tumour during RPN was a common event that did not appear to compromise oncological outcome.

Indexed as

AgedCarcinoma, Renal CellFemaleHumansKidney NeoplasmsMaleMiddle AgedNeoplasm Recurrence, LocalNephrectomyPrognosisProspective StudiesRetrospective StudiesRobotic Surgical ProceduresSurvival RateComplicationsPartial nephrectomyRecurrenceRobotic surgical proceduresSurvival

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.