Evidence map›Paper›PMID 39100836›Full record

ArticleTranslational andrology and urology2024

Effectiveness of soft coagulation in robot-assisted partial nephrectomy in preventing pseudoaneurysms and its influence on renal function based on propensity score-matched analysis.

Hayato Hoshina, Toru Sugihara, Akira Fujisaki, Hirotaka Yokoyama, Masayuki Kurokawa, Masahiro Yamazaki, Ei-Ichiro Takaoka, Satoshi Ando, Tatsuya Takayama, Haruki Kume and 1 more

Abstract read
In one paragraph

Article in Translational andrology and urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Pseudoaneurysm after prostate biopsy: case report.The Canadian journal of urology · 2025
    Article
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

11 authors.

Hayato HoshinaDepartment of Urology, Jichi Medical University Hospital, Shimotsuke, Japan.
Toru SugiharaDepartment of Urology, Jichi Medical University Hospital, Shimotsuke, Japan.
Akira FujisakiDepartment of Urology, Seirei Hamamatsu General Hospital, Hamamatsu, Japan.
Hirotaka YokoyamaDepartment of Urology, Jichi Medical University Hospital, Shimotsuke, Japan.
Masayuki KurokawaDepartment of Urology, Jichi Medical University Hospital, Shimotsuke, Japan.
Masahiro YamazakiDepartment of Urology, Jichi Medical University Hospital, Shimotsuke, Japan.
Ei-Ichiro TakaokaDepartment of Urology, Jichi Medical University Hospital, Shimotsuke, Japan.
Satoshi AndoDepartment of Urology, Jichi Medical University Hospital, Shimotsuke, Japan.
Tatsuya TakayamaDepartment of Urology, International University of Health and Welfare Hospital, Nasushiobara, Japan.
Haruki KumeDepartment of Urology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Tetsuya FujimuraDepartment of Urology, Jichi Medical University Hospital, Shimotsuke, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Renal artery pseudoaneurysm (RAP) is one of the most stressful and life-threatening complications of partial nephrectomy, the standard treatment for small renal cell carcinoma. The use of a monopolar soft coagulation system for hemostasis during robot-assisted partial nephrectomy (RAPN) is expected to prevent post-surgical RAP development. In this study, we aimed to investigate how the use of a soft coagulation system in RAPN reduces postoperative pseudoaneurysms and changes renal function over time. Methods: The incidence of pseudoaneurysms and postoperative renal function were compared in 208 partial nephrectomies performed between May 2016 and March 2023 at a single institution, with propensity score matching to balance patient backgrounds. Outcomes were analyzed using multivariate logistic or linear regression analyses. Results: In total, 80 matched pairs were analyzed. One (1.2%) and eighteen (22.5%) pseudoaneurysms were found in the soft coagulation users and non-users, respectively (P<0.001). Compared to the non-user group, postoperative estimated glomerular filtration rates (eGFRs) in the user group were 89% Conclusions: The use of a soft coagulation system reduces pseudoaneurysm occurrence after partial nephrectomy. Although renal function decreased in the short-term for the use group, no long-term differences were observed.

Indexed as

Chronic kidney disease (CKD)complicationpseudoaneurysmrobot-assisted partial nephrectomy (RAPN)soft coagulation

Identifiers

PMID39100836
PMCPMC11291425

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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.