Evidence map›Paper›PMID 39138890›Full record

ArticleJournal of surgical oncology2024

Robotic-assisted enucleation for renal masses: A comparison of on-clamp and off-clamp approach.

Goran Rac, Christopher James, Jeffrey L Ellis, Gregory J Barton, Robert H Blackwell, Gopal N Gupta

Abstract readComparative Study
In one paragraph

Article in Journal of surgical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. 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

6 authors.

Goran RacDepartment of Urology, Loyola University Medical Center, Maywood, Illinois, USA.ORCID http://orcid.org/0000-0003-4694-1634
Christopher JamesDepartment of Urology, Loyola University Medical Center, Maywood, Illinois, USA.
Jeffrey L EllisDepartment of Urology, Loyola University Medical Center, Maywood, Illinois, USA.
Gregory J BartonDepartment of Urology, Loyola University Medical Center, Maywood, Illinois, USA.
Robert H BlackwellDepartment of Urology, Loyola University Medical Center, Maywood, Illinois, USA.
Gopal N GuptaDepartment of Urology, Loyola University Medical Center, Maywood, Illinois, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn surgically excising renal masses, studies have demonstrated that tumor enucleation is an effective option. However, there is limited literature comparing off-clamp to on-clamp tumor enucleation. MATERIALS AND

methodsWe retrospectively reviewed the charts of 189 patients who underwent robotic-assisted laparoscopic partial nephrectomy via tumor enucleation by a single surgeon from March 2012 and April 2022. Patients were stratified based on use of renal hilar clamping intraoperatively. Surgical, oncologic, and renal functional outcomes were captured. Variables were analyzed and compared between the two groups using Student's T-tests and Chi-square tests.

resultsOf 189 procedures analyzed, 124 were performed on-clamp and 65 were performed off-clamp. There were no differences in patient demographics or average length of follow-up. There were no differences in estimated blood loss, complications, or hospital length of stay. Recurrence rates were similar for the two groups. The absolute difference in estimated glomerular filtration rate change between the two groups at time of first follow-up was not significant (p = 0.25).

conclusionsThere is no significant difference in perioperative outcomes such as surgical time, blood loss, or complications between the two groups. Furthermore, there was no significant difference in postoperative kidney function between the two techniques.

Indexed as

Kidney NeoplasmsNephrectomyRobotic Surgical ProceduresAgedFemaleFollow-Up StudiesHumansLaparoscopyMaleMiddle AgedOperative TimeRetrospective Studieshilar clampingpartial nephrectomyrenal masstumor enucleation

Identifiers

PMID39138890
PMCPMC11654896

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Registered trials

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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.