ArticleBMC urology2024
Open versus mini-invasive partial and radical nephrectomy complications: results from the French national health database.
Article in BMC urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Laparoscopic vs. Open nephrectomy for inflammatory renal conditions: a meta-analysis emphasizing safety.BMC urology · 2025Pooled it
- External validation of the preoperative risk evaluation for partial nephrectomy (PREP) score.BJUI compass · 2026Article
- Preoperative 5-Factor Frailty Index and Clavien-Dindo Grade ≥ II Complications Following Open Radical Nephrectomy: A Prospective Single-Center Cohort Study.Healthcare (Basel, Switzerland) · 2026Article
- Current controversies with active surveillance management of small renal masses.Mini-invasive surgery · 2026Article
- A postoperative complication: Untangling iatrogenic rotation at the ligament of Treitz.Radiology case reports · 2025Article
- Frailty index and nutrition status impact perioperative outcomes in patients undergoing minimally invasive radical nephrectomy.Journal of robotic surgery · 2025Article
- Endovascular Treatment of Renal Artery Pseudoaneurysm Following Laparoscopic Partial Nephrectomy: A Case Report.Cureus · 2025Article
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6 authors.
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Abstract
backgroundLaparoscopic surgery is associated with a lower morbidity than open surgery. No recent data compared kidney cancer surgery in the French population using the National Health Insurance database (PMSI-MCO).
aimsWe explore and compare the surgical morbidity rates between laparoscopic and open laparotomy for kidney cancer.
methodsThe initial length of stay and complications parameters during the three postoperative months were described for renal cancer in every French center in 2018. We compared Relative Risks (RR [95% CI]) between laparoscopic and open surgery for both radical and partial nephrectomy.
resultsAmong 8,162 patients, 3,525 had a radical nephrectomy, 978 open, 2,547 laparoscopic surgeries; 4,637 patients had partial nephrectomies, 1,778 open 2,859 laparoscopic surgeries. For radical surgery, the most common complications were urinary infections (7.8%), acute renal failure (8.9%), sepsis (8.4%), bleeding (9.3%), and postoperative anemia (5.9%); the RR for laparoscopic versus open surgery were respectively 0.68 [0.54;0.86], 0.71 [0.57;0.88], 0.69 [0.55;0.86], 0.83 [0.66;1.03], 0.56 [0.43;0.73]. For partial nephrectomies, the most common complications were urinary infections (7.7%), bleeding (11.6%), and postoperative anemia (5.8%), with RR of 0.71 [0.58;0.87], 0.61 [0.52;0.71], and 0.64 [0.51;0.81]. The mean length of stay was 7.7 for open radical nephrectomy, 6.3 for laparoscopic radical nephrectomy, 7.5 for open partial nephrectomy, and 5 for laparoscopic partial nephrectomy.
conclusionsThe laparoscopic approach had fewer postoperative complications and a shorter length of stay than open surgery for partial and radical nephrectomy. The PMSI analysis provided an exhaustive description of surgical practice for kidney cancer and surgical complications in France. CLINICAL TRIAL NUMBER: Not applicable.
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