Pubblicazioni

Autori:

Ditonno, Francesco; Bertolo, Riccardo; Veccia, Alessandro; Costantino, Sonia; Montanaro, Francesca; Artoni, Francesco; Baielli, Alberto; Boldini, Michele; Brusa, Davide; De Marco, Vincenzo; Migliorini, Filippo; Porcaro, Antonio Benito; Rizzetto, Riccardo; Cerruto, Maria Angela; Autorino, Riccardo; Antonelli, Alessandro

Titolo:

Assessing the perioperative outcomes of abdominal drain omission after robot-assisted partial nephrectomy

Anno:

2024

Tipologia prodotto:

Articolo in Rivista

Tipologia ANVUR:

Articolo su rivista

Lingua:

Inglese

Referee:

Sì

Nome rivista:

SCIENTIFIC REPORTS

ISSN Rivista:

2045-2322

N° Volume:

14

Numero o Fascicolo:

1

Intervallo pagine:

1-8

Parole chiave:

Complications; Drain; Nephrectomy; Renal neoplasm; Robotic

Breve descrizione dei contenuti:

: The study aimed to evaluate the impact of abdominal drain placement (vs. omission) on perioperative outcomes of robot-assisted partial nephrectomy (RAPN), focusing on complications, time to canalization, deambulation, and pain management. A prospectively-maintained institutional database was queried to get data of patients who underwent RAPN for renal masses between January 2018 and May 2023 at our Institution. Baseline, surgical, and postoperative data were collected. Retrieved patients were stratified based upon placement of abdominal drain (Y/N). Descriptive analyses comparing the two groups were conducted as appropriate.77 After adjusting for potential confounders, a logistic regression analysis was conducted to evaluate significant predictors of any grade and "major" complications. 342 patients were included: 192 patients in the "drain group" versus 150 patients in the "no-drain" group. Renal masses were larger (p < 0.001) and at higher complexity (RENAL score, p = 0.01), in the drain group. Procedures in the drain group had statistically significantly longer operative time, ischemia time, and higher blood loss (all p-values < 0.001). The urinary collecting system was more likely involved compared to the no-drain group (p = 0.01). At multivariate analysis, abdominal drainage was not a significant predictor of any grade (OR 0.79, 95%CI 0.33-1.87) and major postoperative complications (OR 3.62, 95%CI 0.53-9.68). Patients in the drain group experienced a statistically significantly higher hemoglobin drop (p < 0.01). Moreover, they exhibited statistically significant higher paracetamol consumption (p < 0.001) and need for additional opioids (p = 0.02). In summary, the study results suggest the safety of omitting drain placement and remark on the need for personalized decision-making, which considers patient and procedural factors.

Pagina Web:

https://www.nature.com/articles/s41598-024-59404-w

Id prodotto:

139052

Handle IRIS:

11562/1124986

ultima modifica:

20 agosto 2024

Citazione bibliografica:

Ditonno, Francesco; Bertolo, Riccardo; Veccia, Alessandro; Costantino, Sonia; Montanaro, Francesca; Artoni, Francesco; Baielli, Alberto; Boldini, Michele; Brusa, Davide; De Marco, Vincenzo; Migliorini, Filippo; Porcaro, Antonio Benito; Rizzetto, Riccardo; Cerruto, Maria Angela; Autorino, Riccardo; Antonelli, Alessandro, Assessing the perioperative outcomes of abdominal drain omission after robot-assisted partial nephrectomy «SCIENTIFIC REPORTS» , vol. 14 , n. 1 , 2024 , pp. 1-8

Consulta la scheda completa presente nel repository istituzionale della Ricerca di Ateneo