A Propensity Score-Matched Comparison Between Sutureless and Suture Techniques in Laparoscopic Nephron-Sparing Surgery: A Retrospective Non-Randomized Observational Study
A Propensity Score-Matched Comparison Between Sutureless and Suture Techniques in Laparoscopic Nephron-Sparing Surgery: A Retrospective Non-Randomized Observational Study
复制标题
腹腔镜保留肾单位手术中无缝线与缝合技术的倾向评分匹配比较：一项回顾性非随机观察研究
DOI：
10.1089/lap.2020.0187
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发表时间：
2020-05-14
影响因子：
1.3
通讯作者：
Zhang, Yuanfeng
中科院分区：
文献类型：
--
作者：
Jin, Dachun;Ren, Dong;Zhang, Yuanfeng
目的：比较腹膜后腹腔镜保留肾单位手术 (LNSS) 中无缝线和缝合技术的手术可行性、肿瘤学和功能结果。 材料和方法：这项回顾性研究收集了在两个高容量中心接受腹膜后 LNSS 的连续患者。进行倾向评分匹配（PSM）分析以选择两个基线同质队列。在 PSM 之前和之后进行描述性统计。此外，还进行了单变量和多变量 Logistic 分析，以确定术后急性肾损伤 (AKI) 的危险因素，而 Kaplan-Meier 分析则用于功能恶化（新发 3 期慢性肾病 [CKD]、估计肾小球滤过率 [eGFR]）
Objective: To compare the surgical feasibility, oncological and functional results between sutureless and suture techniques in retroperitoneal laparoscopic nephron-sparing surgery (LNSS).Materials and Methods: This retrospective study collected consecutive patients with a renal mass who underwent retroperitoneal LNSS in two high-volume centers. Propensity score matching (PSM) analysis was conducted to select two baseline homogeneous cohorts. Descriptive statistics was performed both before and after PSM. Moreover, univariate and multivariate logistic analyses were carried out to identify the risk factors of postoperative acute kidney injury (AKI), whereas Kaplan-Meier analysis for functional deterioration (new-onset stage 3 chronic kidney disease [CKD], estimated glomerular filtration rate [eGFR]