Publications by authors named "B Weber Rouget"
Article Synopsis
- The study focused on the average 3-day hospital stay after robotic-assisted partial nephrectomy (RAPN) and aimed to identify which patients could safely undergo the procedure on an outpatient basis without significant complications.
- Researchers analyzed data from 3,342 patients who had RAPN between 2010 and 2021, finding that overall complications occurred in almost 15% of cases, with significant complications occurring in about 3.6%.
- Key risk factors for early significant complications within 72 hours post-surgery included longer clamping times and higher ASA scores, leading to the conclusion that patients with ASA scores greater than 2 and a clamping time under 20 minutes could be good candidates for outpatient surgery.
The Impact of Histological Variants on Oncological Outcomes After Surgical Resection of a Nonmetastatic Renal Cell Carcinoma with Tumor Thrombus: A Multi-institutional Study.
Eur Urol Open Sci
April 2024
Background: There is no definitive evidence of the prognosis impact of histological variants (HVs) in patients who undergo surgical resection of a nonmetastatic renal cell carcinoma (nm-RCC) with venous tumor thrombus (TT).
Objective: To investigate the impact of HVs on the prognosis of patients with nm-RCC with TT after radical surgery.
Design Setting And Participants: Patients who underwent radical nephrectomy with the removal of the venous TT for an nm-RCC were included in a retrospective study.
Article Synopsis
- The SPARE Nephrometry Score (NS) is proposed as an easier alternative for predicting renal function outcomes after robotic-assisted partial nephrectomy (RAPN) compared to the more established RENAL and PADUA scores.
- A multicentric retrospective study analyzed data from 1171 patients who underwent RAPN, focusing on outcomes like acute kidney injury (AKI), chronic kidney disease (CKD) upstaging, and other renal function metrics.
- Results indicated that all nephrometry scores and tumor size were equally effective in predicting adverse kidney outcomes, suggesting that tumor size might be the most straightforward factor for surgical decision-making.
Recent studies suggested that the neutrophil-to-lymphocyte ratio (NLR) could play a key role in tumor initiation, progression and response to treatments. The main objective was to assess the prognostic value of the pre-operative NLR on recurrence-free survival (RFS) in patients with non-hereditary localized renal cell carcinoma. From the UroCCR database (NCT03293563), factors influencing the disease recurrence of consecutive patients who underwent nephrectomy for cT1-T4 N0M0 were analyzed using multi-variate cox regression and log-rank methods.
View Article and Find Full Text PDFThe oncological impact of positive surgical margins (PSM) after robot-assisted partial nephrectomy (RAPN) is still under debate. We compared PSM and Negative Surgical Margins (NSM) in terms of recurrence-free survival (RFS), metastasis-free survival (MFS) and overall survival (OS) after RAPN, and we identified predictive factors of PSM. Multi-institutional study using the UroCCR database, which prospectively included 2166 RAPN between April 2010 and February 2021 (CNIL DR 2013-206; NCT03293563).
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