AI Article Synopsis
- * A total of 149,417 patients were analyzed, with significant numbers reported for each type of surgery between 2018 and 2021, such as 22,692 radical prostatectomies performed in 2021 alone.
- * Findings indicate a shift from open surgery to robot-assisted or laparoscopic techniques, highlighting the NCD's role in monitoring trends in urological surgeries.
Article Abstract
Objectives: The National Clinical Database (NCD) Urology Division commenced registration in April 2018 in Japan. This is the first report to focus on five surgeries for which detailed information is registered.
Methods: We herein describe annual trends in and the complication grades of the following five surgeries: partial nephrectomy, radical nephrectomy, radical cystectomy, radical prostatectomy, and pyeloplasty, using the NCD. A total of 149 417 patients treated with the five types of surgeries based on NCD data were enrolled in this report.
Results: The number of patients was 55 630 for partial/radical nephrectomy from April 2018 to December 2021, 83 653 for radical prostatectomy from April 2018 to December 2021, and 9342 for radical cystectomy from January 2020 to December 2021. In 2021, partial nephrectomy was performed on 7416 cases, radical nephrectomy on 7739 cases, radical prostatectomy on 22 692 cases, radical cystectomy on 4677 cases, and pyeloplasty on 792 cases.
Conclusions: The results obtained showed that a robot-assisted or laparoscopic procedure has replaced open surgery as the common approach for all five surgeries. An analysis of NCD data may be useful for understanding trends in surgical procedures across the major field of urology.
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| http://dx.doi.org/10.1111/iju.15561 | DOI Listing |
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