The use of hemostatic agents does not prevent hemorrhagic complications of robotic partial nephrectomy View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2015-11

AUTHORS

Benoit Peyronnet, Emmanuel Oger, Zineddine Khene, Gregory Verhoest, Romain Mathieu, Mathieu Roumiguié, Jean-Baptiste Beauval, Benjamin Pradere, Alexandra Masson-Lecomte, Christophe Vaessen, Hervé Baumert, Jean-Christophe Bernhard, Nicolas Doumerc, Stéphane Droupy, Franck Bruyere, Alexandre De La Taille, Morgan Roupret, Karim Bensalah

ABSTRACT

PURPOSE: To assess the impact of HA on robotic PN (RPN) outcomes. METHODS: We retrospectively analyzed data from patients who underwent RPN in eight centers between 2009 and 2013. Hemorrhagic complications were defined as the occurrence of a pseudoaneurysm, arteriovenous fistula or hematoma requiring transfusion. Patients were first divided into two groups: group A (use of at least one HA) and group B (no HA used), and then into five groups to assess the impact of each HA: group 1 (no HA), group 2 (Floseal(®) only), group 3 (Surgicel(®) only), group 4 (Tachosil(®) only) and group 5 (Surgicel(®) + Floseal(®)). The impact of HA was evaluated by univariate and multivariate analysis. RESULTS: Out of 515 RPN, 315 (61 %) were done using at least one HA (group A) and 200 (39 %) were done without any HA (group B). Patients in both groups had similar hemorrhagic complication rates (13 % vs. 15 %, p = 0.42) and postoperative complication rates (19 % vs. 23 %, p = 0.32). In multivariate analysis, the absence of HA was not a risk factor for hemorrhagic complications (OR 0.77, p = 0.54). When each type of HA was considered individually, none was associated with the occurrence of hemorrhagic complication either in univariate or in multivariate analysis. CONCLUSION: In this multicenter study, the use of HA was not associated with a lower risk of hemorrhagic or global complications. More... »

PAGES

1815-1820

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00345-015-1537-0

DOI

http://dx.doi.org/10.1007/s00345-015-1537-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1053735604

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/25820610


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