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Table 1 Epidemiological, oncological, and surgical characteristics

From: Outcome of kidney function after ischaemic and zero-ischaemic laparoscopic and open nephron-sparing surgery for renal cell cancer

 

Overall (n = 444)

LNSS (n = 211)

ONSS (n = 233)

p-value

a Epidemiological characteristics

 Age years

63 (54–68)

63 (53–68)

63 (55–68)

0.99

 Sex m/f (%)

331 / 113 (74.5 / 25.5)

165 / 46 (78.2 / 21.8)

166 / 67 (71.2 / 28.8)

0.09

 BMI (kg/m2)

26.9 (24.7–29.6)

27.1 (25.1–29.7)

26.8 (24.3–29.6)

0.21

 Charlson comorbidity score

2 (0–2)

2 (0–2)

2 (0–2)

0.74

 eGFR mL/min/1.73 m2 a

80.0 (65.1–93.1)

82.0 (69.9–94.9)

76.9 (61.5–91.1)

0.004

 Serum creatinine mg/dL

0.97 (0.83–1.14)

0.93 (0.82–1.08)

1.0 (0.85–1.2)

0.03

 eGFR category b (%)

   

0.04

  G1

134 (30.2)

70 (33.2)

64 (27.5)

0.22

  G2

223 (50.2)

111 (52.6)

112 (48.1)

0.41

  G3

73 (16.4)

24 (11.4)

49 (21.0)

0.005

  G4

9 (2.0)

5 (2.4)

4 (1.7)

0.90

  G5

0 (0.0)

0 (0.0)

0 (0.0)

–

  No data

5 (1.1)

1 (0.4)

4 (1.7)

0.22

 Haemoglobin g/dL

14.5 (13.6–15.4)

14.7 (13.8–15.5)

14.4 (13.5–15.3)

0.02

 Blood pressure categories c (%)

   

0.92

  Optimal blood pressure

36 (8.1)

16 (7.6)

20 (8.6)

 

  Normal blood pressure

84 (18.9)

30 (14.2)

54 (23.2)

 

  High-normal blood pressure

75 (16.9)

32 (15.2)

43 (18.5)

 

  Grade 1 hypertension [mild]

132 (29.7)

60 (28.4)

72 (30.9)

 

  Grade 2 hypertension [moderate]

50 (11.3)

16 (7.6)

34 (14.6)

 

  Grade 3 hypertension [severe]

10 (2.3)

5 (2.4)

5 (2.1)

 

  No data

57 (12.8)

52 (24.6)

5 (2.1)

 

b Tumour characteristics

 RCC subtype (%)

   

0.53

  Clear cell

303 (68.2)

141 (66.8)

162 (69.5)

 

  Papillary

94 (21.2)

52 (24.6)

42 (18.0)

 

  Chromophobic

34 (7.7)

14 (6.6)

20 (8.6)

 

  Others d

5 (1.1)

2 (0.9)

3 (1.3)

 

  No data

8 (1.8)

2 (0.9)

6 (2.6)

 

 TNM (7th edition UICC 2010) staging (%)

   

<  0.001

  T1a

315 (70.9)

170 (80.6)

145 (62.2)

<  0.001

  T1b

83 (18.7)

29 (13.7)

54 (23.2)

0.008

  T2a

10 (2.3)

1 (0.5)

9 (3.9)

0.02

  T2b

3 (0.7)

0 (0.0)

3 (1.3)

0.10

  T3a

22 (5.0)

8 (3.8)

14 (6.0)

0.26

  T3b

1 (0.2)

0 (0.0)

1 (0.4)

0.34

  T3c

0 (0.0)

0 (0.0)

0 (0.0)

–

  T4

1 (0.2)

1 (0.5)

0 (0.0)

0.30

  Tx

9 (2.0)

2 (0.9)

7 (3.0)

0.13

 Nodal status (%)

   

0.17

  N0

45 (10.1)

17 (8.1)

28 (12.0)

 

  N1

0 (0.0)

0 (0.0)

0 (0.0)

 

  Nx

399 (89.1)

194 (91.9)

205 (88.0)

 

 Metastatic status (%)

  M0

444 (100.0%)

211 (100.0)

233 (100.0)

–

  M1

0 (0.0)

0 (0.0)

0 (0.0)

–

  Mx

0 (0.0)

0 (0.0)

0 (0.0)

–

 Grading (%)

   

0.20

  G1

77 (17.3)

39 (18.5)

38 (16.3)

 

  G2

300 (67.6)

150 (71.1)

150 (64.4)

 

  G3

36 (8.1)

13 (6.2)

23 (9.9)

 

  G4

2 (0.5)

0 (0.0)

2 (0.9)

 

  No data

29 (6.5)

9 (4.3)

20 (8.6)

 

 Surgical margin (%)

  R0

396 (89.2)

194 (91.9)

202 (86.7)

0.86

  R1

15 (3.4)

7 (3.3)

8 (3.4)

0.14

  R2

0 (0.0)

0 (0.0)

0 (0.0)

–

  Rx

33 (7.4)

10 (4.7)

23 (9.9)

0.04

  R+

16 (3.6)

7 (3.3)

9 (3.9)

0.68

 Tumour diameter cm

3.0 (2.2–4.0)

2.7 (2.0–3.5)

3.5 (2.5–4.5)

<  0.001

 Tumour diameter category cm (%)

  ≤ 4 cm

357 (80.4)

185 (87.7)

172 (73.8)

<  0.001

  >  4 - < 7 cm

74 (16.7)

25 (11.8)

49 (21.0)

0.01

  ≥ 7 – <  10 cm

10 (2.3)

1 (0.5)

9 (3.9)

0.02

  ≥ 10 cm (%)

3 (0.7)

0 (0.0)

3 (1.3)

0.10

 Tumour location

 Side (%)

   

0.81

  Right

233 (52.5)

112 (53.1)

121 (51.9)

 

  Left

211 (47.5)

99 (46.9)

112 (48.1)

 

  Bilateral

0 (0.0)

0 (0.0)

0 (0.0)

 

 Quantity (%)

   

0.50

  Unilocally

430 (96.8)

206 (97.6)

224 (96.1)

 

  Multilocally

13 (2.9)

5 (2.4)

8 (3.4)

 

  No data

1 (0.2)

0 (0.0)

1 (0.4)

 

 Vertical locus (%)

  Located in upper renal section

119 (26.8)

59 (28.0)

60 (25.8)

0.61

  Located in middle renal section

168 (37.8)

86 (40.8)

82 (35.2)

0.24

  Located in lower renal section

159 (35.8)

65 (30.8)

94 (40.3)

0.03

  No data

5 (1.1)

2 (0.9)

3 (1.3)

0.74

 Horizontal locus (%)

   

<  0.001

  Centrally located

122 (27.5)

41 (19.4)

81 (34.8)

<  0.001

  Peripherically located

313 (70.5)

164 (77.7)

149 (63.9)

<  0.001

  No data

9 (2.0)

6 (2.8)

3 (1.3)

0.25

c Surgical characteristics

 Operative time min

185.0 (145.0–230.0)

205.0 (160.0–245.0)

160.0 (130.0–207.0)

<  0.001

 Vessel clamping (%)

   

<  0.001

  Ischaemia

343 (77.3)

185 (87.7)

158 (67.8)

<  0.001

  No Ischaemia

57 (12.8)

9 (4.3)

48 (20.6)

<  0.001

  No data

44 (9.9)

17 (8.1)

27 (11.6)

0.21

 Ischaemia time min

24 (18–32)

25 (19–34)

23 (17–30)

0.04

 Ischaemia time < 15 min / ≥ 15 min (%)

41 / 302 (9.2 / 68.0)

19 / 166 (9.0 / 78.7)

22 / 136 (9.4 / 58.4)

0.30

 Ischaemia time < 20 min / ≥ 20 min (%)

99 / 244 (22.3 / 55.0)

51 / 134 (24.2 / 63.5)

48 / 110 (20.6 / 47.2)

0.57

 Ischaemia time < 25 min / ≥ 25 min (%)

174 /169 (39.2 /38.1)

84 / 101 (39.8 / 47.9)

90 / 68 (38.6 / 29.2)

0.03

 Ischaemia time < 30 min / ≥ 30 min (%)

231 /112 (52.0 /25.2)

118 / 67 (55.9 / 31.8)

113 / 45 (48.5 / 19.3)

0.13

 Ischaemia time < 35 min / ≥ 35 min (%)

269 / 74 (60.6 /16.7)

141 / 44 (66.8 / 20.9)

128 / 30 (54.9 /12.9)

0.28

 Lymphadenctomy (%)

45 (10.1)

17 (8.1)

28 (12.0)

0.17

 Adrenalectomy (%)

7 (1.6)

3 (1.4)

4 (1.7)

0.92

 Intraoperative transfusion rate (%)

25 (5.6)

4 (1.9)

21 (9.0)

<  0.001

 Transfusion bags

2 (1–2)

1 (1–1.75)

2 (1–2)

0.12

 Estimated intraoperative blood loss mL

200 (100–500) n = 88

150 (50–425) n = 49

400 (200–800) n = 39

<  0.001

 Surgical approach (%)

   

<  0.001

  Retroperitoneal

162 (36.5)

0 (0.0)

162 (69.5)

<  0.001

  Transperitoneal

275 (61.9)

211 (100.0)

64 (27.5)

<  0.001

  No data

7 (1.6)

0 (0.0)

7 (3.0)

0.01

 Preoperative prophylactic ureteric stent implantation (%)

72 (16.2)

54 (25.6)

18 (7.7)

<  0.001

 Postoperative ureteric stent implantation (%)

14 (3.2)

5 (2.4)

9 (3.9)

0.37

 Intraoperative complications (%)

64 (14.4)

34 (16.1)

30 (12.9)

0.33

 Postoperative complications e (%)

140 (31.5)

49 (23.2)

91 (39.1)

<  0.001

 Clavien-Dindo score ≥ 3 (%)

40 (9.0)

16 (7.6)

24 (10.3)

0.32

 Hospitalization d

7 (5–9)

6 (5–8)

8 (6–10)

<  0.001

  1. (a) Patient characteristics, epidemiological data, clinical and renal parameters, (b) tumour characteristics, and (c) surgical characteristics of the overall study population (NSS-C) and in the LNSS and ONSS subgroups
  2. Continuous data are shown as median with interquartile range (IQR)
  3. LNSS laparoscopic nephron-sparing surgery, ONSS open nephron-sparing surgery, n number, m male, f female, RCC renal cell cancer, BMI body mass index, eGFR estimated glomerular filtration rate, CT computed tomography, MRI magnetic resonance imaging, UICC Union Internationale Contre le Cancer, d days
  4. aCalculated according to the MDRD (Modification of Diet in Renal Disease) formula
  5. bAccording to the Kidney Disease: Improving Global Outcomes (KDIGO) criteria
  6. cAccording to the 1999 World Health Organization International Society of Hypertension. Guidelines for the management of hypertension
  7. dChromophile, unclassifiable, or dedifferentiated carcinoma
  8. eAccording to the Clavien-Dindo classification