Long-term oncologic outcomes of laparoscopic versus open partial nephrectomy

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Background Most of the literatures on laparoscopic partial nephrectomy (LPN) versus open partial nephrectomy (OPN)focus on technical details and early or mid-term oncologic outcomes,reflecting that the approach is safe and provides midterm benefits compared with traditional open surgery.However,the difference of long-term oncologic outcome between LPN and OPN remains unclear.The aim of this meta-analysis was to evaluate the long-term oncologic outcome of LPN in the treatment of localized renal tumors compared with that of OPN.Methods A systematic search of electronic databases including Medline,Embase,and Cochrane library was conducted.Comparative studies reporting on long-term oncologic outcome of LPN versus OPN were regarded eligible.The odds ratio (OR) and its corresponding 95% confidence intervals (CI) were calculated for the oncologic outcomes.The methodologic quality of the included studies was evaluated using the strict criteria of the Newcastle-Ottawa scale.Results Six comparative studies (1495 participants including 555 LPN and 940 OPN) were included in the present study.There was no significant difference between LPN and OPN in 5-year overall survival (OS) rates (OR=1.83,95% CI (0.80,4.19)),5-year cancer specific survival (CSS) rates (OR=1.09,95% CI (0.62,1.92)),and 5-year recurrence free survival (RFS) rates (OR=0.68,95% CI (0.37,1.26)).Conclusion The results of this meta-analysis revealed that there was no significant difference in long-term oncologic outcome between LPN and OPN for treatment of localized renal tumors.
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