Need for Intraoperative Ultrasound and Surgical Recommendation for Partial Nephrectomy Correlation With Tumor Imaging Features and Urologist Practice Patterns

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dc.contributor.authorSun, Maryellen R. M.
dc.contributor.authorWagner, Andrew A.
dc.contributor.authorSan Francisco, Ignacio F.
dc.contributor.authorBrook, Alexander
dc.contributor.authorKavoussi, Louis
dc.contributor.authorRusso, Paul
dc.contributor.authorSteele, Graeme
dc.contributor.authorViterbo, Rosalia
dc.contributor.authorPedrosa, Ivan
dc.date.accessioned2024-01-10T13:15:25Z
dc.date.available2024-01-10T13:15:25Z
dc.date.issued2012
dc.description.abstractPurpose: This study aimed to evaluate the need for intraoperative ultrasound (IOUS) and recommendation for surgical approach in the resection of renal tumors through a survey of practicing urologists, with correlation to tumor imaging features and urologist practice pattern.
dc.description.abstractMaterials and Methods: An institutional review board-approved retrospective review, compliant with the Health Insurance Portability and Accountability Act, of 44 renal tumors that underwent laparoscopic partial nephrectomy at the study institution was performed. The numeric component of the RENAL nephrometry score (radius [diameter], % exophytic, nearness [to collecting system/renal sinus], location) was calculated for each case using preoperative computed tomography/magnetic resonance imaging. Five anonymized images of each tumor were presented to 4 academic urologists with varying practice patterns. Reviewers independently scored each case for its need for IOUS, for recommendation of a surgical technique, and for the difficulty of the proposed surgery.
dc.description.abstractResults: The RENAL scores were as follows: RENAL 1 (low complexity, score 4-6; n = 19); RENAL 2 (moderate complexity, score 7-9; n = 23); RENAL 3 (high complexity, score 10-12; n = 2). The only RENAL score component significantly influencing need for IOUS was percentage exophytic (P = 0.00002). There was an inverse relationship between normalized and averaged need for IOUS and percentage exophytic (P < 0.0001). The predominant influence for recommendation of surgical method was the reviewer him/herself, with each reviewer's recommendations closely matching his/her practice pattern. Size and percentage exophytic represented the only tumor features significantly (P = 0.03) influencing surgical recommendation.
dc.description.abstractConclusions: There was a significant difference in the perceived need for IOUS and surgical recommendation when 4 academic urologists reviewed a series of renal masses requiring resection. Percentage exophytic correlated inversely with need for IOUS. Urologist's practice pattern and tumor size and percentage exophytic were most predictive of surgical recommendation.
dc.fechaingreso.objetodigital2024-05-23
dc.format.extent7 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1097/RUQ.0b013e31824a45f6
dc.identifier.eissn1536-0253
dc.identifier.issn0894-8771
dc.identifier.pubmedidMEDLINE:22357225
dc.identifier.urihttps://doi.org/10.1097/RUQ.0b013e31824a45f6
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/78499
dc.identifier.wosidWOS:000300725600005
dc.information.autorucMedicina;San Francisco I;S/I;152729
dc.issue.numero1
dc.language.isoen
dc.nota.accesocontenido parcial
dc.pagina.final27
dc.pagina.inicio21
dc.publisherLIPPINCOTT WILLIAMS & WILKINS
dc.revistaULTRASOUND QUARTERLY
dc.rightsacceso restringido
dc.subjectintraoperative ultrasound
dc.subjectpartial nephrectomy
dc.subjectrecommended surgical technique
dc.subjectRENAL nephrometry score
dc.subjectLAPAROSCOPIC PARTIAL NEPHRECTOMY
dc.subjectNEPHRON SPARING SURGERY
dc.subjectRENAL-CELL CARCINOMA
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleNeed for Intraoperative Ultrasound and Surgical Recommendation for Partial Nephrectomy Correlation With Tumor Imaging Features and Urologist Practice Patterns
dc.typeartículo
dc.volumen28
sipa.codpersvinculados152729
sipa.indexWOS
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
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