Key result
Minimal access surgery linked to shorter procedures and hospital stays vs median sternotomy, without significant survival benefit.
Why the study?
Does minimal access surgery improve peri-operative outcomes compared to traditional median sternotomy in patients with renal cell carcinoma and extensive venous thrombus?
Cohort (n=50)
No
Does minimal access surgery improve peri-operative outcomes compared to traditional median sternotomy in patients with renal cell carcinoma and extensive venous thrombus?
Hazard Ratio: 2.02 (95% CI 0.97–4.72)
Absolute Event Rate: 2.84% vs 0.62%
p-value: p=0.06
Minimal access surgical techniques with deep hypothermic cardiac arrest for RCC with extensive tumour thrombus provide quicker surgery, shorter hospital stays, and reduced transfusion requirements compared to median sternotomy.
No takes yet. Share an insight, caveat, or question.
Minimal access surgery was associated with shorter operative times and stays in RCC with venous thrombus; leaves open survival differences and requires prospective validation.
Wotkowicz et al. (2006) conducted a cohort in Renal cell carcinoma with venous thrombi extension (n=50). Minimal access surgery vs. Traditional median sternotomy was evaluated on Overall median survival (years) (HR 2.02, 95% CI 0.97-4.72, p=0.06). Minimal access surgery for RCC with venous thrombus reduced surgical duration and hospital stay compared to median sternotomy, with median overall survival of 2.84 vs 0.62 years (HR 2.02; P=0.06).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: