A matched comparison of perioperative outcomes of a single laparoscopic surgeon versus a multisurgeon robot-assisted cohort for partial nephrectomy

The Journal of Urology
Jonathan S EllisonAlon Z Weizer

Abstract

Minimally invasive nephron sparing surgery is gaining popularity for small renal masses. Few groups have evaluated robot-assisted partial nephrectomy compared to other approaches using comparable patient populations. We present a matched pair analysis of a heterogeneous group of surgeons who performed robot-assisted partial nephrectomy and a single experienced laparoscopic surgeon who performed conventional laparoscopic partial nephrectomy. Perioperative outcomes and complications were compared. All 249 conventional laparoscopic and robot-assisted partial nephrectomy cases from January 2007 to June 2010 were reviewed from our prospectively maintained institutional database. Groups were matched 1:1 (108 matched pairs) by R.E.N.A.L. (radius, exophytic/endophytic properties, nearness of tumor to collecting system or sinus, anterior/posterior, location relative to polar lines) nephrometry score, transperitoneal vs retroperitoneal approach, patient age and hilar nature of the tumor. Statistical analysis was done to compare operative outcomes and complications. Matched analysis revealed that nephrometry score, age, gender, tumor side and American Society of Anesthesia physical status classification were similar. Operative time favore...Continue Reading

References

Feb 15, 2001·JAMA : the Journal of the American Medical Association·M J Mack
Jun 11, 2003·The Journal of Urology·Inderbir S GillAndrew C Novick
Jul 11, 2003·The Journal of Urology·Fernando J KimLouis R Kavoussi
Dec 14, 2004·The Journal of Urology·Anup P RamaniInderbir S Gill
Mar 1, 2006·European Urology·Georges-Pascal Haber, Inderbir S Gill
Jun 19, 2007·The Journal of Urology·Inderbir S GillAndrew C Novick
May 15, 2008·Nature Clinical Practice. Urology·John S LamPeter G Schulam
Aug 19, 2008·The Journal of Urology·Alon Z WeizerJ Stuart Wolf
Aug 18, 2009·The Journal of Urology·Steven C CampbellUNKNOWN Practice Guidelines Committee of the American Urological Association

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Citations

Jul 31, 2013·Journal of Endourology·Brian LeRobert B Nadler
Jan 15, 2014·Current Urology Reports·Jonas SchiffmannAndreas Becker
Jun 15, 2013·European Urology·Axel S MerseburgerUNKNOWN European Association of Urology
Aug 3, 2012·European Urology·Alexandre MottrieVincenzo Ficarra
Jul 10, 2012·European Urology·Omar M AboumarzoukJihad H Kaouk
May 3, 2013·International Journal of Urology : Official Journal of the Japanese Urological Association·Liang Wang, Benjamin R Lee
Mar 14, 2013·BJU International·Saied FroghiBen Challacombe
Jul 15, 2015·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Hitesh DubeChandru P Sundaram
Apr 26, 2016·International Journal of Surgery·Philip T ZhaoLouis R Kavoussi
Jun 5, 2016·The Surgical Clinics of North America·Arjun Khosla, Andrew A Wagner
Oct 25, 2016·International Journal of Surgery·Giacomo NovaraAlexander Mottrie
Dec 21, 2016·Investigative and Clinical Urology·Nobuyuki Hinata, Masato Fujisawa
Nov 5, 2019·Journal of Cancer Research and Clinical Oncology·Feiya YangNianzeng Xing
Sep 10, 2015·Cancer Control : Journal of the Moffitt Cancer Center·Justin B EmtageWade J Sexton

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