Strategies for success: a multi-institutional study on robot-assisted partial nephrectomy for complex renal lesions

BJU International
Derek B HennesseyYee K Chan

Abstract

To describe our technique, illustrated with images and videos, of robot-assisted partial nephrectomy (RAPN) for challenging renal tumours. A study of 249 patients who underwent RAPN in multiple institutions was performed. Patients were identified using prospective RAPN databases. Complex renal lesion were defined as those with a RENAL nephrometry score ≥10. Data were analysed and differences among groups examined. A total of 31 (12.4%) RAPNs were performed for complex renal tumours. The median (interquartile range [IQR]) patient age was 57 (50.5-70.5) years and 21 patients (67.7%) were men. The median (IQR) American Society of Anesthesiologists score was 2 (2-3). The median (IQR) operating time was 200 (50-265) min, warm ischaemia time was 23 (18.5-29) min, and estimated blood loss was 200 (50-265) mL. There were no intra-operative complications. Two patients (6.4%) had postoperative complications. One patient (3.2%) had a positive surgical margin. The median (IQR) length of stay was 3.5 (3-5) days and the median (IQR) follow-up was 12.5 (7-24) months. There were no recurrences. RAPN resulted in statistically significant changes in renal function 3 months after RAPN compared with preoperative renal function (P < 0.001). Our res...Continue Reading

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Sep 15, 2018·BJU International·Riccardo BertoloUNKNOWN Young Academic Urologists (YAU) Kidney Cancer working group of the European Urological Association (EAU)
Oct 8, 2019·Journal of Endourology·Jessica ConnorMichael D Stifelman
Dec 1, 2019·BMC Urology·Christopher S HollenbeakJay D Raman
Mar 21, 2021·Current Opinion in Urology·Daniele CignoliUmberto Capitanio
Jul 20, 2021·International Journal of Urology : Official Journal of the Japanese Urological Association·Naoto WakitaMasato Fujisawa

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