Radical nephrectomy performed by open, laparoscopy with or without hand-assistance or robotic methods by the same surgeon produces comparable perioperative results

Nazemi, Tanya M.; Galich, Anton; Sterrett, Samuel P.; Klingler, Douglas W.; Smith, Lynette M.; Balaji, K.C.

doi:10.1590/s1677-55382006000100003

Cited by 59 publications

(42 citation statements)

References 16 publications

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“…In our cohort, the rate of postoperative complications was 25% including the cases with anemia and cardiac arrhythmia. In series by Nazemi et al [6], the overall complication rate was reported as 17%. For high risk patients, postoperative complication rate was reported as 53% [7].…”

Section: Discussionmentioning

confidence: 93%

Chronic pulmonary diseases are independent risk factors for complications after radical nephrectomy

et al. 2011

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Section: Discussionmentioning

confidence: 93%

Chronic pulmonary diseases are independent risk factors for complications after radical nephrectomy

et al. 2011

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“…Earlier, there had been reports of donor and simple nephrectomy using the da Vinci system [8,9]. After Klinger’s series, many other reports of using a robot for nephrectomy for malignant disease appeared [10,11]. Nazemi et al [10] compared radical nephrectomy by open, laparoscopic, and robotic methods.…”

Section: Discussionmentioning

confidence: 99%

“…After Klinger’s series, many other reports of using a robot for nephrectomy for malignant disease appeared [10,11]. Nazemi et al [10] compared radical nephrectomy by open, laparoscopic, and robotic methods. RRN was done in 6 patients.…”

Section: Discussionmentioning

confidence: 99%

Outcomes following Robotic Radical Nephrectomy: A Single-Center Experience

Dogra

Abrol²,

Singh³

et al. 2012

Urol Int

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Objectives: Advancement in technology has led to a decrease in invasiveness for surgical management of malignant renal neoplasms. Laparoscopic radical nephrectomy is an established treatment for renal tumors. Since the introduction of robotic surgery in the realm of urology, many procedures have been done robotically. We evaluated the feasibility, safety, and oncological outcomes of robotic radical nephrectomy (RRN). Methods: We retrospectively reviewed the records of patients who underwent RRN for renal tumors at our institute from September 2007 to March 2011. Patients with standard indications for a radical nephrectomy were offered a robot-assisted procedure. Intraoperative parameters (operative time, blood loss, transfusion of blood products), postoperative parameters and complications were recorded. Results: Twenty-three patients who underwent RRN were included. Mean operative time was 132.7 min and mean blood loss 270 ml. The majority of patients were able to tolerate liquid diet, were free from drain, and were fit for discharge by postoperative day (POD) 1, POD 2 and POD 3, respectively. After the mean follow-up of 29.4 months, no patient had residual tumor, local recurrence or metastasis. Conclusion: We conclude that RRN is a feasible and safe procedure with good oncological outcome on short-term follow-up.

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“…So berichteten Klingler et al [45] bereits 2005 über die Machbarkeit der RRN für eine kleine Gruppe von 5 Patienten. In einer anderen Studie verglich dieselbe Gruppe RRN in 6 Patienten mit laparoskopischer (n=33) und offener (n=18) radikaler Nephrektomie [46]. Dabei ergab sich in der Robotergruppe zwar einen relativ geringeren Blutverlust, die Operationszeit war jedoch wesentlich länger (345 min gegenüber 265 min).…”

Section: » Kürzere Lernkurve Bei Der Roboterunterstützten Partiellen unclassified

Nephrektomie – pro laparoskopisch

Hoda

Fornara

2012

Urologe

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Laparoscopic radical nephrectomy (LRN) is considered as a standard of care for T2 renal masses and T1 tumors not treatable by nephron-sparing surgery. It can be performed transperitoneally, retroperitoneoscopic or hand-assisted. However, the morbidity after laparoscopic nephrectomy has been shown to be lower than the open procedure and patients seem to benefit from early mobilization, less pain medication, shorter hospital stays and an earlier return to normal daily activities. Furthermore, the extent of perioperative activation of the systemic stress response appears to be less during laparoscopic procedures. This has been shown to have evidently beneficial clinical impact on patient's recovery; however, its importance for the oncologic prognosis is somewhat unclear. In addition, the progression-free and overall tumor-specific survival rates for laparoscopic nephrectomy are equivalent to those for open surgery. The experiences with robot-assistance for laparoscopic nephrectomy reported so far show no significant advantages over traditional laparoscopic nephrectomy. However, the problem of high costs of acquisition and operation of robots still remains unsolved. For the future, prospective studies are needed in order to compare the functional and oncological outcomes and cost-effectiveness of different methods of radical nephrectomy.

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Radical nephrectomy performed by open, laparoscopy with or without hand-assistance or robotic methods by the same surgeon produces comparable perioperative results

Cited by 59 publications

References 16 publications

Chronic pulmonary diseases are independent risk factors for complications after radical nephrectomy

Chronic pulmonary diseases are independent risk factors for complications after radical nephrectomy

Outcomes following Robotic Radical Nephrectomy: A Single-Center Experience

Nephrektomie – pro laparoskopisch

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