Comparison of Transperitoneal and Retroperitoneal Partial Nephrectomy with Single-Port Robot

Bang, Seokhwan; Shin, Dong–Ho; woo, Moon Hyung; Cho, Hyuk Jin; Ha, U-Syn; Lee, Ji Youl; Hong, Sung‐Hoo

doi:10.1089/end.2022.0730

Cited by 6 publications

(5 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This introduction is meaningful as it secures a safer and minimally invasive technique by introducing a new surgical technique. Our surgical team has previously published a paper addressing the feasibility of SP robot-assisted RP partial nephrectomy [ 12 ], and this current study can be considered an extension of that research. We believe that the utilization of the SP robot can serve as a viable alternative to address the constraints posed by the confined surgical space in retroperitoneal surgery.…”

Section: Discussionmentioning

confidence: 99%

Retroperitoneal Single-Port Robot-Assisted Nephroureterectomy with Bladder Cuff Excision: Initial Experience and Description of the Technique

Bang,

Cho,

et al. 2023

JCM

Self Cite

View full text Add to dashboard Cite

Background: With the introduction of the single-port (SP) robot, surgery that was difficult to attempt is becoming possible. Nephroureterectomy (NUx) for upper tract urothelial carcinoma also seems to be able to attempt a retroperitoneal (RP) approach. Purpose: to investigate the feasibility of SP robotic RP NUx with bladder cuff excision. Design, setting, and participants: we sequentially analyzed 20 patients who underwent SP robot NUx from January 2021 to December 2022. Surgical procedure: all patients were diagnosed with upper tract urothelial carcinoma (UTUC) and were operated upon by a single expert using the da Vinci SP platform (Intuitive Surgical, Sunnyvale, CA, USA) with retroperitoneal approach. Results and limitations: A total of 20 patients underwent SP robotic NUx with bladder cuff excision. The mean age of patients was 69.45 ± 8.68 years, and the mean body mass index (BMI) was 25.37 ± 3.00 kg/m2. The mean tumor size was 2.42 ± 1.03 cm on a CT scan, with right-sided tumors in eight patients (40%) and left-sided tumors in 12 patients (60%). The median console time was 106 min and 40 s, and the expected blood loss was 122.50 ± 75.18 mL. Final pathology showed that all of the patients were diagnosed as having urothelial carcinoma; one patient was classified as Ta (5.00%), three patients were classified as T1 (15.00%), seven patients were classified as T2 (35.00%), eight patients were classified as T3 (40.00%), and one patient was classified as T4 (5.00%). None of these 20 patients showed any complications based on the Clavien–Dindo scale. Conclusions: SP robotic NUx using a retroperitoneal approach provides feasible perioperative and postoperative outcomes for UTUC.

show abstract

Section: Discussionmentioning

confidence: 99%

Retroperitoneal Single-Port Robot-Assisted Nephroureterectomy with Bladder Cuff Excision: Initial Experience and Description of the Technique

Bang,

Cho,

et al. 2023

JCM

Self Cite

View full text Add to dashboard Cite

show abstract

“…One study compared transperitoneal (TP) and retroperitoneal (RP) approaches for RAPN with the SP system. Bang et al [ 62 ] found no significant difference in WIT (727.41–561.18 s for TP and 698.56–299.23 s for RP, p=0.812) or console time (67.97–24.06 min for TP and 69.71–28.66 min for RP, p=0.724). Postoperative renal function, calculated from diethylenetriamine pentaacetic acid kidney scans, was 103.33 mL/min/1.73 m 2 for TP and 101.33 mL/min/1.73 m 2 for RP (p=0.214).…”

Section: Advanced Techniques In Rapnmentioning

confidence: 99%

“…Postoperative renal function, calculated from diethylenetriamine pentaacetic acid kidney scans, was 103.33 mL/min/1.73 m 2 for TP and 101.33 mL/min/1.73 m 2 for RP (p=0.214). And at 90 days post-surgery, it was 90.36 mL/min/1.73 m 2 for TP and 87.74 mL/min/1.73 m 2 for RP (p=0.592) [ 62 ].…”

Section: Advanced Techniques In Rapnmentioning

confidence: 99%

How far has robot-assisted partial nephrectomy reached?

Lee,

Alabbasi,

Chung

et al. 2023

Investig Clin Urol

View full text Add to dashboard Cite

Nephron-sparing surgery is the standard treatment for small renal mass (SRM). Nephron-sparing surgery has evolved from an open to a minimally invasive technique. Robot-assisted partial nephrectomy (RAPN) is the latest technique in this field and is reported to be safe and feasible, showing oncologically and functionally superior or compatible results compared with open and laparoscopic partial nephrectomy for SRM. This is not limited to only SRM but also applies to large and complex renal masses and other challenging situations. RAPN showed good oncological and functional outcomes for ≥clinical T2 renal tumors, complex renal masses (PADUA score ≥10, RENAL score ≥10), hilar renal tumors, and multiple renal tumors. In addition, the outcomes of RAPN in these challenging cases were not inferior to those in conventional cases. RAPN could also be applied to a number of challenging cases in which the open technique was considered first. RAPN showed good results in patients with a solitary kidney, horseshoe kidney, and in repeat surgeries. Furthermore, RAPN could be safely performed on obese, elderly, and pediatric patients. Finally, this review evaluates efficiency and utility of RAPN based on the results of challenging cases of renal masses and to project the future of RAPN.

show abstract

“…In fact, transperitoneal and retroperitoneal approaches offer similar perioperative and postoperative outcomes for T1 RCC. 115 A novel approach named SARA (Supine Anterior Retroperitoneal access) for either partial, radical nephrectomy, nephroureterectomy or pyeloplasty was recently described by Pellegrino et al 116 in order to gain access to the retroperitoneum anteriorly: with the patient in a supine position, a 3-cm incision is made at the McBurney point, 3 cm medial and 3 cm caudal to the anterior superior iliac spine, and the abdominal muscles are dissected in order to develop the retroperitoneal space for the Da Vinci SP access port. Careful finger dissection can be conducted to gently separate the peritoneum's anterior reflection from the transversus abdominis muscle; in doing so, adequate space for the placement of the robotic access port is provided.…”

Section: Dovepressmentioning

confidence: 99%

Robot-assisted Surgery in the Field of Urology: The Most Pioneering Approaches 2015–2023

Franco,

Ditonno,

Manfredi

et al. 2023

RRU

View full text Add to dashboard Cite

Robot-assisted surgery has emerged as a transformative technology, revolutionizing surgical approaches and techniques that decades ago could barely be imagined. The field of urology has taken charge in pioneering a new era of minimally invasive surgery with the ascent of robotic systems which offer enhanced visualization, precision, dexterity, and enabling surgeons to perform intricate maneuvers with improved accuracy. This has led to improved surgical outcomes, including reduced blood loss, lower complication rates, and faster patient recovery. The aim of our review is to present an evidence-based critical analysis on the most pioneering robotic urologic approaches described over the last eight years (2015)(2016)(2017)(2018)(2019)(2020)(2021)(2022)(2023).

show abstract

Comparison of Transperitoneal and Retroperitoneal Partial Nephrectomy with Single-Port Robot

Cited by 6 publications

References 16 publications

Retroperitoneal Single-Port Robot-Assisted Nephroureterectomy with Bladder Cuff Excision: Initial Experience and Description of the Technique

Retroperitoneal Single-Port Robot-Assisted Nephroureterectomy with Bladder Cuff Excision: Initial Experience and Description of the Technique

How far has robot-assisted partial nephrectomy reached?

Robot-assisted Surgery in the Field of Urology: The Most Pioneering Approaches 2015–2023

Contact Info

Product

Resources

About