Da Vinci-Assisted Robotic Partial Nephrectomy: Technique and Results at a Mean of 15 Months of Follow-Up

Kaul, Sanjeev; Laungani, Rajesh; Sarle, Richard; Stricker, Hans; Peabody, James O.; Littleton, Ray H.; Menon, Mani

doi:10.1016/j.eururo.2006.06.002

Cited by 183 publications

(116 citation statements)

References 18 publications

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“…In contrast, laparoscopic partial nephrectomy (LPN) is considered a technically challenging procedure that requires considerable skill and expertise, such as intracorporeal suturing, combined with the necessity to minimize ischemic times. 6 Robot-assisted partial nephrectomy (RPN) may help overcome the technical challenges of LPN and offers an easier transition to minimally invasive PN. 7 RPN is suitable for intracorporeal suturing with the use of an endo-wrist instrument.…”

Section: Introductionmentioning

confidence: 99%

Comparison of robotic and open partial nephrectomy: Single-surgeon matched cohort study

Byun²,

Hong³

et al. 2014

CUAJ

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Results: There was no significant difference between the 2 cohorts with respect to patient age, BMI, ASA score, preoperative glomerular filtration rate, tumour size and the R.E.N.A.L. nephrometry score. The mean operative time was longer in the RPN group, but there were no significant differences with respect to warm ischemic time and postoperative renal function. The length of hospitalization and use of postoperative analgesics (ketoprofen) were more favourable in the RPN cohort. There was no significant difference in the mean estimated blood loss, transfusion rate, or complications between the cohorts. Conclusions: Considering the perioperative and postoperative parameters, RPN is a viable option as a nephron-sparing surgical procedure for small renal masses that yields outcomes comparable to those achieved with OPN. Despite matched cohort analysis among patients who underwent PN by a single surgeon, there may be inherent selection bias; therefore future prospective trials are needed.

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Section: Introductionmentioning

confidence: 99%

Comparison of robotic and open partial nephrectomy: Single-surgeon matched cohort study

Byun²,

Hong³

et al. 2014

CUAJ

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“…Our findings with respect to operative times (195 mins), and amounts of bleeding (and 250 mL) were generally in line with the findings in the medical literature. [1,11,18,19] We believe that our patients did not require blood transfusion because of effective and easy closure of the ports with the suture advantages of RAPN. Generalized subcutaneous ecchymosis that was observed in three of our patients in the postoperative period originated from the nearly lateral ports.…”

Section: Discussionmentioning

confidence: 99%

“…[1] Today, in indicated cases, PN has become the golden standard in the treatment of local kidney tumors (≤ p T1b). [2] Despite the risk of increase in warm ischemia time, the ability to clamp renal artery or arteries during the operation and selective arterial clamping have enabled application of this method in cases with masses that are even larger, more complicated and display deeper parenchymal invasions.…”

Section: Introductionmentioning

confidence: 99%

Robotic-assisted partial nephrectomy without using ureteral stent: a single center experience

Özkan

Coşkuner

Yalçın

2016

Turkish Journal of Urology

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Objective: To share our results of robotic assisted partial nephrectomy (RAPN) we performed without using ureteral stent in a single center from Turkey. Material and methods:Medical records of consecutive 45 patients (34 men and 11 women) who underwent RAPN for kidney lesions between March 2011 and December 2014 were retrieved, and evaluated. All the procedures were performed by a transperitoneal approach without using ureteral stent prior to surgery. Renal artery clamping was used in all cases and intraoperative ultrasonography was used in 2 cases. Results:Patients undergoing RAPN had a mean tumor size of 4.42 cm (2-8) and a mean renal nephrometry score of 5.82 (4-11). The mean estimated blood loss was 250 mL (150-450 ml) and the mean operative time was 195 minutes (150-300). There was no statistical difference between the preoperative and postoperative serum creatinine levels at the first follow-up visit (0.9 vs. 0.95, p= 0.087). Surgical margin positivity was not detected in any patient, and the mean surgical margin distance was calculated as 0.4 mm (0.2-10). In only 1 patient disease recurrence was detected at the 21 st month of the the follow-up period, and no distant metastases was reported in our patients at a mean follow-up of 10 months (3-36 mos). Our complication rate was 11.1% and according to the Clavien system complications were as; grade 2 (3 patients), grade 3a (1 patient) and grade 3b (1 patient). Conclusion:With appropriately selected patients and adequate surgical experience, RAPN performed without using ureteral stent is a safe and feasible method for localized renal tumors.

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“…Many studies reported the advantages of robotassisted partial nephrectomy using EndoWrist Ⓡ in intracorporeal suturing. 3,7 Few studies have investigated concurrent robot-assisted resection in urologic malignancies. 12,13 To our knowledge, this is the first report describing concurrent robot-assisted resection of gastrointestinal and urologic malignancies.…”

Section: Discussionmentioning

confidence: 99%

“…Robot-assisted surgery is performed in many hospitals, especially for early stages of cancers. [1][2][3] However, reports on robot assisted combined operations are very limited. We report the first successful concurrent robotassisted distal gastrectomy and partial nephrectomy in a patient with synchronous early gastric cancer and renal cell carcinoma.…”

Section: Introductionmentioning

confidence: 99%

Concurrent Robot-Assisted Distal Gastrectomy and Partial Nephrectomy for Synchronous Early Gastric Cancer and Renal Cell Carcinoma: An Initial Experience

Kim

Seo

et al. 2014

J Gastric Cancer

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We report our experience of a concurrent robot assisted distal gastrectomy and partial nephrectomy for synchronous early gastric cancer and renal cell carcinoma. A 55-year-old female patient was diagnosed with early gastric cancer on screening endoscopy. Abdominal computed tomography showed an incidental right renal cell carcinoma. Robot assisted distal gastrectomy was performed, followed by partial nephrectomy. The final pathological examination showed signet ring cell carcinoma within the lamina propria and renal cell carcinoma with negative resection margins. The patient showed no evidence of recurrence at 6-months. A robot-assisted combined operation could be a treatment option for early stages of synchronous malignancies.

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Da Vinci-Assisted Robotic Partial Nephrectomy: Technique and Results at a Mean of 15 Months of Follow-Up

Cited by 183 publications

References 18 publications

Comparison of robotic and open partial nephrectomy: Single-surgeon matched cohort study

Comparison of robotic and open partial nephrectomy: Single-surgeon matched cohort study

Robotic-assisted partial nephrectomy without using ureteral stent: a single center experience

Concurrent Robot-Assisted Distal Gastrectomy and Partial Nephrectomy for Synchronous Early Gastric Cancer and Renal Cell Carcinoma: An Initial Experience

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