Day-case robotic-assisted partial nephrectomy: feasibility and preliminary results of a prospective evaluation (UroCCR-25 AMBU-REIN study)

Bernhard, Jean-Christophe; Robert, G.; Ricard, S.; Michiels, C.; Capon, G.; Hautecloque, Astrid Boulenger de; Bensadoun, H.; Rogier, Julien; Tauzin-Fin, P.; Gross‐Goupil, Marine; Bénard, Antoine; Nouette, Karine; Roullet, Stéphanie; Ferrière, Jean-Marie

doi:10.1007/s00345-020-03283-z

Cited by 25 publications

(11 citation statements)

References 20 publications

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“…score ≤9) in these studies. [7][8][9] However, it was unknown that whether ERAS protocol was suitable for patients with large or complex masses, and to date, there have been no prospective studies that have determined which perioperational factors allowed early discharge. 8 Kidney wound healing which was one of the critical factors associated with the recovery of NSS may be crucial for early discharge, and the morphological evidence of kidney wound healing was lacking.…”

Section: Discussionmentioning

confidence: 99%

“…score ≤9) in these studies. 7–9 However, it was unknown that whether ERAS protocol was suitable for patients with large or complex masses, and to date, there have been no prospective studies that have determined which perioperational factors allowed early discharge. 8 …”

Section: Discussionmentioning

confidence: 99%

“…6 Furthermore, in several centers, postoperative day 1 (POD1) discharge protocols without an increase in post-discharge complications were successfully utilized for many patients after minimally invasive nephron-sparing surgery (MINSS). [7][8][9] But the critical factor associated with the recovery of NSS such as kidney wound healing was mostly unexplored. Although multidetector CT is applied to diagnose the complications about kidney wound such as hemorrhage and urine leaks, 10,11 the continuous observation of kidney wound in the early postoperative stage of NSS has not been reported, so we aimed at seeking for an image examination method to reflect the process of kidney wound healing.…”

Section: Introductionmentioning

confidence: 99%

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Application of Contrast-Enhanced Ultrasonography (CEUS) in the Assessment of Kidney Wound Recovery After Nephron-Sparing Surgery

Liang

et al. 2021

CMAR

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To investigate feasibility, repeatability and usefulness of contrast-enhanced ultrasonography (CEUS) in the assessment of kidney wound recovery after laparoscopic nephronsparing surgery (LNSS) or robot-assisted nephron-sparing surgery (RANSS) and preliminarily research the clinical factors associated with the length of extravasation (LOE). Patients and Methods: From April 2019 to January 2020, 130 patients that underwent LNSS or RANSS in our hospital were included, and 90 patients (90/130) received CEUS examinations each one day from the postoperative day 1. The discovery of the cessation of contrast medium extravasation from the renal wound was the primary endpoint named "ultrasonic healing", and LOE ranged from the day of surgery to "ultrasonic healing". Patient, tumor, perioperative factors and LOE were collected. Univariate analysis and multivariate linear regression analysis were applied for the determination of factors associated with LOE. Results: The average postoperative LOE was 1.76 days (standard deviation, 1.115; 95% confidence interval: 1.52-1.99). Ultrasonic healing within three days was observed in 95.6% patients (86/90). Univariable and multivariable analyses showed that R and A components in R.E.N.A.L. nephrometry score were associated with LOE. Anterior location and R component score of 2 (tumor size>4cm) were related to longer LOE than posterior location and R score of 1 (tumor size<4cm). The incidence of complications in patients with LOE over one day was higher than those with LOE of one day. Conclusion: CEUS was feasible, repeatable and useful in the assessment of kidney wound recovery. Tumor size and location were related to LOE after minimally invasive nephron-sparing surgery (MINSS). Length of stay after MINSS within three days might be relatively safe.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Application of Contrast-Enhanced Ultrasonography (CEUS) in the Assessment of Kidney Wound Recovery After Nephron-Sparing Surgery

Liang

et al. 2021

CMAR

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“…28 Ambulatory RAPN also seems to be safe and feasible, providing a high level of patient satisfaction. 29,30 Our study has several limitations. First, it was retrospective in design and was based in a single academic institution where all procedures were conducted by highly experienced surgeons.…”

Section: F I G U R E 1 Distribution Of Robot-assisted Partial Nephrec...mentioning

confidence: 94%

Medico‐economic impact of onco‐urological robot‐assisted minimally invasive surgery in a high‐volume centre

Grobet-Jeandin

Pinar

Parra

et al. 2022

Robotics Computer Surgery

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Background We lack data regarding the economic cost of robot‐assisted surgical procedures in urology. We aimed to assess the medico‐economic impact of onco‐urological robot‐assisted surgery. Methods All patients who underwent robot‐assisted radical prostatectomy (RARP) or robot‐assisted partial nephrectomy (RAPN) in 2019 were included. Cost assessment included the costs of surgery, hospital stay, and complications. Global cost was calculated and compared with open and laparoscopic procedures. Results Overall, 126 (48%) RAPN and 135 (52%) RARP were included. Total cost per patient was 6857€ for RARP and 6034€ for RAPN. Costs of surgery, hospital stay, and complications represented 76.2%, 21.5%, and 2.3%, respectively, of the total cost per patient for RAPN, and 74.1%, 25.9%, and 0% for RARP. Compared to the open approach, RAPN was 6% cheaper and RARP was 10% more expensive per patient. Standard laparoscopic procedures were cheaper. Conclusions Robotic procedures were associated with increased costs of surgical procedures, but with reduction in morbidity and hospital stay costs.

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“…Urology : radical prostatectomy [ 19 ], nephrectomy (including partial and living-related donor resections) [ 20 ], pyeloplasty, adrenalectomy [ 21 ].…”

Section: Indications/contraindications Of Ambulatory Robotic Surgerymentioning

confidence: 99%

Outpatient Robotic surgery: Considerations for the Anesthesiologist

Tameze¹,

Low²

2022

Advances in Anesthesia

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Day-case robotic-assisted partial nephrectomy: feasibility and preliminary results of a prospective evaluation (UroCCR-25 AMBU-REIN study)

Cited by 25 publications

References 20 publications

Application of Contrast-Enhanced Ultrasonography (CEUS) in the Assessment of Kidney Wound Recovery After Nephron-Sparing Surgery

Application of Contrast-Enhanced Ultrasonography (CEUS) in the Assessment of Kidney Wound Recovery After Nephron-Sparing Surgery

Medico‐economic impact of onco‐urological robot‐assisted minimally invasive surgery in a high‐volume centre

Outpatient Robotic surgery: Considerations for the Anesthesiologist

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