Robotic Partial Nephrectomy for Complex Hilar Tumors: Step by step

Quetglas, J.L. Bauza; Sagalovich, Daniel; Bertolo, Riccardo; Garisto, Juan; Pieras, Enrique; Piza, Pedro de Toledo; Kaouk, Jihad

doi:10.1016/j.urology.2018.07.005

Cited by 6 publications

(4 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Consequently, this consensus extends to the preferred surgical approach for these masses, with a strong endorsement for enucleative techniques which is the most common reported approach for managing a hilar lesion, adhering closely to the lesion while respecting the limits of the pseudocapsule [21,49]. This strategic choice in surgical method demonstrates an evolved understanding of renal anatomy and pathology, prioritizing organ preservation and functionality alongside effective cancer management [20,90,91].…”

Section: Resection Techniques For Renal Hilar Massesmentioning

confidence: 99%

“…More specifically, hilar location is as a key feature defining tumor complexity [17][18][19]. Indeed, hilar masses represent intricate tumors, often characterized by their proximity to the main renal artery or vein, and/or the renal pelvis on preoperative computed tomography scans [20,21]. These situations present significant challenges for the urologist [22,23].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Outcomes and Techniques of Robotic-Assisted Partial Nephrectomy (RAPN) for Renal Hilar Masses: A Comprehensive Systematic Review

Pandolfo,

Wu,

Campi

et al. 2024

Cancers

Self Cite

View full text Add to dashboard Cite

Background: Robot-assisted partial nephrectomy (RAPN) is increasingly being employed in the management of renal cell carcinoma (RCC) and it is expanding in the field of complex renal tumors. The aim of this systematic review was to consolidate and assess the results of RAPN when dealing with entirely central hilar masses and to examine the various methods used to address the surgical difficulties associated with them. Methods: A thorough literature search in September 2023 across various databases focused on RAPN for renal hilar masses, adhering to PRISMA guidelines. The primary goal was to evaluate RAPN’s surgical and functional outcomes, with a secondary aim of examining different surgical techniques. Out of 1250 records, 13 full-text manuscripts were reviewed. Results: Evidence is growing in favor of RAPN for renal hilar masses. Despite a predominance of retrospective studies and a lack of long-term data, RAPN shows positive surgical outcomes and preserves renal function without compromising cancer treatment effectiveness. Innovative suturing and clamping methods are emerging in surgical management. Conclusions: RAPN is a promising technique for managing renal hilar masses in RCC, offering effective surgical outcomes and renal function preservation. The study highlights the need for more long-term data and prospective studies to further validate these findings.

show abstract

Section: Resection Techniques For Renal Hilar Massesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Outcomes and Techniques of Robotic-Assisted Partial Nephrectomy (RAPN) for Renal Hilar Masses: A Comprehensive Systematic Review

Pandolfo,

Wu,

Campi

et al. 2024

Cancers

Self Cite

View full text Add to dashboard Cite

show abstract

“…Several studies have reported on the efficacy of RPN in managing complex renal masses. However, these studies have used various tumor-associated characteristics to measure complexity, such as size, multiplicity, endophytic nature, and hilar placement 11 – 13 . They have not utilized standardized scales, such as RENAL and PADUA scores, to evaluate mass complexity.…”

Section: Introductionmentioning

confidence: 99%

Comparison between minimally invasive partial nephrectomy and open partial nephrectomy for complex renal tumors: a systematic review and meta-analysis

Chen

Wang

et al. 2023

International Journal of Surgery

View full text Add to dashboard Cite

Background: The present study aimed to conduct a pooled analysis to compare the efficacy and safety of minimally invasive partial nephrectomy (MIPN) with open partial nephrectomy (OPN) in patients with complex renal tumors (defined as PADUA or RENAL score ≥7). Methods: The present study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement, Supplemental Digital Content 1, http://links.lww.com/JS9/A394. We conducted a systematic search of the PubMed, Embase, Web of Science, and Cochrane Library databases until October 2022. MIPN and OPN-controlled trials for complex renal tumors were included. The primary outcomes were perioperative results, complications, renal function, and oncologic outcomes. Results: A total of 2405 patients were included in 13 studies. MIPN outperformed OPN in terms of hospital stay [weighted mean difference (WMD) −1.84 days, 95% CI −2.35 to −1.33; P<0.00001], blood loss (WMD −52.42 ml, 95% CI −71.43 to −33.41; P<0.00001), transfusion rates [odds ratio (OR) 0.34, 95% CI 0.17–0.67; P=0.002], major complications (OR 0.59, 95% CI 0.40–0.86; P=0.007) and overall complications (OR 0.43, 95% CI 0.31–0.59; P<0.0001), while operative time, warm ischemia time, conversion to radical nephrectomy rates, estimated glomerular decline, positive surgical margins, local recurrence, overall survival, recurrence-free survival, and cancer-specific survival were not significantly different. Conclusions: The present study demonstrated that MIPN was associated with a shorter length of hospital stay, less blood loss, and fewer complications in treating complex renal tumors. MIPN may be considered a better treatment for patients with complex tumors when technically feasible.

show abstract

“…[ 3 ] There have been multiple studies describing the use of robot-assisted PN (RAPN) for complex renal masses. These studies have used various tumor-related factors to define complexity such as size,[ 4 ] endophytic nature,[ 5 ] multiple,[ 6 ] and hilar[ 7 ] location of the renal masses. To stratify patients into different complexity groups, various scoring methods have been introduced of which Radius, Endophytic/Exophytic, Nearness, Anterior/posterior location (RENAL), and preoperative aspects of dimension used for anatomic classification (PADUA) nephrometery scores are most frequently used.…”

Section: Introductionmentioning

confidence: 99%

Robot-assisted partial nephrectomy for moderate to highly complex renal masses. A systematic review and meta-analysis

Sharma

Tyagi

et al. 2022

Indian J Urol

View full text Add to dashboard Cite

Robotic Partial Nephrectomy for Complex Hilar Tumors: Step by step

Cited by 6 publications

References 3 publications

Outcomes and Techniques of Robotic-Assisted Partial Nephrectomy (RAPN) for Renal Hilar Masses: A Comprehensive Systematic Review

Outcomes and Techniques of Robotic-Assisted Partial Nephrectomy (RAPN) for Renal Hilar Masses: A Comprehensive Systematic Review

Comparison between minimally invasive partial nephrectomy and open partial nephrectomy for complex renal tumors: a systematic review and meta-analysis

Robot-assisted partial nephrectomy for moderate to highly complex renal masses. A systematic review and meta-analysis

Contact Info

Product

Resources

About