Robotic Partial Nephrectomy for Solitary Kidney: A Multi-institutional Analysis

Hillyer, Shahab; Bhayani, Sam B.; Allaf, Mohamad E.; Rogers, Craig G.; Stifelman, Michael; Tanagho, Youssef S.; Mullins, Jeffrey K.; Chiu, Yi-Chun; Kaczmarek, B; Kaouk, Jihad

doi:10.1016/j.urology.2012.08.055

Cited by 42 publications

(29 citation statements)

References 12 publications

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“…In our multi-institutional study where a total of 26 solitary patients were included, the median WIT was 17 minutes. [5] WIT in all of our studies was within the safe range of <25 minutes which is described previously. [9] …”

Section: Perioperative Outcomessupporting

confidence: 78%

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Is robotic partial nephrectomy convenient for solitary kidney?

Kaouk

Malkoç

2016

Turkish Journal of Urology

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Nephron sparing surgery (NSS) is the gold standard treatment option for patients with a solitary kidney in order to preserve renal function. Open partial nephrectomy (OPN) has been long considered the standard care for NSS. Robotic partial nephrectomy (RPN) is being gradually used more commonly even for solitary kidney and complex tumors. There was no difference between RPN and OPN regarding the rate of intraoperative-postoperative complications and positive surgical margin (PSM) (RPN: 7.5%, OPN: 8%) for patients with solitary kidney who underwent partial nephrectomy for small renal masses. Warm ischemia time (WIT) in all of our studies was within the safe range of <25 minutes which is acceptable ischemia time for robotic approaches. More studies are needed in order to evaluate kidney function. In conclusion with increasing experience, solitary kidney tumors can be managed safely with robotic approach. For patients having complex tumors with a potential of WIT >25 minutes, administration of intracorporeal ice slush during surgery may be considered.

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Section: Perioperative Outcomessupporting

confidence: 78%

“…[5][6][7] The perioperative outcomes for different approaches for solitary kidney at the same center are detailed in Table 1. The overall complication rate and days of hospital stay seem to be more favourable in patients who underwent RPN.…”

Section: Perioperative Outcomesmentioning

confidence: 99%

Is robotic partial nephrectomy convenient for solitary kidney?

Kaouk

Malkoç

2016

Turkish Journal of Urology

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“…score [4][5][6][7][8] A total of 63 patients (30 RAPN and 33 OPN) had a R.E.N.A.L. score of 4-8 (Table 3).…”

Section: Surgical Techniquementioning

confidence: 99%

“…score [4][5][6][7][8] A total of 62 patients (10 RAPN and 52 OPN) had a R.E.N.A.L score of 9-12 (Table 4). With regard to age, BMI, sex distribution, or proportions of patients with CCI of ‡5, there was no statistically significant differences between RAPN and OPN patients.…”

Section: Surgical Techniquementioning

confidence: 99%

“…2 Although utility of robot-assisted partial nephrectomy (RAPN) in this setting has been reported, 3 there is a paucity of data in the literature regarding comparison of this method with the open technique. The previous publications have not been comparative 4 or only compared the outcomes of RAPN with other minimally invasive techniques. 5,6 Also, given the selection biases associated with surgeon experience and choice of modality of surgical approach, direct comparison of results of different series without consideration of such factors as well as tumor complexity and patient characteristics is not possible.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Perioperative Outcomes of Robot-Assisted Partial Nephrectomy and Open Partial Nephrectomy in Patients with a Solitary Kidney

Zargar

Bhayani

Allaf

et al. 2014

Journal of Endourology

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Results: 40 RAPN and 85 OPN cases were identified. For both tumor complexity groups, patients in each treatment modality were comparable. There were higher proportions of OPN cases in the complex group (61.2% vs 25%; P = 0.001). For both complexity tumor groups, there was no statistical difference between the treatment modalities in overall intraoperative/postoperative complications, transfusion rate, and positive surgical margin (PSM) rates. Patients in the RAPN group had a shorter length of hospital stay. For the entire cohort, there was no difference in estimated glomerular filtration rate preservation beyond 1 month (OPN 80.51%, RAPN 81.29%). Limitations include retrospective, nonrandomized nature of the series and small number of cases in the RAPN groups. Conclusions: In the solitary kidney, RAPN offers comparable perioperative and short-term functional outcomes for localized tumors with low R.E.N.A.L. score. For more complex tumors, our early experience suggests comparability, but these results were obtained in selected cases and future studies will need to validate these results.

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Robot-Assisted Partial Nephrectomy for Complex Renal Tumors

Dalela

Rogers

2018

Robotics in Genitourinary Surgery

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Robotic Partial Nephrectomy for Solitary Kidney: A Multi-institutional Analysis

Cited by 42 publications

References 12 publications

Is robotic partial nephrectomy convenient for solitary kidney?

Is robotic partial nephrectomy convenient for solitary kidney?

Comparison of Perioperative Outcomes of Robot-Assisted Partial Nephrectomy and Open Partial Nephrectomy in Patients with a Solitary Kidney

Robot-Assisted Partial Nephrectomy for Complex Renal Tumors

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