The First Assistant Sparing Technique Robot-Assisted Partial Nephrectomy Decreases Warm Ischemia Time While Maintaining Good Perioperative Outcomes

2012 ◽  
Vol 26 (11) ◽  
pp. 1448-1453 ◽  
Author(s):  
William T. Berg ◽  
Chad R. Rich ◽  
Gina M. Badalato ◽  
Christopher M. Deibert ◽  
Chris O. Wambi ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Warm Ischemia ◽  
Warm Ischemia Time ◽  
Perioperative Outcomes ◽  
Robot Assisted ◽  
Ischemia Time

scholarly journals Factors Influencing Warm Ischemia Time in Robot-assisted Partial Nephrectomy Change Depending on the Surgeon’s Experience

2021 ◽  
Author(s):  
Kazuyuki Numakura ◽  
Mizuki Kobayashi ◽  
Atsushi Koizumi ◽  
Soki Kashima ◽  
Ryohei Yamamoto ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Kidney Function ◽  
Warm Ischemia ◽  
Warm Ischemia Time ◽  
Clinical Staging ◽  
Tumor Diameter ◽  
Clinical Factors ◽  
Robot Assisted ◽  
Ischemia Time ◽  
Component Score

Abstract INTRODUCTION: Warm ischemia time (WIT) is a primary concern for robot-assisted laparoscopic partial nephrectomy (RALPN) patients because longer WIT is significantly associated with postoperative deteriorating kidney function. Tumor complexity, determined by the RENAL nephrometry score (RENAL score), can help predict surgical outcomes, but it is unclear what RENAL score and clinical factors affect WIT. This study explored the clinical factors predicting long WIT in RALPN.MATERIALS AND METHODS: In our institute, 174 RALPNs were performed between November 2013 and February 2021, of which 114 were performed by a single surgeon and included in this study. Clinical staging and the total RENAL score were determined based on preoperative CT scans. The cases were divided into three groups based on experience: period 1: 1–38, period 2: 39–76, and period 3: 77–114. The clinical factors associated with longer WIT were analyzed per period. RESULTS: The overall median tumor diameter was 32 mm, and one patient had a positive surgical margin, but there were no cancer-related deaths. In total, there were 18 complications (15.8 %). Periods 2 and 3 had larger tumor diameters (p<0.01) and worse preoperative kidney function (p=0.029) than period 1. A RENAL L-component score of 3 was associated with longer WIT in period 3 (odds ratio: 3.900; 95 % confidence interval: 1.004–15.276; p = 0.044), but the tumor diameter and the total RENAL score were not.CONCLUSIONS: A large tumor in the central lesion indicated by the RENAL L-component score was associated with increased WIT in RALPN.

Predictors of Warm Ischemia Time and Perioperative Complications in a Multicenter, International Series of Robot-Assisted Partial Nephrectomy

2012 ◽  
Vol 61 (2) ◽  
pp. 395-402 ◽  
Author(s):  
Vincenzo Ficarra ◽  
Sam Bhayani ◽  
James Porter ◽  
Nicolò Buffi ◽  
Robin Lee ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Perioperative Complications ◽  
Warm Ischemia ◽  
Warm Ischemia Time ◽  
Robot Assisted ◽  
Ischemia Time

scholarly journals PENTAFECTA OUTCOME IN INITIAL 30 CASES OF ROBOT ASSISTED PARTIAL NEPHRECTOMY – OUR EXPERIENCE

2020 ◽  
pp. 40-41
Author(s):  
Jeevan Kumar ◽  
Farhana Zakaria ◽  
Altaf Khan ◽  
Lavanya Raghu Sarath P ◽  
Mujeeburahiman M
Keyword(s):  
Partial Nephrectomy ◽  
Surgical Complications ◽  
Surgical Margin ◽  
Warm Ischemia ◽  
Warm Ischemia Time ◽  
Renal Tumors ◽  
Positive Surgical Margin ◽  
Robot Assisted ◽  
Effective Treatment Option ◽  
Ischemia Time

Objectives: To study the Pentafecta outcome of initial 30 cases of Robot Assisted Partial Nephrectomy (RAPN) at our institute. Materials and Methods: A total of 30 patients who underwent Robot assisted partial nephrectomy between January 2016 and June 2018 were prospectively analyzed. The Pentafecta outcome was defined as a warm ischemia time (WIT) of <25 min, negative surgical margins, no surgical complications, > 90% of eGFR preservation & no CKD upstaging. Results: All patients successfully underwent robot assisted partial nephrectomy. Median warm ischemia time was 24.5 minutes. One patient with complex tumour had positive surgical margin. There were no Clavien- Dindo Grade IV and V complications. Grade I-III complications were seen in 20% of patients. Conclusion: RAPN is safe and effective treatment option for renal tumors and it helps in improving pentafecta outcome.

V218: Eliminating Knot Tying During Warm Ischemia Time for Laparoscopic Partial Nephrectomy: The Video

2004 ◽  
Vol 171 (4S) ◽  
pp. 57-58
Author(s):  
Marcelo A. Orvieto ◽  
Gary W. Chien ◽  
R. Matthew Galocy ◽  
Mitchell H. Sokoloff ◽  
Gregory P. Zagaja ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Warm Ischemia ◽  
Warm Ischemia Time ◽  
Laparoscopic Partial Nephrectomy ◽  
Knot Tying ◽  
Ischemia Time

Effect of Warm Ischemia Time During Laparoscopic Partial Nephrectomy on Early Postoperative Glomerular Filtration Rate

2009 ◽  
Vol 181 (6) ◽  
pp. 2438-2445 ◽  
Author(s):  
Guilherme Godoy ◽  
Vigneshwaran Ramanathan ◽  
Jamie A. Kanofsky ◽  
Rebecca L. O'Malley ◽  
Basir U. Tareen ◽  
...  
Keyword(s):  
Glomerular Filtration Rate ◽  
Glomerular Filtration ◽  
Partial Nephrectomy ◽  
Filtration Rate ◽  
Warm Ischemia ◽  
Warm Ischemia Time ◽  
Laparoscopic Partial Nephrectomy ◽  
Ischemia Time
Sign in / Sign up

Export Citation Format

Share Document