Long-term functional and oncological outcomes of robot-assisted partial nephrectomy for cystic renal tumors: a single-center retrospective study

2020 ◽  
Author(s):  
Kenji Zennami ◽  
Kiyoshi Takahara ◽  
Ryo Matsukiyo ◽  
Takuhisa Nukaya ◽  
Masashi Takenaka ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Partial Nephrectomy ◽  
Renal Tumors ◽  
Single Center ◽  
Robot Assisted ◽  
Oncological Outcomes ◽  
Cystic Renal Tumors

Robot-assisted partial nephrectomy confers excellent long-term outcomes for the treatment of complex cystic renal tumors: Median follow up of 58 months

2016 ◽  
Vol 23 (12) ◽  
pp. 976-982 ◽  
Author(s):  
Ali Abdel Raheem ◽  
Atalla Alatawi ◽  
Irela Soto ◽  
Dae Keun Kim ◽  
Lawrence HC Kim ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Renal Tumors ◽  
Long Term Outcomes ◽  
Robot Assisted ◽  
Cystic Renal Tumors

scholarly journals Purely off-clamp robot-assisted partial nephrectomy for totally endophytic renal tumors: Mid-term outcomes from a single-center series

2020 ◽  
Vol 19 ◽  
pp. e2328
Author(s):  
G. Tuderti ◽  
R. Mastroianni ◽  
U. Anceschi ◽  
S. D’annunzio ◽  
M. Ferriero ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Renal Tumors ◽  
Single Center ◽  
Robot Assisted

scholarly journals Comparison of Perioperative, Renal Functional, and Oncological Outcomes Between Off-Clamp and On-Clamp Robot-Assisted Partial Nephrectomy for Renal Tumors: An Updated Evidence-Based Analysis

2021 ◽  
Vol 11 ◽  
Author(s):  
Yin Huang ◽  
Dehong Cao ◽  
Zeyu Chen ◽  
Bo Chen ◽  
Jin Li ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Complication Rate ◽  
Conversion Rate ◽  
Surgical Margin ◽  
Pooled Analysis ◽  
Renal Tumors ◽  
Positive Surgical Margin ◽  
Transfusion Rate ◽  
Robot Assisted ◽  
Oncological Outcomes

ObjectivesWe aimed to report the latest and largest pooled analysis and evidence update to compare the perioperative, renal functional, and oncological outcomes between off-clamp and on-clamp robot-assisted partial nephrectomy (RAPN) for renal tumors.Patients and methodsWe performed a systematic literature search using PubMed, Embase, and Web of Science up to August 2021 for studies that compared the efficacy and/or safety between off-clamp and on-clamp RAPN for renal tumors. Outcomes measured were operating time, estimated blood loss (EBL), conversion rate, length of stay (LOS), complication rate, transfusion rate, long-term % decrease in estimated glomerular filtration rate (eGFR), positive surgical margin rate, and recurrence rate.ResultsA total of 21 eligible articles involving 4,493 patients (1,274 off-clamp versus 3,219 on-clamp) were included for the evidence synthesis. Baseline characteristics of the two groups were similar in all outcomes except that lower R.E.N.A.L. score and smaller tumor size were observed in the off-clamp group. Pooled analysis showed shorter operative time, higher EBL, and lower complication rate in the off-clamp group. No significant difference was observed in the conversion rate, LOS, and transfusion rate. The recurrence rates were similar in the two groups, while a lower positive surgical margin rate was observed in the off-clamp group. Finally, the off-clamp group had a superior postoperative renal functional outcome.ConclusionsGiven the presence of heterogeneity and potential bias, urologists should select the clamp strategy based on their experience and patient-specific factors.

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