Trifecta and Pentafecta Rates After Robotic Assisted Partial Nephrectomy: Comparative Study of Patients with Renal Masses <4 and ≥4 cm

2018 ◽  
Vol 28 (7) ◽  
pp. 799-803 ◽  
Author(s):  
Roberto Castellucci ◽  
Giulia Primiceri ◽  
Pietro Castellan ◽  
Michele Marchioni ◽  
Carlo D'Orta ◽  
...  
Keyword(s):  
Comparative Study ◽  
Partial Nephrectomy ◽  
Renal Masses ◽  
Robotic Assisted ◽  
Robotic Assisted Partial Nephrectomy

ROBOTIC ASSISTED PARTIAL NEPHRECTOMY FOR MULTIPLE RENAL MASSES: FEASIBILITY AND RESULTS OF INITIAL EXPERIENCE

2009 ◽  
Vol 181 (4) ◽  
pp. 536
Author(s):  
Ronald S Boris ◽  
Miguel Proano ◽  
Craig G Rogers ◽  
W. Marston Linehan ◽  
Peter A Pinto ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Initial Experience ◽  
Renal Masses ◽  
Robotic Assisted ◽  
Multiple Renal Masses ◽  
Robotic Assisted Partial Nephrectomy

scholarly journals Comparison of Trifecta Outcome Among Open, Laparoscopic, and Robotic-Assisted Partial Nephrectomy in Patients With Small Renal Masses: 10-Year Experience in Ramathibodi Hospital

2021 ◽  
Author(s):  
Chaichant Soisrithong ◽  
Wit Viseshsindh ◽  
Wisoot Kongchareonsombat ◽  
Charoen Leenanupunth ◽  
Wachira Kochakarn ◽  
...  
Keyword(s):  
Blood Loss ◽  
Partial Nephrectomy ◽  
Operative Time ◽  
Small Renal Masses ◽  
Renal Masses ◽  
Intraoperative Complication ◽  
Robotic Assisted ◽  
Estimated Blood Loss ◽  
Number Of Patients ◽  
Robotic Assisted Partial Nephrectomy

Abstract Purpose: To compare the trifecta outcome and perioperative and postoperative outcomes among open partial nephrectomy (OPN), laparoscopic partial nephrectomy (LPN), and robotic-assisted partial nephrectomy (RAPN) in patients with small renal masses in Ramathibodi Hospital.Methods: We retrospectively reviewed 141 patients who underwent partial nephrectomy from January 2009 to December 2018. The baseline characteristics and preoperative outcomes were compared among the three surgical approaches. Results: Among the 141 patients, 42 (29.79%), 29 (20.57%), and 70 (49.64%) patients underwent OPN, LPN, and RAPN, respectively. Among 116 patients with available data, 71 achieved the trifecta outcome [18 (56.25%), 14 (56.00%), and 39 (73.58%) in the OPN, LPN, and RAPN group, respectively; p=0.276]. The rate of conversion to OPN was higher in the LPN than RAPN group. The number of patients who received intraoperative packed red cells was lowest in the RAPN group. The estimated blood loss was significantly lower in the LPN group than OPN and RAPN groups (p=0.041). The operative time was shorter in the OPN group than LPN and RAPN groups (p<0.001). Multivariate analysis showed that the intraoperative complication rate was a predictive factor for trifecta outcome achievement.Conclusion: OPN had the shortest operative time. LPN had the highest rate of conversion to OPN and lowest estimated blood loss. The number of patients who received intraoperative packed red cells was lowest in the RAPN group. However, achievement of the trifecta outcome was not significantly different among the three groups. The predictive factor for trifecta outcome achievement was the intraoperative complication rate.

scholarly journals MP49-01 CLINICAL OUTCOMES OF ROBOTIC ASSISTED PARTIAL NEPHRECTOMY FOR PATHOLOGIC T3A RENAL MASSES WITH VENOUS TUMORS THROMBUS

2021 ◽  
Vol 206 (Supplement 3) ◽  
Author(s):  
Tara Morgan ◽  
Jessica Dai ◽  
Sam Kusin ◽  
Vineeth Kommidi ◽  
Alaina Garbens ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Partial Nephrectomy ◽  
Renal Masses ◽  
Robotic Assisted ◽  
Robotic Assisted Partial Nephrectomy

Clinical experience of using virtual 3D modelling for pre and intraoperative guidance during robotic-assisted partial nephrectomy

2021 ◽  
pp. 205141582110002
Author(s):  
Lorenz Berger ◽  
Aziz Gulamhusein ◽  
Eoin Hyde ◽  
Matt Gibb ◽  
Teele Kuusk ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Partial Nephrectomy ◽  
Surgical Outcome ◽  
Prospective Cohort ◽  
Three Dimensional ◽  
Two Dimensional ◽  
Dimensional Model ◽  
Three Dimensional Model ◽  
Robotic Assisted ◽  
Robotic Assisted Partial Nephrectomy

Objective: Surgical planning for robotic-assisted partial nephrectomy is widely performed using two-dimensional computed tomography images. It is unclear to what extent two-dimensional images fully simulate surgical anatomy and case complexity. To overcome these limitations, software has been developed to reconstruct three-dimensional models from computed tomography data. We present the results of a feasibility study, to explore the role and practicality of virtual three-dimensional modelling (by Innersight Labs) in the context of surgical utility for preoperative and intraoperative use, as well as improving patient involvement. Methods: A prospective study was conducted on patients undergoing robotic-assisted partial nephrectomy at our high volume kidney cancer centre. Approval from a research ethics committee was obtained. Patient demographics and tumour characteristics were collected. Surgical outcome measures were recorded. The value of the three-dimensional model to the surgeon and patient was assessed using a survey. The prospective cohort was compared against a retrospective cohort and cases were individually matched using RENAL (radius, exophytic/endophytic, nearness to collecting system or sinus, anterior/posterior, location relative to polar lines) scores. Results: This study included 22 patients. Three-dimensional modelling was found to be safe for this prospective cohort and resulted in good surgical outcome measures. The mean (standard deviation) console time was 158.6 (35) min and warm ischaemia time was 17.3 (6.3) min. The median (interquartile range) estimated blood loss was 125 (50–237.5) ml. Two procedures were converted to radical nephrectomy due to the risk of positive margins during resection. The median (interquartile range) length of stay was 2 (2–3) days. No postoperative complications were noted and all patients had negative surgical margins. Patients reported improved understanding of their procedure using the three-dimensional model. Conclusion: This study shows the potential benefit of three-dimensional modelling technology with positive uptake from surgeons and patients. Benefits are improved perception of vascular anatomy and resection approach, and procedure understanding by patients. A randomised controlled trial is needed to evaluate the technology further. Level of evidence: 2b

scholarly journals Zero-ischemia robotic assisted partial nephrectomy – Preliminary experience in a single institution

2016 ◽  
Vol 27 (2) ◽  
pp. S12
Author(s):  
Yi-Chia Lin ◽  
Chao-Yen Ho ◽  
Te-Fu Tsai ◽  
Chung-Hsin Yeh ◽  
Guang-Dar Juang ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Single Institution ◽  
Robotic Assisted ◽  
Zero Ischemia ◽  
Robotic Assisted Partial Nephrectomy
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