Comparison of perioperative and functional outcomes of robotic partial nephrectomy for cT1a vs cT1b renal masses

2017 ◽  
Vol 120 (6) ◽  
pp. 842-847 ◽  
Author(s):  
Christopher R. Reynolds ◽  
Joan C. Delto ◽  
David J. Paulucci ◽  
Corey Weinstein ◽  
Ketan Badani ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Functional Outcomes ◽  
Robotic Partial Nephrectomy ◽  
Renal Masses

scholarly journals MP41-20 RACE EFFECTS ON PATHOLOGICAL AND FUNCTIONAL OUTCOMES AFTER ROBOTIC PARTIAL NEPHRECTOMY

2016 ◽  
Vol 195 (4S) ◽  
Author(s):  
Onder Kara ◽  
Hiury Andrade ◽  
Homayoun Zargar ◽  
Oktay Akca ◽  
Matthew Maurice ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Functional Outcomes ◽  
Robotic Partial Nephrectomy ◽  
Race Effects

scholarly journals Efficacy of Partial Nephrectomy for Renal Tumors >4 cm: Comparison With Renal Tumors ≤4 cm

2016 ◽  
Vol 101 (1-2) ◽  
pp. 7-13
Author(s):  
Ohseong Kwon ◽  
Seok-Soo Byun ◽  
Sung Kyu Hong ◽  
Ja Hyeon Ku ◽  
Cheol Kwak ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Functional Outcomes ◽  
Survival Rates ◽  
Renal Tumors ◽  
Recurrence Free Survival ◽  
Renal Masses ◽  
Ischemic Time ◽  
Free Survival ◽  
Kaplan Meier ◽  
Computed Tomography Image

Partial nephrectomy has become a treatment of choice for clinical T1a renal masses. Some international guidelines suggest that partial nephrectomy can be applied also in clinical T1b tumors. The aim of this study was to evaluate the feasibility of partial nephrectomy for tumors larger than 4 cm. We reviewed the medical records of 1280 patients who underwent partial nephrectomy and had pathologically confirmed malignancy. Patients were categorized into two groups by the size of tumors on computed tomography image, with a cutoff value of 4 cm. The oncologic and functional outcomes were compared between the two groups. Recurrence-free survival after surgery was estimated using the Kaplan-Meier method. Of the 1280 patients, 203 patients (15.9%) had renal tumors larger than 4 cm. There were significantly more exophytic tumors (P < 0.001) and the R.E.N.A.L. scores were significantly higher (P < 0.001) in partial nephrectomy >4 cm. Mean ischemic times were significantly different (P < 0.001). After 24 months, mean creatinine level between partial nephrectomy >4 cm and partial nephrectomy ≤4 cm was not different significantly (P = 0.554). And the percent changes of glomerular filtration rate after partial nephrectomy were not different at last follow-up (P = 0.082). The 5-year recurrence-free survival rates were 96.6% in partial nephrectomy ≤4 cm, and 94.5% in partial nephrectomy >4 cm (P = 0.416). Based on the present findings, partial nephrectomy for tumors larger than 4 cm showed comparable feasibility and safety to partial nephrectomy for tumors ≤4 cm considering oncologic and functional outcomes, despite longer operative and ischemic time.

Robotic Partial Nephrectomy for Small Renal Masses in Patients With Pre-existing Chronic Kidney Disease

Urology ◽  
2012 ◽  
Vol 80 (4) ◽  
pp. 845-851 ◽  
Author(s):  
Julien Guillotreau ◽  
Rachid Yakoubi ◽  
Jean-Alexandre Long ◽  
Joseph Klink ◽  
Riccardo Autorino ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Partial Nephrectomy ◽  
Robotic Partial Nephrectomy ◽  
Small Renal Masses ◽  
Renal Masses

Laparoscopic and Robotic Partial Nephrectomy With Controlled Hypotensive Anesthesia to Avoid Hilar Clamping: Feasibility, Safety and Perioperative Functional Outcomes

2012 ◽  
Vol 187 (4) ◽  
pp. 1190-1194 ◽  
Author(s):  
Rocco Papalia ◽  
Giuseppe Simone ◽  
Mariaconsiglia Ferriero ◽  
Manuela Costantini ◽  
Salvatore Guaglianone ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Functional Outcomes ◽  
Robotic Partial Nephrectomy ◽  
Hypotensive Anesthesia
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