Retroperitoneal robot‐assisted laparoscopic partial nephrectomy for posterior located renal tumours: Technique and early term outcomes

Author(s):  
Mehmet Salih Boga ◽  
Mutlu Ates
Diagnostics ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 759
Author(s):  
Hui-Ying Liu ◽  
Chih Hsiung Kang ◽  
Hung-Jen Wang ◽  
Chien Hsu Chen ◽  
Hao Lun Luo ◽  
...  

Preserving renal function and controlling oncological outcomes are pertinent when managing renal neoplasms. Cryoablation is the recommended treatment only for clinical T1a stage renal tumour. Here, we compared the outcomes of robot-assisted laparoscopic partial nephrectomy (RaPN) and laparoscopic cryoablation (LCA) in the treatment of patients with localised T1-T2 renal tumours. Overall, 86 patients who received RaPN and 78 patients underwent LCA were included in this study. The intraoperative, postoperative, and oncological outcomes in the LCA group were non-inferior to the RaPN group. Moreover, LCA demonstrated shorter operative time (267.45 ± 104.53 min vs. 138.56 ± 45.28 min, p < 0.001), lower blood loss (300.56 ± 360.73 mL vs. 30.73 ± 50.31 mL, p < 0.001), and slight renal function deterioration because of the reduced invasiveness, without compromising on the oncological outcomes.


Urology ◽  
2009 ◽  
Vol 73 (4) ◽  
pp. 896-900 ◽  
Author(s):  
Li-Ming Su ◽  
Balazs P. Vagvolgyi ◽  
Rahul Agarwal ◽  
Carol E. Reiley ◽  
Russell H. Taylor ◽  
...  

2014 ◽  
Vol 8 (11-12) ◽  
pp. 810 ◽  
Author(s):  
Jeong Woo Lee ◽  
Sung Yong Cho ◽  
Chanhoo Jeon ◽  
Kyungtae Ko ◽  
Hyeon Hoe Kim

Introduction: We evaluated the the association between PADUA scores and postoperative renal function (after robot-assisted partial nephrectomy [RAPN]) and between PADUA scores and warm ischemic time (during RAPN).Methods: We reviewed the clinical records of 106 patients who underwent RAPN for a single localized renal tumour between April 2009 and June 2012. Postoperative renal function was evaluated using estimated glomerular filtration rate (eGFR) in 85 patients who were followed for at least 6 months. PADUA scores for renal tumours were calculated using contrast-enhanced computed tomography images, if needed, along with magnetic resonance images in some cases.Results: A PADUA score ≥10 and WIT ≥30 minutes were observed in 18 (17.0%) and 51 (48.1%) cases, respectively. PADUA scores were significantly correlated with WIT (p = 0.019) and percent change in eGFR at 6 months postoperatively (p = 0.005). PADUA score (continuous variable, odds ratio [OR] 1.694, p = 0.007) and the high-risk group (PADUA score ≥10) (OR 5.429; p = 0.020) were significantly associated with a WIT of ≥30 minutes by multivariate analysis. A 1-point increase in the PADUA score was associated with an eGFR decrease of >20% at 6 months after RAPN (OR 1.799; p = 0.076). In addition, a PADUA score ≥10, or high risk, (OR 13.965; p = 0.003) was an independent predictor of an eGFR decrease of >20% at 6 months after RAPN.Conclusions: The PADUA classification can reliably predict WIT and postoperative renal functional outcome after RAPN. Furthermore, the study suggests that anatomical aspects of renal tumours are associated with functional outcome after RAPN.


2013 ◽  
Vol 112 (8) ◽  
pp. 1133-1142 ◽  
Author(s):  
Xiaohua Zhang ◽  
Zhoujun Shen ◽  
Shan Zhong ◽  
Zhaowei Zhu ◽  
Xianjin Wang ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document