Prospective study of robotic partial nephrectomy for renal cancer in Japan: Comparison with a historical control undergoing laparoscopic partial nephrectomy

2018 ◽  
Vol 25 (5) ◽  
pp. 472-478 ◽  
Author(s):  
Kazushi Tanaka ◽  
Jun Teishima ◽  
Atsushi Takenaka ◽  
Ryoichi Shiroki ◽  
Yasuyuki Kobayashi ◽  
...  
2018 ◽  
Vol 17 (11) ◽  
pp. e2575
Author(s):  
V. Klapsis ◽  
A. Katsimantas ◽  
G. Zervopoulos ◽  
S. Paparidis ◽  
V. Kanellopoulos ◽  
...  

2015 ◽  
Vol 193 (4S) ◽  
Author(s):  
Benoit peyronnet ◽  
Damien chaste ◽  
Zineddine khene ◽  
Romain mathieu ◽  
Gregory verhoest ◽  
...  

2011 ◽  
Vol 185 (4S) ◽  
Author(s):  
Roberto Sanseverino ◽  
Giorgio Napodano ◽  
Olivier Intilla ◽  
Umberto Di Mauro ◽  
Mario Iacone

2020 ◽  
Author(s):  
Yu-Li Jiang ◽  
Xin Xiao ◽  
Fu-Sheng Peng ◽  
Tian-Li Shi ◽  
Xiao-Hui Huang ◽  
...  

Abstract BackgroundTo compare the perioperative outcomes of Robotic partial nephrectomy (RPN) versus laparoscopic partial nephrectomy (LPN). MethodsWe searched PubMed, EMBASE and the Cochrane Central Register for studies from 2000 to 2020 to evaluate the perioperative outcomes RPN and LPN in patients with a RENALnephrometry score≥7. We used RevMan 5.2 to pool the data. ResultsSeven studies were acquired in our study. No significant differences were found in the estimated blood loss (WMD: WMD: 34.49, 95% CI -75.16-144.14, p=0.54), hospital stay (WMD: -0.59 95% CI -1.24–0.06, p=0.07), operating time (WMD: -22.45, 95%CI: -35.06 to-9.85, ), postive surgical margin (OR: 0.85, 95% CI 0.65–1.11, p =0.23) and transfusion (OR: 0.72, 95% CI 0.48–1.08, p =0.11).between the two groups. RPN get better outcomes in postoperative renal function (WMD: 3.32, 95% CI 0.73–5.91, p=0.01), warm ischenia time (WMD: -6.96, 95% CI -7.30–-6.62, p <0.0001), conversion( OR: 0.34, 95%CI: 0.17 to 0.66, p=0.002) and intraoperative complication (OR: 0.52, 95% CI 0.28–0.97, p=0.04).ConclusionRPN could get better perioerative clinical outcomes than LPN for treatment of Complex Renal Tumors( with a RENALnephrometry score≥7).


2020 ◽  
Vol 8 (3) ◽  
pp. 071-074
Author(s):  
Danilo Coco ◽  
Silvana Leanza

Introduction: Improved methods are being sought so that the existing low efficiencies can be dealt with for a better solution to the problem of renal cancer. The most promising method is robotic partial nephrectomy which uses a system of automated machines in the treatment of small renal masses as it shows reduced mortality, morbidity, and hospital stay. Aim: To systematically analyze articles to learn about robotic partial nephrectomy and how it has solved some of the current issues in the treatment of renal cancer. Materials and methods: The article systematically reviews 20 articles in the development of a literature review on the emerging technology of robotic partial nephrectomy. The articles are recent and have been published in the last five years. Results and outcome: The studies show the use of robotic partial nephrectomy produces better outcomes in terms of reduced mortality, morbidity, and the number of days a patient stayed in hospital after an operation. Conclusion: The use of robotic partial nephrectomy is the ideal treatment for patients that have renal cancer as it has better outcomes in almost all the researched areas.


2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Zachary Klaassen ◽  
Robert M. Kohut ◽  
Dhruti Patel ◽  
Martha K. Terris ◽  
Rabii Madi

Objective. To report the perioperative outcomes of patients treated with partial nephrectomy by a single surgeon using three surgical modalities—open, laparoscopic, and robotic. Methods. Between August 2006 and February 2012, 106 consecutive patients underwent open partial nephrectomy (OPN) (n=23), laparoscopic partial nephrectomy (LPN) (n=48), and robotic partial nephrectomy (RPN) (n=35) by a single surgeon. Clinical variables, operative parameters, and renal functional outcomes were analyzed. Results. Preoperative patient characteristics were similar except for baseline glomerular filtration rate (GFR), which was highest in the RPN group (P=0.004). Surgery time was longest in the RPN group (244 minutes) and shortest in the OPN group (163 minutes, P<0.0001). Patients who had OPN had the highest incidence of 30-day complications (30%), while the RPN approach had the lowest (14%, P=0.008). Conclusions. When performed by a single surgeon, robotic partial nephrectomy appears to be associated with fewer complications than both open and laparoscopic partial nephrectomy. Kidney function was not affected by surgical approach.


2017 ◽  
Vol 89 (2) ◽  
pp. 93 ◽  
Author(s):  
Abdulmuttalip Simsek ◽  
Abdullah Hizir Yavuzsan ◽  
Yunus Colakoglu ◽  
Arda Atar ◽  
Selcuk Sahin ◽  
...  

Objective: To evaluate a single surgeon oncological and functional outcomes of laparoscopic partial nephrectomy (LPN) compared to robotic partial nephrectomy (RPN) for pT1a renal tumours. Materials and methods: Between 2006 and 2016, a retrospective review of 42 patients who underwent LPN (n = 20) or RPN (n = 22) by same surgeon was performed. Patients were matched for gender, age, body mass index (BMI), American Society of Anaesthesiologists (ASA) score, tumour side, RENAL and PADUA scores, peri-operative and post-operative outcomes. Results: There was no significant differences between the two groups with respect to patient gender, age, BMI, ASA score, tumours side, RENAL and PADUA scores. Mean operative time for RPN was 176 vs. 227 minutes for LPN (p = 0.001). Warm ischemia time was similar in both groups (p = 0.58). Estimated blood loss (EBL) was higher in the LPN. There was no significant difference with preoperative and postoperative creatinine and percent change in eGFR levels. Only one case in LPN had positive surgical margin. Conclusions: RPN is a developing procedure, and technically feasible and safe for small-size renal tumours. Moreover RPN is a comparable and alternative operation to LPN, providing equivalent oncological and functional outcomes, as well as saving more healthy marginal tissue and easier and faster suturing.


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