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Related Concept Videos

Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...

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Robot-Assisted Kidney Transplantation
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Published on: July 19, 2021

Robot-assisted partial nephrectomy: a large single-institutional experience.

Benjamin J Scoll1, Robert G Uzzo, David Y T Chen

  • 1Department of Urologic Oncology, Fox Chase Cancer Center, Philadelphia, Pennsylvania 19111, USA.

Urology
|January 19, 2010
PubMed
Summary
This summary is machine-generated.

Robot-assisted partial nephrectomy (RAPN) is a safe and effective minimally invasive option for kidney tumors, even complex ones. This study shows acceptable outcomes in pathology and renal function for 100 RAPN procedures.

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Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Robotic Surgery

Background:

  • Nephron-sparing surgery is standard for small renal masses.
  • Laparoscopic partial nephrectomy is technically demanding.
  • Robotic assistance may improve proficiency and reduce ischemia time.

Purpose of the Study:

  • To evaluate the institutional experience with 100 robot-assisted partial nephrectomy (RAPN) operations.
  • To assess the feasibility and outcomes of RAPN for renal masses.

Main Methods:

  • 100 RAPN procedures were performed over 21 months for suspicious renal lesions.
  • Clinicopathologic data, nephrometry scores, operative parameters, and renal function were prospectively collected.
  • Analysis of operative and functional outcomes.

Main Results:

  • Median tumor size was 2.8 cm, with varying complexity (47.9% low, 45.7% medium, 6.4% high nephrometry scores).
  • Mean warm ischemia time was 25.5 minutes.
  • Postoperative glomerular filtration rate improved by 6.32 mL/min/1.73 m2.
  • Renal cell carcinoma was found in 81% of tumors.
  • Positive margin rate was 5.7%, with major and minor complication rates of 6% and 5%, respectively.
  • 2 conversions to open surgery occurred.

Conclusions:

  • Robot-assisted partial nephrectomy is a safe and feasible minimally invasive approach.
  • RAPN demonstrates acceptable pathologic and renal function outcomes, even for complex renal lesions.