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Updated: May 29, 2026

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Robotic-assisted partial Nephrectomy: initial experience in South America.

Gustavo C Lemos1, Marcelo Apezzato, Leonardo L Borges

  • 1Albert Einstein Jewish Hospital, SP, Brazil.

International Braz J Urol : Official Journal of the Brazilian Society of Urology
|September 6, 2011
PubMed
Summary

Robotic-assisted partial nephrectomy is a safe and effective minimally invasive option for kidney cancer treatment. This South American study shows positive initial outcomes for nephron-sparing surgery.

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Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Robotic Surgery

Background:

  • Partial nephrectomy is the gold standard for small renal masses.
  • Robotic assistance offers potential advantages in minimally invasive partial nephrectomy.

Purpose of the Study:

  • To evaluate the initial outcomes of robotic-assisted partial nephrectomy (RAPN) in a South American tertiary center.
  • To assess the safety and efficacy of RAPN for kidney tumor treatment.

Main Methods:

  • A total of 16 transperitoneal RAPNs were performed on 15 patients between November 2008 and December 2009.
  • The study included patients with various kidney tumors, including centrally located and bilateral masses.
  • Patient demographics, tumor characteristics, and surgical parameters were recorded.

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Main Results:

  • The median operative time was 140 minutes, with a median warm ischemia time of 27 minutes.
  • Estimated blood loss averaged 120 mL, with only one patient requiring a blood transfusion.
  • Histopathology revealed 83% malignant tumors, predominantly clear cell carcinoma; no major complications were observed.

Conclusions:

  • Robotic-assisted partial nephrectomy is a safe and valuable minimally invasive approach for nephron-sparing surgery.
  • These initial outcomes support the adoption of RAPN in South American centers.