Related Experiment Video
Updated: Apr 18, 2026
Robot-Assisted Kidney Transplantation
Published on: July 19, 2021
Robot-assisted laparoscopic partial nephrectomy in patients with previous abdominal surgery: single center experience
Homayoun Zargar1, Wahib Isac1, Riccardo Autorino1
1Center for Laparoscopic & Robotic Surgery, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA.
Background:
The aim of this study is to report our single center experience with robotic partial nephrectomy (RPN) in patients with history of previous abdominal surgery (PAS).
Methods:
Medical records of patients who underwent RPN for a single renal mass in our center from 2006 to 2013 were reviewed. Patients were divided in two groups: those who had history of PAS and those without history of PAS. Within the PAS group, four sub-groups were considered: (a) remote site of PAS in relation to RPN; (b) PAS in the proximity of RPN site; (c) previous umbilical hernia/abdominal hernia mesh repair; (d) major PAS.
Results:
In total 627 patients were analyzed, and of these 321 patients had history of PAS (51.2%). On univariable and multivariable analyses, only Charlson Comorbidity Index, estimated blood loss, and tumor size were the significant predictors of complications.
Conclusions:
RPN can be safely performed in patients with history of PAS with surgical outcomes comparable with those obtained in patients without history of PAS.
