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Kidney Transplant II: Surgical Procedure

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...

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Updated: Mar 30, 2026

Robot-assisted Partial Splenectomy

Robot-assisted Partial Splenectomy

Published on: January 2, 2026

Robotic partial nephrectomy: The new horizon.

Humberto Laydner¹, Jihad H Kaouk¹

¹Center for Laparoscopic and Robotic Surgery - Urology, Cleveland Clinic Foundation, Cleveland, OH, United States.

Arab Journal of Urology

|November 12, 2015

Summary

This summary is machine-generated.

Robotic partial nephrectomy (RPN) is a safe and effective technique for complex kidney tumors. Outcomes demonstrate feasibility and comparable results to established methods, supporting its clinical use.

Keywords:

BMI, body mass index EBL, estimated blood loss Kidney neoplasms LOS, length of stay Laparoscopic NSS, nephron-sparing surgery Nephron-sparing Partial nephrectomy RN, radical nephrectomy RPN, (robotic) partial nephrectomy Robotics WIT, warm ischaemia time eGFR, estimated GFR

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Area of Science:

Urology
Surgical Oncology
Minimally Invasive Surgery

Background:

Robotic partial nephrectomy (RPN) has seen significant growth in reported series.
Review of RPN techniques and outcomes from large single-center studies is warranted.

Purpose of the Study:

To review the technique of robotic partial nephrectomy (RPN).
To evaluate perioperative outcomes from large single-institution series of RPN.

Main Methods:

Systematic search of databases for original articles on RPN.
Inclusion of single-institution studies with at least 50 patients for outcome analysis.
Description of a standardized RPN technique and review of prior work.

Main Results:

Analysis of seven retrospective studies involving 701 patients.
Mean tumor size: 2.8 cm; Mean R.E.N.A.L. score: 6.8.
Mean warm ischemia: 21 min; operative duration: 196 min; blood loss: 182 mL.
Transfusion rate: 7.4%; conversion rate: 1.7%; complication rate: 14%; positive margins: 1.7%.

Conclusions:

RPN is a feasible and safe procedure for renal tumors of varying complexity.
Perioperative outcomes are comparable to established surgical techniques.
Future research should focus on prospective, randomized trials comparing different approaches.