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Robotic partial nephrectomy: a multi-institutional analysis.

C G Rogers1, M Menon2, E S Weise3

  • 1Vattikuti Urology Institute, Henry Ford Hospital, 2799 West Grand Blvd, Detroit, MI, 48202-2689, USA. Crogers2@hfhs.org.

Journal of Robotic Surgery
|September 16, 2016
PubMed
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This summary is machine-generated.

Robotic partial nephrectomy (RPN) is a feasible minimally invasive option for kidney tumors, showing good early oncologic and functional outcomes. This multi-institutional study confirms RPN

Area of Science:

  • Urology
  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • Laparoscopic partial nephrectomy (LPN) offers durable outcomes for kidney tumors.
  • Robotic partial nephrectomy (RPN) feasibility is supported by small studies.
  • A large, multi-institutional analysis is needed to assess RPN outcomes.

Purpose of the Study:

  • To evaluate early oncologic results of robotic partial nephrectomy (RPN).
  • To assess perioperative outcomes of RPN in a multi-institutional setting.
  • To compare RPN outcomes with established laparoscopic partial nephrectomy series.

Main Methods:

  • A multi-institutional analysis of 148 patients undergoing RPN for localized renal tumors.
  • Data collected included clinical characteristics, pathological findings, and follow-up information.
Keywords:
Kidney cancerLaparoscopyPartial nephrectomyRoboticsTechnique

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  • Mean follow-up was 7.2 months, with specific follow-up for positive margin cases.

    • Main Results:

    • RPN demonstrated favorable early oncologic control with no recurrence at mean follow-up.
    • Mean tumor size was 2.8 cm, with a mean warm ischemia time of 27.8 minutes.
    • Complication rate was 6.1%, with a mean hospital stay of 1.9 days.

    Conclusions:

    • Robotic partial nephrectomy (RPN) is a feasible option for minimally invasive, nephron-sparing surgery.
    • Early oncologic and perioperative outcomes of RPN are comparable to established laparoscopic series.
    • RPN offers a viable alternative for localized renal tumors, even for surgeons early in their RPN experience.