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Updated: Feb 5, 2026
08:34
Robot-assisted Partial Splenectomy
Published on: January 2, 2026
570
Long-term oncologic and functional outcomes after robot-assisted partial nephrectomy in elderly patients
Mihai D Vartolomei1,2, Deliu V Matei1,3, Giuseppe Renne4
1Department of Urology, European Institute of Oncology, Milan, Italy.
Summary
Robot-assisted partial nephrectomy (RAPN) is safe and effective for elderly patients with kidney cancer, showing good long-term oncologic outcomes. This robotic approach offers a feasible option for selected older adults undergoing renal cancer surgery.
Area of Science:
- Urology
- Oncology
- Robotic Surgery
Background:
- Assessing long-term oncologic and functional outcomes of robot-assisted partial nephrectomy (RAPN) in elderly patients with renal cancer (RC).
- Focus on patients aged 70 years and above undergoing RAPN for localized RC.
Purpose of the Study:
- Evaluate the feasibility and safety of RAPN in elderly patients.
- Determine the long-term oncologic and functional results of RAPN in this demographic.
- Analyze factors influencing trifecta outcomes in elderly patients.
Main Methods:
- Retrospective analysis of 52 patients (age ≥70) who underwent RAPN for localized RC.
- Inclusion criteria: age ≥70, pathologically confirmed RCC, ASA Score ≤3.
- Stratification by PADUA classification; trifecta defined as WIT <25 min, negative margins, no complications.
Main Results:
- Median follow-up of 47 months in 52 elderly patients (median age 74).
- Complication rate was 15.4%; trifecta failure linked to PADUA Score and tumor diameter.
- Disease-free survival (DFS), overall survival (OS), and cancer-specific survival (CSS) were 89.33%, 90.06%, and 94.4% respectively.
Conclusions:
- Robot-assisted partial nephrectomy is feasible and safe for surgically fit elderly patients.
- Good long-term oncologic outcomes were observed in this elderly cohort.
- RAPN is a viable option for selected elderly patients with renal cancer.
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