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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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Robot-Assisted Kidney Transplantation
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Simultaneous robotic partial nephrectomy for bilateral renal masses.

Fabrizio Gallo1, Simone Sforza2, Lorenzo Luciani3

  • 1Department of Urology, San Paolo Hospital, Savona, Italy. fabriziogallo.sv@gmail.com.

World Journal of Urology
|January 9, 2022
PubMed
Summary
This summary is machine-generated.

Simultaneous robot-assisted partial nephrectomy (RAPN) is safe and effective for bilateral renal masses. This multi-institutional study shows promising recurrence-free survival in selected patients.

Keywords:
CarcinomaNephrectomyRenal cellRobotic surgical proceduresRobotics

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Area of Science:

  • Urology
  • Surgical Oncology
  • Robotic Surgery

Background:

  • Optimal treatment for synchronous bilateral renal masses lacks consensus.
  • The choice between simultaneous or staged bilateral procedures is debated.

Purpose of the Study:

  • To analyze outcomes of simultaneous robot-assisted partial nephrectomy (RAPN) for bilateral renal masses.
  • Evaluate safety and feasibility across five Italian robotic institutions.

Main Methods:

  • Retrospective review of a multi-institutional database (Nov 2011 - Jul 2019).
  • Analysis of prospectively collected data on simultaneous RAPN procedures.
  • Data included demographics, peri-operative, and post-operative outcomes.

Main Results:

  • 27 patients underwent 54 simultaneous bilateral RAPNs with no conversions.
  • Median operative time: 250 min; median estimated blood loss: 200 mL.
  • No acute kidney injury; 7 (25.9%) patients had Clavien 2 complications; 3.7% positive margins; 100% recurrence-free survival at 30 months.

Conclusions:

  • Simultaneous bilateral RAPN is safe and feasible in selected patients with bilateral renal masses.
  • Expert surgical teams can achieve promising oncological and functional outcomes.
  • This approach offers a viable treatment option for complex renal mass cases.