Perioperative and functional outcomes following robot-assisted partial nephrectomy: Descriptive analysis of Indian...

Area of Science:

• Urology
• Surgical Oncology
• Robotic Surgery

Background:

• There is a need for high-quality data on Robot-assisted partial nephrectomy (RAPN) outcomes in the Indian population.
• The Indian Study Group on Partial Nephrectomy (ISGPN) is a consortium of Indian centers contributing to a partial nephrectomy (PN) database.

Purpose of the Study:

• To conduct a descriptive analysis of perioperative and functional outcomes following RAPN in the Indian population.
• To evaluate the safety and efficacy of RAPN for renal masses using a multi-centric Indian database.

Main Methods:

• Retrospective review of the ISGPN database from September 2010 to September 2022.
• Inclusion of patients who underwent RAPN for renal masses at 14 centers across India.
• Collection and analysis of demographic, clinical, radiological, perioperative, and functional data.

Main Results:

• 782 patients were included; 69.7% were male, with a median age of 53 years.
• Median operative time was 180 min, median estimated blood loss was 100 mL, mean warm ischemia time was 22.7 min.
• Complication rate was 16.2% (mostly minor), with positive surgical margin rates at 2.5%. Trifecta and pentafecta outcomes were achieved in 61.4% and 60% of patients, respectively.

Conclusions:

• This is the largest Indian multi-centric study on Robot-assisted PN outcomes.
• The study demonstrates the safety and efficacy of RAPN in managing renal masses within the Indian population.
• Findings address the unmet need for high-quality data on RAPN in India.