Article
Surgery
Makoto Toguchi, Tsunenori Kondo, Kazuhiko Yoshida, Kazunari Tanabe, Toshio Takagi
Summary: The generation of the surgeon may impact the perioperative outcomes of robot-assisted partial nephrectomy (RAPN). Patients operated by second-generation surgeons showed better surgical outcomes, especially during the early experience period.
Review
Oncology
Li Wang, Jing-ya Deng, Cai Liang, Ping-yu Zhu
Summary: This study compared the outcomes of robotic partial nephrectomy (RPN) and laparoscopic partial nephrectomy (LPN) for treating complex renal tumors. The results showed that RPN was associated with shorter operative time, warm ischemia time, length of stay, lower transfusion rate, and incidence of intraoperative complications compared to LPN, while maintaining oncological control and avoiding renal function decline.
FRONTIERS IN ONCOLOGY
(2023)
Article
Surgery
Takafumi Yagisawa, Toshio Takagi, Kazuhiko Yoshida, Keisuke Hata, Junpei Iizuka, Yasuto Muromiya, Tsunenori Kondo, Kazunari Tanabe
Summary: The study compared the surgical outcomes of RAPN between patients with cRCC and sRCC, finding that most surgical indicators did not show significant differences between the two groups. The results suggest the feasibility of RAPN for cRCC treatment.
JOURNAL OF ROBOTIC SURGERY
(2022)
Article
Urology & Nephrology
Luyao Chen, Wen Deng, Yixing Luo, Weipeng Liu, Yu Li, Xiaoqiang Liu, Gongxian Wang, Bin Fu
Summary: This study compared the perioperative, functional, and oncologic outcomes of robot-assisted partial nephrectomy (RAPN) and laparoscopic partial nephrectomy (LPN) for renal hilar tumors. The results showed that RAPN had better perioperative outcomes, with less blood loss and shorter warm ischemia time, and also resulted in better preservation of postoperative renal function. RAPN may be the preferred surgical treatment for renal hilar tumors.
JOURNAL OF ENDOUROLOGY
(2022)
Article
Urology & Nephrology
Fabrizio Gallo, Simone Sforza, Lorenzo Luciani, Daniele Mattevi, Paolo Barzaghi, Andrea Mari, Fabrizio Di Maida, Alessandro Antonelli, Luca Cindolo, Antonio Galfano, Giovannalberto Pini, Guglielmo Mantica, Maurizio Schenone, Luigi Schips, Filippo Annino, Carlo Terrone, Aldo Massimo Bocciardi, Franco Gaboardi, Andrea Minervini
Summary: Our data indicate that simultaneous bilateral RAPNs could be a safe and feasible procedure with promising results for the treatment of bilateral synchronous renal masses in selected patients and expert hands.
WORLD JOURNAL OF UROLOGY
(2022)
Article
Urology & Nephrology
Francesca Ambrosini, Paolo Dell'oglio, Erika Palagonia, Carlo Buratto, Marco Martiriggiano, Michele Barbieri, Silvia Secco, Alberto Olivero, Carlo Terrone, Aldo M. Bocciardi, Antonio Galfano
Summary: This study presents a novel outer layer renorrhaphy strategy during robot-assisted partial nephrectomy. The technique involves a zigzag-shaped suturing method using a double-layer technique. The results showed that this technique is feasible and safe when performed by experienced surgeons.
MINERVA UROLOGY AND NEPHROLOGY
(2023)
Article
Surgery
Kosei Takagi, Hendrikus J. A. N. Kimenai, Turkan Terkivatan, Khe T. C. Tran, Jan N. M. Ijzermans, Robert C. Minnee
Summary: A novel grading system based on preoperative donor factors was developed to predict the difficulty of LDN. Male gender, BMI > 28, pure LDN, multiple renal arteries, and multiple renal veins were identified as independent risk factors influencing prolonged operative time. The system categorized LDN difficulty into low, intermediate, and high levels based on these factors.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Urology & Nephrology
Logan W. Grimaud, Felix Chen, Jenny Chang, Argyrios Ziogas, John P. Sfakianos, Ketan K. Badani, Edward M. Uchio, Hoda Anton-Culver, Greg E. Gin
Summary: In patients with very large renal masses, robot-assisted surgery may have lower conversion rates to open surgery compared to laparoscopic or open surgery, with comparable postoperative outcomes. Both robot-assisted and laparoscopic surgeries have shorter hospital stays than open surgery.
JOURNAL OF ENDOUROLOGY
(2021)
Review
Urology & Nephrology
Pengxiu Lin, Minhong Wu, Hongyong Gu, Lanzhen Tu, Shilan Liu, Zhiling Yu, Qingsheng Chen, Cailing Liu
Summary: For complex renal tumors, RAPN is more favorable than LPN in terms of lower rate of conversion to radical surgery, shorter ischemia time, shorter length of stay, less eGFR decline, and lower rate of CKD upstaging.
MINERVA UROLOGY AND NEPHROLOGY
(2021)
Article
Surgery
Yonghui Chen, Xiaorong Wu, Jiale Zhou, Jin Zhang, Jiwei Huang, Yiran Huang, Wei Xue
Summary: This study reports the preliminary results of thermal ablation assisted laparoscopic partial nephrectomy for cT1b renal tumors. The study shows that thermal ablation assisted laparoscopic partial nephrectomy is a safe and effective nephron-sparing treatment for selective cT1b renal tumors.
MINIMALLY INVASIVE THERAPY & ALLIED TECHNOLOGIES
(2022)
Article
Oncology
Liangyou Gu, Wenlei Zhao, Junnan Xu, Baojun Wang, Qiang Cheng, Donglai Shen, Yundong Xuan, Xupeng Zhao, Hongzhao Li, Xin Ma, Xu Zhang
Summary: This study compared the outcomes of transperitoneal robotic partial nephrectomy (TRPN) and retroperitoneal robotic partial nephrectomy (RRPN) for complete upper pole renal masses. The results showed no significant differences between the two surgical approaches in terms of operating time, renal artery clamping time, and postoperative complications. However, TRPN was associated with greater estimated blood loss. Multivariate analysis identified that RENAL score was independently associated with the achievement of treatment success.
FRONTIERS IN ONCOLOGY
(2022)
Article
Urology & Nephrology
Ding Peng, Taile Jing, Xiaolin Yao, Sunyi Ye, Xin Xu, Anbang He, Zhen Liang, Chong Lai, Honggang Qi, Hongzhou Meng, Ping Wang, Shuo Wang, Dan Xia
Summary: The purpose of this study was to explore the preliminary safety and efficacy of the Shurui single-port surgical robot in partial nephrectomy. Thirteen patients with T1a renal tumors were enrolled, and the operative outcomes and perioperative data were collected and analyzed. The results showed that the new SP surgical robot system is safe, effective, and stable for application in PN.
JOURNAL OF ENDOUROLOGY
(2023)
Article
Medicine, General & Internal
Wenlei Zhao, Yancai Ding, Dong Chen, Yundong Xuan, Zhiqiang Chen, Xupeng Zhao, Bin Jiang, Baojun Wang, Hongzhao Li, Chengliang Yin, Xin Ma, Gang Guo, Liangyou Gu, Xu Zhang
Summary: This study compared the perioperative outcomes of robotic partial nephrectomy via transperitoneal and retroperitoneal approaches for completely lower pole renal tumors. The results showed no significant differences between the two approaches in terms of blood loss, operative time, ischemia time, postoperative complications, and tumor size. Therefore, both approaches are feasible options for completely lower pole renal tumors.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Gregoire Cazalas, Clement Klein, Gilles Piana, Eric De Kerviler, Afshin Gangi, Philippe Puech, Cosmina Nedelcu, Remi Grange, Xavier Buy, Marc-Antoine Jegonday, Pierre Bigot, Charles Karim Bensalah, Victor Gaillard, Geraldine Pignot, Philippe Paparel, Lionel Badet, Clement Michiels, Jean Christophe Bernhard, Olivier Rouviere, Nicolas Grenier, Clement Marcelin
Summary: Percutaneous-guided thermal ablation and robotic-assisted partial nephrectomy are effective treatments for T1b renal cancer; however, thermal ablation has a higher local recurrence rate.
EUROPEAN RADIOLOGY
(2023)
Article
Surgery
Zhenhua Liu, Zhenyu Yang, Jibin Li, Zefu Liu, Nan Ma, Peng Chen, Xing Bi, Zhiyong Li, Pei Dong, Hui Han, Xiaobo He, Xiaopeng Mao, Shengjie Guo
Summary: This retrospective study analyzed data of pT3aN0M0 renal cell carcinoma patients and found that PN may have a survival benefit compared to RN, especially in cases with tumor size 0-4 cm. Survival outcomes were similar between PN and RN in cases with tumor size 4-7 cm. These findings suggest that PN could be a viable alternative choice for T3aN0M0 RCC, particularly in smaller tumors.
ASIAN JOURNAL OF SURGERY
(2023)
Article
Surgery
Rajiv Jayadevan, Kristian Stensland, Alexander Small, Simon Hall, Michael Palese
JSLS-JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS
(2014)
News Item
Education, Scientific Disciplines
Jonathan Weiner, Alexander C. Small, Lianna R. Lipton, Kristian D. Stensland, Jillian Aristegui, Meredith Grossman, Peter Gliatto
Article
Pediatrics
Alexander C. Small, Alejandra Perez, Jayant Radhakrishnan, Stanley Desire, Philip Zachariah, Lisa C. Creelman, Shumyle Alam
PEDIATRIC SURGERY INTERNATIONAL
(2018)
Article
Oncology
Jatinder Goyal, Gregory R. Pond, Matthew D. Galsky, Ryan Hendricks, Alexander Small, Che-Kai Tsao, Guru Sonpavde
UROLOGIC ONCOLOGY-SEMINARS AND ORIGINAL INVESTIGATIONS
(2014)
Article
Urology & Nephrology
Alexander C. Small, Cooper R. Benson, Steven B. Brandes
Article
Urology & Nephrology
Alexander C. Small, Samantha L. Thorogood, Ojas Shah, Kelly A. Healy
UROLOGIC CLINICS OF NORTH AMERICA
(2019)
Article
Urology & Nephrology
Michael Schulster, Alexander C. Small, Mark Silva, Joel E. Abbott, Julio G. Davalos
Article
Urology & Nephrology
Juan Fulla, Alexander Small, Elie Kaplan-Marans, Michael Palese
JOURNAL OF ENDOUROLOGY
(2020)
Article
Immunology
Nir Tomer, Alexander Small, Omar Mirza, Michael Palese
Summary: The analysis showed that prior diagnosis of depression was the strongest risk factor for depression. However, willingness to undergo donor nephrectomy was associated with a lower risk of subsequent depression compared to the control population, indicating that kidney donors may be a more resilient cohort.
TRANSPLANTATION PROCEEDINGS
(2021)
Article
Urology & Nephrology
James A. Young, Evan B. Garden, Osama Al-Alao, Darren Deoraj, Alexander C. Small, Gregory Hruby, Aaron B. Grotas, Michael A. Palese
Summary: This cost analysis comparison between single-use and reusable cystoscopes shows that per-case costs favor reusable cystoscopes. In a high-volume clinic, reusable equipment becomes more cost-effective after 294 cystoscopies, while in a low-volume practice, reusable equipment becomes more cost-effective after 19 cases.
Article
Urology & Nephrology
Evan B. Garden, Krishna T. Ravivarapu, Micah Levy, Chih Peng Chin, Olamide Omidele, Nir Tomer, Osama Al-Alao, Joseph Sewell Araya, Alexander C. Small, Michael A. Palese
Summary: This study aimed to analyze the utilization and safety of same-day discharge (SDD) versus standard-length discharge (SLD) for transurethral resection (TURF), holmium laser enucleation (HoLEP), and GreenLight photovaporization (GL-PVP) of the prostate. The study found that for appropriately selected patients, SDD did not increase the risk of 30-day complications.
Article
Urology & Nephrology
Benjamin W. Green, Kevin Labagnara, Eric Macdonald, Nathan Feiertag, Michael Zhu, Kavita Gupta, Charan Mohan, Kara L. Watts, Arun Rai, Alexander C. Small
Summary: This study investigates the relationship between self-reported food security and kidney stone formation. The analysis of a representative database of the US population shows that individuals with very low food security have a 42% increased likelihood of developing kidney stones.
WORLD JOURNAL OF UROLOGY
(2022)
Article
Urology & Nephrology
Benjamin Green, Nathan Feiertag, Kara L. Watts, Alexander C. Small
Summary: A study was conducted in the Bronx, NY to assess the use and perceptions of CAM for kidney stones among a diverse, urban population. The findings showed that CAM are commonly used among the patient population, especially among Hispanic patients and recurrent stone formers. It is important for medical providers to educate themselves on the CAM used by their patients and discuss their use for proper treatment.
Article
Urology & Nephrology
Samuel G. Antoine, Alexander C. Small, James M. McKiernan, Ojas Shah
CANADIAN JOURNAL OF UROLOGY
(2018)
Review
Andrology
Christopher D. Gaffney, Matthew J. Pagano, Aaron C. Weinberg, Alex C. Small, Franklin E. Kuehas, Paulo H. Egydio, Robert J. Valenzuela
TRANSLATIONAL ANDROLOGY AND UROLOGY
(2016)