Article
Urology & Nephrology
P. Macek, X. Cathelineau, Y. P. Barbe, R. Sanchez-Salas, A. R. Rodriguez
Summary: Robot-assisted partial nephrectomy is a standard treatment option for cT1 renal masses. The success of the surgery depends on various factors but primarily on the surgeon's experience and adaptability in performing the intervention.
CURRENT UROLOGY REPORTS
(2021)
Article
Urology & Nephrology
Carlo Andrea Bravi, Alessandro Larcher, Umberto Capitanio, Andrea Mari, Alessandro Antonelli, Walter Artibani, Maurizio Barale, Roberto Bertini, Pierluigi Bove, Eugenio Brunocilla, Luigi Da Pozzo, Fabrizio Di Maida, Cristian Fiori, Paolo Gontero, Vincenzo Li Marzi, Nicola Longo, Vincenzo Mirone, Emanuele Montanari, Francesco Porpiglia, Riccardo Schiavina, Luigi Schips, Claudio Simeone, Salvatore Siracusano, Carlo Terrone, Carlo Trombetta, Alessandro Volpe, Francesco Montorsi, Vincenzo Ficarra, Marco Carini, Andrea Minervini
Summary: The study compared the perioperative outcomes of open, laparoscopic, and robotic partial nephrectomy surgeries, showing that minimally invasive techniques had lower complication rates compared to open surgery, with robotic surgery having the longest warm ischemia time. Overall, the choice of surgical technique did not significantly affect the likelihood of achieving a modified trifecta, but in less complex lesions, robotic PN had higher rates of achieving the trifecta compared to other techniques.
EUROPEAN UROLOGY FOCUS
(2021)
Article
Urology & Nephrology
Yudai Ishiyama, Tsunenori Kondo, Hidekazu Tachibana, Kazuhiko Yoshida, Junpei Iizuka, Kazunari Tanabe, Toshio Takagi
Summary: This study found that there is a correlation between warm ischemic time (WIT) and the occurrence of acute kidney injury (AKI) in patients undergoing robot-assisted partial nephrectomy (RAPN), with the strength of this correlation increasing in patients with more severe baseline chronic kidney disease (CKD). Additionally, there is a significant but clinically modest correlation between WIT and renal function.
JOURNAL OF ENDOUROLOGY
(2023)
Article
Medicine, General & Internal
Xiang-Min Zhang, Ji-Dong Xu, Jian-Min Lv, Xiu-Wu Pan, Jian-Wei Cao, Jian Chu, Xin-Gang Cui
Summary: This study retrospectively analyzed 15 patients who underwent high-power GreenLight laser non-ischemic laparoscopic partial nephrectomy (LPN) for T1a exogenous renal tumors. The surgery was successfully completed without the need for open or radical nephrectomy. The renal artery was not clamped, resulting in zero ischemic time. No blood transfusions were required and no postoperative complications occurred. The mean operation time was 104.3 +/- 8.2 min. Postoperative pathological results showed various types of renal tumors. The renal function and creatinine levels remained stable after surgery. GreenLight laser has advantages in cutting and sealing small renal tumors during LPN, but the generation of excessive smoke should be noted.
WORLD JOURNAL OF CLINICAL CASES
(2022)
Article
Urology & Nephrology
Longbin Xiong, Jane K. Nguyen, Yulu Peng, Zhaohui Zhou, Kang Ning, Nan Jia, Jing Nie, Dongxiang Wen, Zeshen Wu, Gustavo Roversi, Diego Aguilar Palacios, Emily Abramczyk, Carlos Munoz-Lopez, Jack A. Campbell, Yun Cao, Wencai Li, Xuepei Zhang, Zhisong He, Xiang Li, Jiwei Huang, Jianzhong Shou, Jitao Wu, Minfeng Chen, Xiaofeng Chen, Jiaxuan Zheng, Congjie Xu, Wen Zhong, Zaishang Li, Wen Dong, Juping Zhao, Hailang Zhang, Junhang Luo, Jianye Liu, Fanghu Sun, Hui Han, Shengjie Guo, Pei Dong, Fangjian Zhou, Chunping Yu, Steven C. Campbell, Zhiling Zhang
Summary: After partial nephrectomy, histologic deterioration of the preserved renal parenchyma may occur, primarily correlated with comorbidities such as hypertension, diabetes mellitus, or chronic kidney disease, rather than ischemia insult. The subsequent decline in renal function is mild and independent of histologic changes. This suggests that conventional, limited durations of ischemia have only limited impact on parenchyma deterioration after partial nephrectomy.
Article
Urology & Nephrology
Daniele Amparore, Federico Piramide, Sabrina De Cillis, Paolo Verri, Alberto Piana, Angela Pecoraro, Mariano Burgio, Matteo Manfredi, Umberto Carbonara, Michele Marchioni, Riccardo Campi, Cristian Fiori, Enrico Checcucci, Francesco Porpiglia
Summary: The use of 3D virtual models in robot-assisted partial nephrectomy (RAPN) has shown promising results in surgical planning and indication, intraoperative navigation, and surgical training. However, further research and development are needed, and the potential role of artificial intelligence in improving 3D virtual modeling technology in RAPN should be explored.
WORLD JOURNAL OF UROLOGY
(2022)
Article
Medicine, General & Internal
Cheng-Han Tsai, Hsiao-Jen Chung, Eric Y. H. Huang, Tzu-Ping Lin, Tzu-Hao Huang, William J. Huang
Summary: This study aimed to analyze the risk factors for hemorrhagic complications in patients undergoing robotic-assisted partial nephrectomy. The results showed that postoperative hemoglobin level, blood loss, length of hospital stay, and warm ischemic time were significant risk factors for hemorrhagic complications. In the multivariate analysis, warm ischemic time >25 minutes was identified as the only significant risk factor for hemorrhagic complications.
JOURNAL OF THE CHINESE MEDICAL ASSOCIATION
(2023)
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
Jean-Alexandre Long, Gaelle Fiard, Joris Giai, Yann Teyssier, Amina Fontanell, Camille Overs, Delphine Poncet, Jean-Luc Descotes, Jean-Jacques Rambeaud, Alexandre Moreau-Gaudry, Tarek Ittobane, Assilah Bouzit, Jean-Luc Bosson, Cecilia Lanchon
Summary: Superselective clamping during partial nephrectomy using near-infrared fluorescence does not provide better preservation of renal function compared to renal artery clamping, and it raises concerns about increased risk of bleeding.
EUROPEAN UROLOGY FOCUS
(2022)
Article
Oncology
Qinyu Li, Yucong Zhang, Man Liu, Heng Li, Wei Guan, Xiaoyan Meng, Zhiquan Hu, Zhihua Wang, Shaogang Wang, Zhen Li, Jihong Liu, Zheng Liu
Summary: This study aims to identify new parameters for predicting outcomes after robot-assisted partial nephrectomy (RPN) by using three-dimensional reconstruction of preoperative enhanced computerized tomography (CT). The study found that a larger tumor bed area (TBA) was associated with longer warm ischemia time (WIT) and tumor resection time as well as elevated postoperative creatinine. TBA and distance from the tumor to the first bifurcation of the renal artery (DTA) were independent risk factors for prolonged WIT, and the combination of TBA, DTA, and RENAL score had a higher predictive effect for WIT compared to the RENAL score alone.
FRONTIERS IN ONCOLOGY
(2023)
Review
Andrology
David M. Strauss, Randall Lee, Fenizia Maffucci, Daniel Abbott, Selma Masic, Alexander Kutikov
Summary: Partial nephrectomy is the gold standard treatment for selected renal masses, with robotic assistance and retroperitoneal approach offering benefits in certain cases. Retroperitoneal PN allows access to the kidney from the posterior surface, avoiding intraperitoneal viscera and colonic mobilization, and may result in shorter operative times and lengths of stay compared to transperitoneal PN.
TRANSLATIONAL ANDROLOGY AND UROLOGY
(2021)
Article
Medicine, General & Internal
Karl-Friedrich Kowalewski, Marie Angela Sidoti Abate, Manuel Neuberger, Marietta Kirchner, Regina Krisam, Luisa Egen, Caelan Max Haney, Fabian Siegel, Maurice-Stephan Michel, Patrick Honeck, Philipp Nuhn, Niklas Westhoff, Maximilian Christian Kriegmair
Summary: This study is a randomised controlled feasibility trial comparing robotic-assisted partial nephrectomy (RAPN) and open partial nephrectomy (OPN) for renal neoplasms. The primary endpoint is the feasibility of recruitment, and secondary endpoints include perioperative results and health-related quality of life. Results will be disseminated through peer-reviewed scientific journals and appropriate conferences.
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
Medicine, General & Internal
Ulysse Frantz, Antoine Bouvier, Thibaut Culty, Merzouka Zidane, Souhil Lebdai, Pierre Bigot
Summary: This study evaluated the long-term oncological and functional outcomes of laparoscopic partial nephrectomy (LPN) after hyperselective embolization of tumor vessels (HETV) in a hybrid operating room (HOR). The results showed that this surgical approach is safe and efficient for treating localized kidney tumors, with high rates of tumor control and survival.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Urology & Nephrology
Weifeng Xu, Jie Dong, Yi Xie, Guanghua Liu, Jingmin Zhou, Huizhen Wang, Shengjie Zhang, Hui Wang, Zhigang Ji, Liang Cui
Summary: This study evaluated the feasibility and safety of a novel robotic system (KD-SR-01) for partial nephrectomy. The results showed that KD-RPN was safe and feasible for the treatment of small renal masses. Further studies are needed to confirm these findings.
JOURNAL OF ENDOUROLOGY
(2022)