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Robotic partial nephrectomy

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https://www.readbyqxmd.com/read/29784191/outcomes-of-robot-assisted-partial-nephrectomy-for-clinical-t2-renal-tumors-a-multicenter-analysis-rosula-collaborative-group
#1
Riccardo Bertolo, Riccardo Autorino, Giuseppe Simone, Ithaar Derweesh, Juan D Garisto, Andrea Minervini, Daniel Eun, Sisto Perdona, James Porter, Koon Ho Rha, Alexander Mottrie, Wesley M White, Luigi Schips, Bo Yang, Kenneth Jacobsohn, Robert G Uzzo, Ben Challacombe, Matteo Ferro, Jay Sulek, Umberto Capitanio, Uzoma A Anele, Gabriele Tuderti, Manuela Costantini, Stephen Ryan, Ahmet Bindayi, Andrea Mari, Marco Carini, Aryeh Keehn, Giuseppe Quarto, Michael Liao, Kidon Chang, Alessandro Larcher, Geert De Naeyer, Ottavio De Cobelli, Francesco Berardinelli, Chao Zhang, Peter Langenstroer, Alexander Kutikov, David Chen, Nicolo De Luyk, Chandru P Sundaram, Francesco Montorsi, Robert J Stein, Georges Pascal Haber, Lance J Hampton, Prokar Dasgupta, Michele Gallucci, Jihad Kaouk, Francesco Porpiglia
BACKGROUND: While partial nephrectomy (PN) represents the standard surgical management for cT1 renal masses, its role for cT2 tumors is controversial. Robot-assisted PN (RAPN) is being increasingly implemented worldwide. OBJECTIVE: To analyze perioperative, functional, and oncological outcomes of RAPN for cT2 tumors. DESIGN, SETTING, AND PARTICIPANTS: Retrospective analysis of a large multicenter, multinational dataset of patients with nonmetastatic cT2 masses treated with robotic surgery (ROSULA: RObotic SUrgery for LArge renal mass)...
May 18, 2018: European Urology
https://www.readbyqxmd.com/read/29774809/robotic-partial-nephrectomy-for-a-peripheral-renal-tumor
#2
Caleb A Cooper, Cheuk Fan Shum, Chandru P Sundaram
Partial nephrectomy (PN) is the preferred surgical treatment for T1 renal tumors whenever technically feasible. When properly performed, it allows preservation of nephron mass without compromising oncologic outcomes. This reduces the postoperative risk of renal insufficiency, which translates into better overall survival for the patients. PN can be technically challenging, because it requires the surgeon to complete the tasks of tumor excision, hemostasis and renorrhaphy, all within an ischemic time of preferably below 30 minutes...
May 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29773492/what-is-the-hospital-volume-threshold-to-optimize-inpatient-complication-rate-after-partial-nephrectomy
#3
Sohrab Arora, Jacob Keeley, Daniel Pucheril, Mani Menon, Craig G Rogers
OBJECTIVE: To find a cutoff of hospital volume for elective partial nephrectomy (PN) for kidney cancer that can minimize the inpatient morbidity of this procedure. MATERIAL AND METHODS: Analyzing the National Inpatient sample, from 2008 to 2011, we selected 8,753 records of adult patients undergoing elective PN for nonmetastatic kidney cancer, representing an estimated 43,178 partial nephrectomies performed in the United States during this period. Of these, 2,187 (estimated 10,848) PNs were performed via the robotic approach...
May 14, 2018: Urologic Oncology
https://www.readbyqxmd.com/read/29759510/predicting-morbidity-after-robotic-partial-nephrectomy-the-effect-of-tumor-environment-and-patient-related-factors
#4
Zine-Eddine Khene, Benoit Peyronnet, Neil J Kocher, Haley Robyak, Corentin Robert, Benjamin Pradere, Emmanuel Oger, Solène-Florence Kammerer-Jacquet, Grégory Verhoest, Nathalie Rioux-Leclercq, Romain Mathieu, Jay D Raman, Karim Bensalah
PURPOSE: To investigate the effect of tumor and nontumor related parameters on perioperative outcomes of robotic partial nephrectomy (RPN). PATIENTS AND METHODS: Patients who underwent RPN for a localized renal tumor at 2 institutions between June 2010 and November 2016 were reviewed. RENAL and Mayo adhesive probability (MAP) scores were calculated and information on comorbid conditions including ASA score, performance status, Charlson's comorbidity index (CCI), and history of cardiovascular disease was collected...
May 11, 2018: Urologic Oncology
https://www.readbyqxmd.com/read/29750392/laparoscopic-versus-robot-assisted-partial-nephrectomy-for-renal-tumors-larger-than-4-cm-a-propensity-score-based-analysis
#5
Liangyou Gu, Hongzhao Li, Baojun Wang, Yongpeng Xie, Xintao Li, Yu Gao, Xiangjun Lyu, Qingbo Huang, Yang Fan, Yuanxin Yao, Yunpeng Wang, Xin Ma, Xu Zhang
OBJECTIVES: To compare perioperative, functional, and oncological outcomes between laparoscopic partial nephrectomy (LPN) and robot-assisted partial nephrectomy (RAPN) for renal tumors >4 cm. MATERIAL AND METHODS: We retrospectively reviewed patients who underwent either LPN or RAPN between 2008 and 2015. To adjust for potential baseline confounders, propensity-score matching (1:1) was performed. Perioperative data, and functional and oncological outcomes were reviewed...
May 11, 2018: BJU International
https://www.readbyqxmd.com/read/29744824/usefulness-of-personalized-three-dimensional-printed-model-on-the-satisfaction-of-preoperative-education-for-patients-undergoing-robot-assisted-partial-nephrectomy-and-their-families
#6
Jun Teishima, Yukihiro Takayama, Shogo Iwaguro, Tetsutaro Hayashi, Shogo Inoue, Keisuke Hieda, Shunsuke Shinmei, Ryoji Kato, Koji Mita, Akio Matsubara
OBJECTIVE: To clarify the usefulness of a personalized three-dimensional (3D) printed model of the kidney for preoperative education among patients who underwent robot-assisted partial nephrectomy (RAPN). METHODS: Twenty-nine cases of patients who planned to undergo RAPN and 19 of their families participated in this study. A three-dimensional model consisting of the kidney, tumors, ureter, inferior vena cava, and abdominal aorta in each case was generated using a Z Printer 450 based on the findings of preoperative enhanced CT...
May 9, 2018: International Urology and Nephrology
https://www.readbyqxmd.com/read/29739253/the-effect-of-institution-teaching-status-on-perioperative-outcomes-after-robotic-partial-or-radical-nephrectomy
#7
Michele Marchioni, Sebastiano Nazzani, Felix Preisser, Marco Bandini, Zhe Tian, Anil Kapoor, Luca Cindolo, Giulia Primiceri, Luca Carmignani, Alberto Briganti, Francesco Montorsi, Shahrokh F Shariat, Luigi Schips, Pierre I Karakiewicz
OBJECTIVES: To test rates over time of robotic partial and radical nephrectomy (RPN and RRN) at teaching vs. non-teaching institutions and to examine associated complication rates and length of stay. MATERIAL AND METHODS: Within the Nationwide Inpatient Sample (2008-2013), after stratification according to institutional teaching status, we examined the rates of robotic, open and laparoscopic PN and RN. Subsequently, we tested complication rates and length of stay associated with RPN or RRN according to institutional teaching status...
May 9, 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29732637/estimated-glomerular-filtration-rate-s-time-to-nadir-after-robot-assisted-partial-nephrectomy-predictors-and-clinical-significance-on-renal-functional-recovery
#8
Glen Denmer Santok, Ali Abdel Raheem, Ki Don Chang, Lawrence Kim, Trenton G Lum, Mohamed Jayed Alenzi, Woong Kyu Han, Young Deuk Choi, Koon Ho Rha
OBJECTIVES: To investigate the impact of postoperative time to nadir of estimated glomerular filtration rate on renal functional changes after robot-assisted partial nephrectomy. METHODS: From 2006 to 2015, 287 patients with renal mass who underwent robot-assisted partial nephrectomy in a referral center were analyzed. The cohort was evaluated based on their time to develop nadir: group 1 (no nadir), group 2 (<48 h) and group 3 (≥48 h). The outcome measures were to evaluate the renal function recovery between groups, risk factors for development of nadir ≥48 h, as well as predictors of chronic kidney disease upstaging...
May 6, 2018: International Journal of Urology: Official Journal of the Japanese Urological Association
https://www.readbyqxmd.com/read/29732209/the-significance-of-predictable-traumatic-area-by-renorrhaphy-in-the-prediction-of-postoperative-ipsilateral-renal-function
#9
Toshihiko Masago, Noriya Yamaguchi, Hideto Iwamoto, Shuichi Morizane, Katsuya Hikita, Masashi Honda, Takehiro Sejima, Atsushi Takenaka
Introduction: To determine the relationship between the actual renal function loss and volume loss in robot-assisted partial nephrectomy (RAPN) using a novel three-dimensional volume analyzer. Material and methods: We respectively evaluated the medical records of 23 consecutive patients who underwent RAPN between January 2012 and March 2016 and the data on their kidney function and parenchymal mass specific to the operated kidney. Parenchymal volume was measured by computerized tomography and reconstructed with a Synapse Vincent volumetric analyzer...
2018: Central European Journal of Urology
https://www.readbyqxmd.com/read/29730203/impact-of-host-factors-on-robotic-partial-nephrectomy-outcomes-comprehensive-systematic-review-and-meta-analysis
#10
REVIEW
Giovanni Cacciamani, Tania S Gill, Luis Medina, Akbar Ashrafi, Matthew Winter, Renè Sotelo, Walter Artibani, Inderbir Gill
PURPOSE: Host factors (tumor size/complexity, patient comorbidities) impact outcomes of robotic partial nephrectomy (RPN). We report a comprehensive systematic review and meta-analysis to critically evaluate impact of host factors on operative, peri-operative, functional, oncological and survival outcomes of RPN. MATERIALS & METHODS: All full-text English-language publications on RPN comparing host factors were evaluated. We followed Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) statement and Agency for Healthcare Research and Quality (AHRQ) guidelines to evaluate Pubmed®, Scopus® and Web of Science® (01/01/2000-31/06/2017)...
May 3, 2018: Journal of Urology
https://www.readbyqxmd.com/read/29704584/concurrent-robotic-pyelolithotomy-and-partial-nephrectomy-tips-and-tricks
#11
Juan D Garisto, Julien Dagenais, Hans Arora, Riccardo Bertolo, Jihad Kaouk
No abstract text is available yet for this article.
April 25, 2018: Urology
https://www.readbyqxmd.com/read/29704583/precise-clamping-of-renal-artery-with-endovascular-stents-during-robotic-partial-nephrectomy-technical-hints-to-optimize-outcomes
#12
Juan D Garisto, Julien Dagenais, Yaw Nyame, Daniel Sagalovich, Riccardo Bertolo, Jihad Kaouk
No abstract text is available yet for this article.
April 25, 2018: Urology
https://www.readbyqxmd.com/read/29695171/retroperitoneal-robotic-partial-nephrectomy-systematic-review-and-cumulative-analysis-of-comparative-outcomes
#13
Nicola Pavan, Ithaar H Derweesh, Lance Hampton, Wesley White, James Robert Porter, Benjamin Challacombe, Prokar Dasgupta, Riccardo Bertolo, Jihad Kaouk, Vincenzo G Mirone, Francesco Porpiglia, Riccardo Autorino
OBJECTIVES: To compare the outcomes of retroperitoneal versus transperitoneal approach for robot assisted partial nephrectomy (RAPN). MATERIALS AND METHODS: A systematic review of the literature was performed through January 2018 using PubMed, Scopus, and Ovid databases. Article selection proceeded according to the search strategy based on PRISMA criteria. Only studies comparing retroperitoneal to transperitoneal approach for RAPN were deemed eligible for inclusion...
April 26, 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29691592/-minimally-invasive-vs-open-partial-nephrectomy-perioperative-success-and-complication-rates
#14
A Boy, J Hein, M Bollow, D Lazica, A Roosen, B Ubrig
BACKGROUND: Solid renal masses are increasingly treated with nephron-sparing surgery. As in other uro-oncological surgical techniques, minimally invasive and robotic-assisted techniques are becoming increasingly popular. OBJECTIVES: The perioperative results from minimally invasive nephron-sparing surgery versus open surgery were retrospectively compared. MATERIALS AND METHODS: In our single center retrospective study, all patients who underwent nephron-sparing tumor excision between 2006 and 2016 were divided into two groups (group O = open approach and group M = minimally invasive approach)...
April 24, 2018: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/29684959/-a-case-of-chromophobe-renal-cell-carcinoma-associated-with-birt-hogg-dub%C3%A3-syndrome
#15
Yoichiro Tohi, Noriyuki Makita, Issei Suzuki, Ryosuke Suzuki, Arinobu Fukunaga, Masashi Kubota, Takashi Matsuoka, Yoshio Sugino, Koji Inoue, Keiichiro Uehara, Yukihiro Imai, Mutsushi Kawakita
A 61-year-old man with a left renal mass, which was detected by ultrasound during a routine health examination, was referred to our department. The patient had a surgical history of two pneumothorax operations, and the patient's brother also had a history of pneumothorax surgery. A case of Birt-Hogg-Dubé (BHD) syndrome was suspected based on patient history. The pathological diagnosis of the resected tumor, which used robot-assisted laparoscopic partial nephrectomy, was determined to be chromophobe renal cell carcinoma (grade 2, pT1a)...
March 2018: Hinyokika Kiyo. Acta Urologica Japonica
https://www.readbyqxmd.com/read/29675631/role-of-quantitative-computed-tomography-texture-analysis-in-the-prediction-of-adherent-perinephric-fat
#16
Zine-Eddine Khene, Karim Bensalah, Axel Largent, Shahrokh Shariat, Gregory Verhoest, Benoit Peyronnet, Oscar Acosta, Renaud DeCrevoisier, Romain Mathieu
OBJECTIVE: To assess the performance of computed tomography (CT) texture analysis to predict the presence of adherent perinephric fat (APF). MATERIALS AND METHODS: Seventy patients with small renal tumors treated with robot-assisted partial nephrectomy were included. Patients were divided into two groups according to the presence of APF. We extracted 15 image features from unenhanced CT and contrast-enhanced CT corresponding to first-order and second-order Haralick textural features...
April 19, 2018: World Journal of Urology
https://www.readbyqxmd.com/read/29671904/prospective-study-of-robotic-partial-nephrectomy-for-renal-cancer-in-japan-comparison-with-a-historical-control-undergoing-laparoscopic-partial-nephrectomy
#17
Kazushi Tanaka, Jun Teishima, Atsushi Takenaka, Ryoichi Shiroki, Yasuyuki Kobayashi, Kazunori Hattori, Hiro-Omi Kanayama, Shigeo Horie, Yasushi Yoshino, Masato Fujisawa
OBJECTIVES: To evaluate the outcomes of robotic partial nephrectomy compared with those of laparoscopic partial nephrectomy for T1 renal tumors in Japanese centers. METHODS: Patients with a T1 renal tumor who underwent robotic partial nephrectomy were eligible for inclusion in the present study. The primary end-point consisted of three components: a negative surgical margin, no conversion to open or laparoscopic surgery and a warm ischemia time ≤25 min. We compared data from these patients with the data from a retrospective study of laparoscopic partial nephrectomy carried out in Japan...
April 19, 2018: International Journal of Urology: Official Journal of the Japanese Urological Association
https://www.readbyqxmd.com/read/29664692/comparison-of-short-term-functional-oncological-and-perioperative-outcomes-between-laparoscopic-and-robotic-partial-nephrectomy-beyond-the-learning-curve
#18
Quentin Alimi, Benoit Peyronnet, Philippe Sebe, Jean-François Cote, Solene-Florence Kammerer-Jacquet, Zine-Eddine Khene, Benjamin Pradere, Romain Mathieu, Gregory Verhoest, Bertrand Guillonneau, Karim Bensalah
PURPOSE: To compare the short-term outcomes of robot-assisted partial nephrectomy (RPN) and laparoscopic partial nephrectomy (LPN) when performed by highly experienced surgeons. METHODS: A prospective multicenter study was conducted, including the 50 last patients having undergone LPN and RPN for T1-T2 renal tumors in two institutions between 2013 and 2016, performed by two different surgeons with an experience of over 200 procedures each in LPN and RPN, respectively, at the beginning of the study...
April 17, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29663528/purely-off-clamp-robotic-partial-nephrectomy-preliminary-3-year-oncological-and-functional-outcomes
#19
Giuseppe Simone, Leonardo Misuraca, Gabriele Tuderti, Francesco Minisola, Mariaconsiglia Ferriero, Giuseppe Romeo, Manuela Costantini, Samer F Al-Rawashdah, Salvatore Guaglianone, Michele Gallucci
OBJECTIVES: To describe our surgical technique and to report perioperative, 3-year oncological and functional outcomes of a single-center series of purely off-clamp robotic partial nephrectomy. METHODS: A prospective renal cancer institutional database was queried, and data of consecutive patients treated with purely off-clamp robotic partial nephrectomy between 2010 and 2015 in a high-volume center were collected. Perioperative complications, and 3-year oncological and functional outcomes were assessed...
April 16, 2018: International Journal of Urology: Official Journal of the Japanese Urological Association
https://www.readbyqxmd.com/read/29648703/editorial-comment-to-robot-assisted-laparoscopic-partial-nephrectomy-versus-laparoscopic-partial-nephrectomy-a-propensity-score-matched-comparative-analysis-of-surgical-outcomes-and-preserved-renal-parenchymal-volume
#20
Rocco Papalia, Riccardo Mastroianni
No abstract text is available yet for this article.
April 2018: International Journal of Urology: Official Journal of the Japanese Urological Association
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