Abstract

Abstract Objective: To demonstrate combined retroperitoneoscopic and transperitoneoscopic accesses for robot-assisted partial nephrectomy technique and outcomes. Materials and Methods: A total of 109 consecutive combined retroperitoneoscopic and transperitoneoscopic accesses for robot-assisted partial nephrectomies were performed from September 2014 to August 2016. The positive margins and cancer recurrence were both assessed after surgery. The complications, estimated blood loss, warm ischemia time (WIT), operation time, and postoperative length of stay were analyzed. Results: Totally, 109 patients (mean age: 60.45 (standard deviation [SD]: 13.79 years), mean body mass index: 24.07 kg/m2 (SD: 6.84)), were recruited in this study. Mean tumor size was 4.11 cm (SD: 1.66) and mean RENAL score was 7.76 (SD: 1.93). Mean total operative time was 111.69 minutes (SD: 26.74) and mean WIT was 13.67 minutes (SD: 3.35). Mean estimated blood loss was 63.26 mL (SD: 59.88) and mean postoperative length of stay was 6.83 ...

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