Robot-assisted Partial Nephrectomy Research Articles

The Mayo Adhesive Probability Score as a Predictor of Postoperative Renal Function in Robot-assisted Partial Nephrectomy.

The aim of this study was to evaluate the Mayo Adhesive Probability (MAP) score as a predictor of split renal function deterioration after robot-assisted partial nephrectomy (RAPN). A total of 30 patients who underwent RAPN were identified retrospectively. The parameters evaluated included patient characteristics, tumor diameter, MAP score, warm ischemic time (WIT), and renal function. Split renal function was evaluated using Tc-99m DTPA renal scintigraphy before and six months after surgery. Univariate and multivariate logistic regression analyses were performed. Nine patients (30.0%) showed more than 90% preservation of split renal function on the operated side. The MAP score (p=0.015), cT1b tumor (p=0.0002), and WIT (p=0.044) were associated with preservation of split renal function six months after surgery on univariate analysis. The MAP score was the strongest predictor of preservation of split renal function six months after surgery on multivariable analysis (p=0.007). On receiver-operating characteristic (ROC) curve analysis, the MAP score (cutoff value 3.0; p=0.01) was a significant predictor of split renal function six months after surgery. The MAP score was significantly associated with postoperative split renal function six months after RAPN on the operated kidney side. The MAP score is useful for predicting split renal function after RAPN.

PE069 How to deal with highly complex abdomens during Robot Assisted Partial Nephrectomy (RAPN)? A tertiary referral centre comparative analysis of retroperitoneal single port vs transperitoneal multiport approaches

PE069 How to deal with highly complex abdomens during Robot Assisted Partial Nephrectomy (RAPN)? A tertiary referral centre comparative analysis of retroperitoneal single port vs transperitoneal multiport approaches

VE50 Robot Assisted Partial Nephrectomy (RAPN) with versius robotic surgical system: First description of a clinical case

VE50 Robot Assisted Partial Nephrectomy (RAPN) with versius robotic surgical system: First description of a clinical case

PE096 Automated anatomical recognition: Feasibility of landmark detection and generalization between robotic systems in robot-assisted partial nephrectomy

PE096 Automated anatomical recognition: Feasibility of landmark detection and generalization between robotic systems in robot-assisted partial nephrectomy

PE095 Navigating the surgical field: Exploration of automated full surgical scene recognition in robot-assisted partial nephrectomy

PE095 Navigating the surgical field: Exploration of automated full surgical scene recognition in robot-assisted partial nephrectomy

PE059 Mixed reality in robot-assisted partial nephrectomy: Use of three-dimensional models in preoperative planning and intraoperative navigation

PE059 Mixed reality in robot-assisted partial nephrectomy: Use of three-dimensional models in preoperative planning and intraoperative navigation

PJY24 Making it real: Step-by-step design and application of a novel and cost-effective tissue model for simulation training in robot-assisted partial nephrectomy

PJY24 Making it real: Step-by-step design and application of a novel and cost-effective tissue model for simulation training in robot-assisted partial nephrectomy

PJY17 Impact of clinical risk factors, tumor characteristics, PADUA and RENAL scores on warm ischemia time during robot-assisted laparoscopic partial nephrectomy

PJY17 Impact of clinical risk factors, tumor characteristics, PADUA and RENAL scores on warm ischemia time during robot-assisted laparoscopic partial nephrectomy

PE073 Analysis of risk factors of postoperative complications in robot-assisted laparoscopic partial nephrectomy patients

PE073 Analysis of risk factors of postoperative complications in robot-assisted laparoscopic partial nephrectomy patients

The evolution of tumor enucleation partial nephrectomy: A comparison of perioperative outcomes for sutureless hemostatic bandage as an alternative to standard renorrhaphy.

The standard approach to hemostasis during partial nephrectomy (PN) is to perform suture renorrhaphy (SR). Application of a hemostatic bandage (HB) is an alternative to minimize blood loss and devitalized renal parenchyma. We aim to evaluate perioperative outcomes of PN with tumor enucleation (TE) comparing SR to HB. We analyzed a retrospective cohort of 195 patients undergoing robot-assisted laparoscopic PN with TE performed at a tertiary referral center (2012-2022). Hemostasis was obtained with SR in 54 patients while 141 patients underwent application of HB consisting of Surgicel®, Gelfoam® soaked in thrombin, and Floseal®. SR patients had tumors of greater complexity by RENAL nephrometry score compared to HB patients (p < 0.001). Operative time (141 vs. 183 min, p < 0.001), warm ischemia time (11.6 vs. 24.2 min, p < 0.001), estimated blood loss (37 vs. 214 mL, p < 0.001), and length of stay (1.2 vs. 1.8 days, p < 0.001) favored HB. There was no significant difference in Clavien-Dindo grade ≥3 complications (p = 0.22). Renal function was comparable with mean estimated glomerular filtration rate decrease of 0.66 and 0.54 mL/min/1.73 m2 at 3 months postoperatively for HB and SR, respectively (p = 0.93). Application of an HB is a safe alternative to SR for hemostasis following PN with TE in appropriately selected patients.

PE056 Robot-assisted partial nephrectomy for hilar renal masses: comparison of perioperative, oncological and functional results in a multicentric prospective cohort (NEPRAH study, UROCCR N°175)

PE056 Robot-assisted partial nephrectomy for hilar renal masses: comparison of perioperative, oncological and functional results in a multicentric prospective cohort (NEPRAH study, UROCCR N°175)

VE57 First HugoTM RAS robot-assisted partial nephrectomy for clinical T2b complex renal mass: How far can we go?

VE57 First HugoTM RAS robot-assisted partial nephrectomy for clinical T2b complex renal mass: How far can we go?

VJY07 Robot-assisted partial nephrectomy for a renal cell carcinoma in a horseshoe kidney–video based illustration

VJY07 Robot-assisted partial nephrectomy for a renal cell carcinoma in a horseshoe kidney–video based illustration

VE66 Robot-assisted partial nephrectomy and lymphadenectomy for a cT3a N1 kidney tumor

VE66 Robot-assisted partial nephrectomy and lymphadenectomy for a cT3a N1 kidney tumor

PE063 Laparoscopic versus robot-assisted partial nephrectomy for renal tumors with cystic features: Comparison of perioperative outcomes and trifecta achievement

PE063 Laparoscopic versus robot-assisted partial nephrectomy for renal tumors with cystic features: Comparison of perioperative outcomes and trifecta achievement

PE067 Robot-assisted partial nephrectomy with a single-layer inner renorraphy. Results of a prospective series

PE067 Robot-assisted partial nephrectomy with a single-layer inner renorraphy. Results of a prospective series

PE070 Analysis of learning curve of robot-assisted partial nephrectomy between two different robotic platforms: a comparison between multimodular Hugo™ RAS System and Da Vinci platform

PE070 Analysis of learning curve of robot-assisted partial nephrectomy between two different robotic platforms: a comparison between multimodular Hugo™ RAS System and Da Vinci platform

PE071 Hugo™ RAS System robot-assisted partial nephrectomy for moderate to highly complex renal masses: Perioperative and functional outcomes

PE071 Hugo™ RAS System robot-assisted partial nephrectomy for moderate to highly complex renal masses: Perioperative and functional outcomes

PE068 The anesthesiology impact of supine single port robot-assisted partial nephrectomy with Lower Anterior Access (LAA)

PE068 The anesthesiology impact of supine single port robot-assisted partial nephrectomy with Lower Anterior Access (LAA)

VE58 Robot-assisted partial nephrectomy for upper pole renal masses using the Hugo™ Ras System: Tips and tricks for flawless surgical setting.

VE58 Robot-assisted partial nephrectomy for upper pole renal masses using the Hugo™ Ras System: Tips and tricks for flawless surgical setting.