Usefulness of the diameter–axial–polar nephrometry score for predicting perioperative parameters in robotic partial nephrectomy

2014 ◽  
Vol 33 (6) ◽  
pp. 841-845 ◽  
Author(s):  
Young Eun Yoon ◽  
Kyung Hwa Choi ◽  
Kwang Suk Lee ◽  
Kwang Hyun Kim ◽  
Koon Ho Rha ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Robotic Partial Nephrectomy ◽  
Nephrometry Score

Robotic partial nephrectomy outcomes at a single institution and experience with R.E.N.A.L. nephrometry score

2011 ◽  
Vol 5 (3) ◽  
pp. 209-214 ◽  
Author(s):  
Scott M. Castle ◽  
Vladislav Gorbatiy ◽  
Raymond J. Leveillee
Keyword(s):  
Partial Nephrectomy ◽  
Robotic Partial Nephrectomy ◽  
Single Institution ◽  
Nephrometry Score

VE37: Zero ischemia robotic partial nephrectomy for tumors with high nephrometry score

2014 ◽  
Vol 13 (3) ◽  
pp. 60
Author(s):  
G. Simone ◽  
M. Ferriero ◽  
R. Papalia ◽  
S. Guaglianone ◽  
M. Gallucci
Keyword(s):  
Partial Nephrectomy ◽  
Robotic Partial Nephrectomy ◽  
Nephrometry Score ◽  
Zero Ischemia

scholarly journals Anatomic Complexity Quantitated by Nephrometry Score Is Associated With Prolonged Warm Ischemia Time During Robotic Partial Nephrectomy

Urology ◽  
2014 ◽  
Vol 84 (2) ◽  
pp. 340-344 ◽  
Author(s):  
Jeffrey J. Tomaszewski ◽  
Marc C. Smaldone ◽  
Reza Mehrazin ◽  
Neil Kocher ◽  
Timothy Ito ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Warm Ischemia ◽  
Warm Ischemia Time ◽  
Robotic Partial Nephrectomy ◽  
Ischemia Time ◽  
Nephrometry Score

Correlation of the RENAL nephrometry score with warm ischemia time after robotic partial nephrectomy

2012 ◽  
Vol 31 (5) ◽  
pp. 1165-1169 ◽  
Author(s):  
Fatih Altunrende ◽  
Humberto Laydner ◽  
Adrian V. Hernandez ◽  
Riccardo Autorino ◽  
Rakesh Khanna ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Warm Ischemia ◽  
Warm Ischemia Time ◽  
Robotic Partial Nephrectomy ◽  
Ischemia Time ◽  
Nephrometry Score

Outcomes of Robotic Partial Nephrectomy for Renal Masses With Nephrometry Score of ≥7

Urology ◽  
2011 ◽  
Vol 77 (4) ◽  
pp. 809-813 ◽  
Author(s):  
Michael A. White ◽  
Georges-Pascal Haber ◽  
Riccardo Autorino ◽  
Rakesh Khanna ◽  
Adrian V. Hernandez ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Robotic Partial Nephrectomy ◽  
Renal Masses ◽  
Nephrometry Score

scholarly journals Comparison of Robotic Versus Laparoscopic Partial Nephrectomy For Renal Tumors With A RENAL Nephrometry Score≥7: A System Review and Meta-Analysis

2021 ◽  
Author(s):  
Jin-Biao Zhou ◽  
Xin Xiao ◽  
Tian-Li Shi ◽  
Xiao-Hui Huang ◽  
Yu-Li Jiang
Keyword(s):  
Partial Nephrectomy ◽  
Intraoperative Complications ◽  
Laparoscopic Partial Nephrectomy ◽  
Renal Tumors ◽  
Perioperative Outcomes ◽  
Positive Surgical Margin ◽  
Robotic Partial Nephrectomy ◽  
Cochrane Central Register ◽  
Nephrometry Score ◽  
Estimated Blood Loss

Abstract Background To compare the perioperative outcomes of robotic partial nephrectomy (RPN) versus laparoscopic partial nephrectomy (LPN) for complex renal tumors with a RENAL nephrometry score≥7. Methods We searched PubMed, EMBASE and the Cochrane Central Register for studies from 2000 to 2020 to evaluate the perioperative outcomes of RPN and LPN in patients with a RENAL nephrometry score≥7. We used RevMan 5.2 to pool the data. Results Seven studies were acquired in our study. No significant differences were found in the estimated blood loss (WMD: 34.49; 95% CI: -75.16-144.14; p=0.54), hospital stay (WMD: -0.59; 95% CI: -1.24–0.06; p=0.07), positive surgical margin (OR: 0.85; 95% CI: 0.65–1.11; p =0.23), major postoperative complications(OR: 0.90; 95% CI: 0.52–1.54; p=0.69) and transfusion (OR: 0.72; 95% CI: 0.48–1.08; p =0.11) between the groups. RPN showed better outcomes in the operating time (WMD: -22.45; 95% CI: -35.06 to -9.85; p=0.0005), postoperative renal function (WMD: 3.32; 95% CI: 0.73–5.91; p=0.01), warm ischemia time (WMD: -6.96; 95% CI: -7.30–-6.62; p <0.0001), conversion rate to radical nephrectomy (OR: 0.34; 95% CI: 0.17 to 0.66; p=0.002) and intraoperative complications (OR: 0.52; 95% CI: 0.28–0.97; p=0.04).Conclusions RPN showed better perioperative clinical outcomes than LPN for the treatment of complex renal tumors with a RENAL nephrometry score≥7.

scholarly journals Warm ischemic time’ and renal function preservation in robotic partial nephrectomy -evaluating its real impact

2020 ◽  
Vol 8 (6) ◽  
pp. 161-166
Author(s):  
Krishnendu Biswas ◽  
Rohan S Batra ◽  
Abhishek G Singh ◽  
Arvind P Ganpule ◽  
Ravindra B Sabnis ◽  
...  
Keyword(s):  
Renal Function ◽  
Partial Nephrectomy ◽  
Tumour Size ◽  
Robotic Partial Nephrectomy ◽  
Ischemic Time ◽  
Warm Ischemic Time ◽  
Nephrometry Score ◽  
Significant Difference ◽  
One Year

Objective: To evaluate the effect of warm ischemic time (WIT) on future renal function (RF) after robotic partial nephrectomy (RPN) and secondarily, also to find out predictors of future RF after RPN. Method and materials: All patients who underwent RPN with normal pre-operative RF and normal contralateral kidney were included in the study except for those in whom one-year follow up was not completed. Patients were divided in four groups based on WIT (zero, <20minutes, 20 minutes to 30 minutes and >30 minutes). Comparison of demographic and perioperative parameters including follow-up up to one year were done. Univariable and multivariable analysis were done to detect significant correlation of RF with those parameters. Results: Total 198 RPN patients were included in the study. The four groups had comparable demographic data (age, gender, comorbidity, smoking, body mass index, pre-operative RF). Progressively increased WIT was significantly associated with increased tumour size (p=0.022), RENAL nephrometry score (p=0.003), operative time (p=0.004) and blood loss (p=0.046). Post-operatively, RF on first post-operative day (p=0.627), at one month (p=0.581) and at one year (p=0.378) had no significant difference between the four groups. Nine (4.5%) patients progressed to chronic renal disease. Pre-operative RF and perioperative complications only had significant correlation with one-year RF. Conclusion: Tumour size and RENAL nephrometry score significantly influenced WIT. Pre-operative RF and peri-operative complications were the only significant predictors of future RF and not the WIT.

R.E.N.A.L. Nephrometry Score Predicts Non-neoplastic Parenchymal Volume Removed During Robotic Partial Nephrectomy

2016 ◽  
Vol 30 (10) ◽  
pp. 1099-1104 ◽  
Author(s):  
Fatima Z. Husain ◽  
Daniel C. Rosen ◽  
David J. Paulucci ◽  
John P. Sfakianos ◽  
Ronney Abaza ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Robotic Partial Nephrectomy ◽  
Nephrometry Score

A comparison of outcomes regarding robotic versus open partial nephrectomy.

2013 ◽  
Vol 31 (6_suppl) ◽  
pp. 441-441 ◽  
Author(s):  
Zachary Adam Hamilton ◽  
Margaret Le ◽  
Kahlil Saad ◽  
David Duchene ◽  
Jeffrey M. Holzbeierlein ◽  
...  
Keyword(s):  
Robotic Surgery ◽  
Length Of Stay ◽  
Blood Loss ◽  
Partial Nephrectomy ◽  
The United States ◽  
Preoperative Imaging ◽  
Robotic Partial Nephrectomy ◽  
Transfusion Rate ◽  
Nephrometry Score ◽  
Mass Size

441 Background: The latest SEER Cancer Statistics estimated that 60,920 new cases of kidney cancer were diagnosed in 2011 in the United States. The standard of care for small renal masses has transitioned from radical to partial nephrectomy with strong data to support excellent oncologic outcomes, long-term preservation of renal function, and better overall survival. The literature shows that laparoscopic approaches are favorable when compared to open techniques, but outcomes in robotic surgery are still gaining data. The objective of this study is to perform a review of outcomes comparing open versus robotic partial nephrectomy. Our hypothesis is that surgical outcomes and length of stay will favor robotic surgery. Methods: We performed a retrospective review of partial nephrectomies from 2009 to 2012 for solitary masses suspected as carcinoma at the Kansas University Medical Center. Estimated blood loss, age, length of stay, intraoperative transfusion, and margin status were recorded. When available, nephrometry scores were calculated based on preoperative imaging. Results: A total of 78 open partial nephrectomies and 63 robotic partial nephrectomies were analyzed. In the open cohort, the surgical blood loss was higher compared to the robotic cohort (328ml vs. 222ml, p=0.03). Nephrometry scores and mean mass size were higher in the open cohort (7.3 vs. 5.9, p<0.01 and 3.2cm vs. 2.7cm, p=0.01, respectively). The mean length of stay was 2.8 days for the robotic cohort and 4.3 days for the open cohort. No significant difference was noted in age or BMI. Of note, there were five intraoperative blood transfusions in the open group and none in the robotic group. Four margins were positive in the robotic cohort and one in the open cohort. Nephrometry score and mass size did not correlate with blood loss. Conclusions: For partial nephrectomy blood loss is significantly lower with robotic techniques as compared to open surgery. This relationship is not affected by mass size or nephrometry score. Positive margins rate is higher in robotic surgery, while blood transfusion rate is lower in robotic surgery. Length of stay is decreased with robotic surgery. Robotic partial nephrectomy seems to afford the advantage of decreased blood loss and decreased length of stay.

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