104 Impact of the learning curve on intraoperative and perioperative outcomes of robot assisted laparoscopic partial nephrectomy in a high volume renal surgery center

2011 ◽  
Vol 10 (8) ◽  
pp. 569
Author(s):  
M. Sangalli ◽  
G. Lughezzani ◽  
G. Lista ◽  
N.M. Buffi ◽  
A. Larcher ◽  
...  
Keyword(s):  
Learning Curve ◽  
Partial Nephrectomy ◽  
High Volume ◽  
Laparoscopic Partial Nephrectomy ◽  
Perioperative Outcomes ◽  
Robot Assisted ◽  
Renal Surgery ◽  
Surgery Center

1857 IMPACT OF THE LEARNING CURVE ON INTRAOPERATIVE AND PERIOPERATIVE OUTCOMES OF ROBOT ASSISTED LAPAROSCOPIC PARTIAL NEPHRECTOMY IN A HIGH-VOLUME RENAL SURGERY CENTER

2011 ◽  
Vol 185 (4S) ◽  
Author(s):  
Mattia Nicola Sangalli ◽  
Giovanni Lughezzani ◽  
Alessandro Larcher ◽  
Nicolò Buffi ◽  
Matteo Zanoni ◽  
...  
Keyword(s):  
Learning Curve ◽  
Partial Nephrectomy ◽  
High Volume ◽  
Laparoscopic Partial Nephrectomy ◽  
Perioperative Outcomes ◽  
Robot Assisted ◽  
Renal Surgery ◽  
Surgery Center

54 Safety and efficacy of robot-assisted laparoscopic partial nephrectomy during the learning curve in a high volume urological center

2010 ◽  
Vol 9 (5) ◽  
pp. 513
Author(s):  
M. Sangalli ◽  
E. Scapaticci ◽  
N.M. Buffi ◽  
M. Zanoni ◽  
A. Cestari ◽  
...  
Keyword(s):  
Learning Curve ◽  
Partial Nephrectomy ◽  
High Volume ◽  
Laparoscopic Partial Nephrectomy ◽  
Robot Assisted ◽  
Safety And Efficacy

542 SAFETY AND EFFICACY OF ROBOT-ASSISTED LAPAROSCOPIC PARTIAL NEPHRECTOMY DURING THE LEARNING CURVE IN A HIGH VOLUME UROLOGICAL CENTRE

2010 ◽  
Vol 9 (2) ◽  
pp. 186
Author(s):  
M.N. Sangalli ◽  
E. Scapaticci ◽  
F. Montorsi ◽  
N.M. Buffi ◽  
A. Cestari ◽  
...  
Keyword(s):  
Learning Curve ◽  
Partial Nephrectomy ◽  
High Volume ◽  
Laparoscopic Partial Nephrectomy ◽  
Robot Assisted ◽  
Safety And Efficacy

Robot-assisted Laparoscopic Partial Nephrectomy: Step-by-step Contemporary Technique and Surgical Outcomes at a Single High-volume Institution

2012 ◽  
Vol 62 (3) ◽  
pp. 553-561 ◽  
Author(s):  
Jihad H. Kaouk ◽  
Ali Khalifeh ◽  
Shahab Hillyer ◽  
Georges-Pascal Haber ◽  
Robert J. Stein ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Surgical Outcomes ◽  
High Volume ◽  
Laparoscopic Partial Nephrectomy ◽  
Robot Assisted

Comparison of Robot-Assisted and Laparoscopic Partial Nephrectomy for Completely Endophytic Renal Tumors: A High-Volume Center Experience

2020 ◽  
Vol 34 (5) ◽  
pp. 581-587 ◽  
Author(s):  
Liangyou Gu ◽  
Kan Liu ◽  
Donglai Shen ◽  
Hongzhao Li ◽  
Yu Gao ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
High Volume ◽  
Laparoscopic Partial Nephrectomy ◽  
Renal Tumors ◽  
Robot Assisted ◽  
High Volume Center

The Learning Curve for Robot-assisted Partial Nephrectomy: Impact of Surgical Experience on Perioperative Outcomes

2019 ◽  
Vol 75 (2) ◽  
pp. 253-256 ◽  
Author(s):  
Alessandro Larcher ◽  
Fabio Muttin ◽  
Benoit Peyronnet ◽  
Geert De Naeyer ◽  
Zine-Eddine Khene ◽  
...  
Keyword(s):  
Learning Curve ◽  
Partial Nephrectomy ◽  
Perioperative Outcomes ◽  
Surgical Experience ◽  
Robot Assisted

Cost comparison of laparoscopic partial nephrectomy and robot-assisted laparoscopic partial nephrectomy.

2011 ◽  
Vol 29 (7_suppl) ◽  
pp. 402-402
Author(s):  
R. L. O'Malley ◽  
T. Kowalik ◽  
M. H. Hayn ◽  
T. B. Collins ◽  
H. L. Kim ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Operating Room ◽  
Partial Nephrectomy ◽  
Laparoscopic Partial Nephrectomy ◽  
Cost Comparison ◽  
Oncologic Outcomes ◽  
Perioperative Outcomes ◽  
Surgical Approaches ◽  
Robot Assisted ◽  
Renal Masses

402 Background: Although nephron-sparing surgery is the standard of care for the treatment of small renal masses, partial nephrectomy (PN) remains under-utilized. A potential reason for the discrepancy is the desire for minimally invasive surgical approaches but limitation of the advanced laparoscopic techniques needed to perform PN. Robot-assisted surgery has eased the transition to minimally invasive prostate surgery and may also do so for PN, although some believe costs may be prohibitive. The purpose of this investigation was to quantify the cost of robot-assisted PN (RAPN) compared to laparoscopic PN (LPN). Methods: An institutional renal tumor database was used to identify consecutive patients with normal renal function who underwent RAPN for a localized renal mass by a single surgeon who had performed < 25 previously. The 35 RAPN patients were compared to the last 35 similar patients who underwent LPN by a surgeon who had performed > 150 previous LPNs. Surgical outcomes were compared. Because room time, length of stay and Cxs were similar, cost was compared based only on the total operating room charges (ORC). Total ORC included surgeon and anesthesia fees, as well as labor and supply costs. The depreciation of the robot was included in the ORC as a higher per unit time charge than for LPN. Data on charges were available for the first 29 RAPN patients which were then compared to the last 29 LPN patients. Results: Dates of operation ranged from October 2008 to July 2009 for LPN and January 2010 to August 2010 for RAPN. Patient and tumor characteristics were similar between groups, except tumor size, which was larger in the RAPN group (3.6 ± 1.8 cm vs. 2.7 ± 0.9 cm, p = 0.007). Cxs, surgical and oncologic outcomes were similar. Mean ORC (IQR) for the LPN group was $28,606 (4,796) and for the RAPN group was $30,874 (20,389) representing a difference of $2,269. If you subtract an additional $858 for the average yearly inflation rate (3%), the difference is $1,411. Conclusions: RAPN is a safe option with perioperative outcomes similar to those of LPN performed by an experienced surgeon. A cost difference of $2,269 per procedure as estimated using ORC may decrease as the experience of the operating room staff and surgeon increase. No significant financial relationships to disclose.

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