scholarly journals Robotic Partial Nephrectomy for Posterior Tumors Through a Retroperitoneal Approach Offers Decreased Length of Stay Compared with the Transperitoneal Approach: A Propensity-Matched Analysis

2017 ◽  
Vol 31 (2) ◽  
pp. 158-162 ◽  
Author(s):  
Matthew J. Maurice ◽  
Jihad H. Kaouk ◽  
Daniel Ramirez ◽  
Sam B. Bhayani ◽  
Mohamad E. Allaf ◽  
...  





2015 ◽  
Vol 47 (8) ◽  
pp. 1321-1325 ◽  
Author(s):  
Wassim M. Bazzi ◽  
Daniel D. Sjoberg ◽  
Angelica A. C. Grasso ◽  
Melanie Bernstein ◽  
Raul Parra ◽  
...  


2011 ◽  
Vol 185 (4S) ◽  
Author(s):  
Kenneth Jacobsohn ◽  
Peter Langenstroer ◽  
Mark Waples ◽  
William See


2012 ◽  
Vol 187 (4S) ◽  
Author(s):  
Amit Patel ◽  
Aria Razmaria ◽  
David Hatcher ◽  
Sandip Prasad ◽  
Michael Large ◽  
...  


2016 ◽  
Vol 23 (1) ◽  
Author(s):  
Nanda Daniswara ◽  
Sawkar Vijay Pramod ◽  
Jupiter Sibarani ◽  
Ferry Safriadi

Objective: To describe our experience about laparoscopic partial nephrectomy to treat localized renal tumour patients in Urology Department Hasan Sadikin General Hospital Bandung. Material & method: In 2014, there were 6 female patients that underwent laparoscopic partial nephrectomy in Hasan Sadikin General Hospital Bandung. In one case, there were tumours on both kidneys. Five patients were underwent transperitoneal approach and 1 patient were undergo retroperitoneal approach. All patients were examined with ultrasonography and Abdominal CT scan with contrast. We also calculate RENAL nephrometry score. Results: There were 6 female patients with left flank pain that undergo laparoscopic partial nephrectomy. In one case, there are tumours on both kidneys. In RENAL nephrometry score calculation, there were 3 patients with 10x score, 1 patient with 11x score, 1 patient with 7x score, and 1 patient with 6p score. From all of them, 4 patients were successfully performed laparoscopic partial nephrectomy, 1 patients was undergo laparoscopic nephrectomyand 1 patient is converted to open partial nephrectomy. Five patients were undergo transperitoneal approach and 1 patient was undergo retroperitoneal approach. Surgery ranged from 180-240 minutes. Intra operative bleeding was ranged from 50-200 cc. Tramadol intravenous was used for post operative pain control. With VAS score in first post operative day was 6, and 2 at the time of discharge. Hospitalized time was ranged from 4-6 days. Conclusion: Laparoscopic partial nephrectomy is an alternative treatment that safe for localized renal tumour. This procedure is depend on the technique and approach from each Urologist. Our limitations are we didn’t have laparoscopic ultrasonography and the tumour close to pelvocalyces system.



2013 ◽  
Vol 31 (6_suppl) ◽  
pp. 441-441 ◽  
Author(s):  
Zachary Adam Hamilton ◽  
Margaret Le ◽  
Kahlil Saad ◽  
David Duchene ◽  
Jeffrey M. Holzbeierlein ◽  
...  

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.



2013 ◽  
Vol 189 (4S) ◽  
Author(s):  
Wassim Bazzi ◽  
Angelica A.C. Grasso ◽  
Daniel D. Sjoberg ◽  
Melanie Bernstein ◽  
Raul Parra ◽  
...  




2020 ◽  
Vol 19 ◽  
pp. e2394
Author(s):  
J.L. Bauza Quetglas ◽  
E. Pieras ◽  
P. Murthy ◽  
V. Tubau ◽  
M. De La Cruz ◽  
...  


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