Robotic partial nephrectomy versus laparoscopic partial nephrectomy

A single laparoscopic trained surgeon's experience in the development of a robotic partial nephrectomy program

Stephen Williams, Ravi Kacker, Mehrdad Alemozaffar, Ignacio San Francisco, Jodi Mechaber, Andrew A. Wagner

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

Objectives: We evaluated whether the surgical approach during the implementation of a robotic kidney surgery program influenced perioperative and oncologic outcomes. Methods: We prospectively evaluated a single institution experience with minimally invasive partial nephrectomy between 2006 and 2010. The study cohort comprised 86 consecutively treated patients who underwent laparoscopic partial nephrectomy (LPN, N = 59) or robotic-assisted (RPN, N = 27) partial nephrectomy by a single surgeon. Results: There was no difference between the LPN and RPN cohort in terms of gender, age, operative side, American Society of Anesthesiology score, or preoperative estimated glomerular filtration rate (eGFR). An early unclamping technique was used for 22 (82%) patients in the RPN cohort and 6 (10%) patients in the LPN cohort. (P <0.001). Warm ischemia time was lower in the RPN cohort (mean 18.5 vs. 28.0 min, P =

Original languageEnglish (US)
Pages (from-to)793-798
Number of pages6
JournalWorld Journal of Urology
Volume31
Issue number4
DOIs
StatePublished - Aug 2013
Externally publishedYes

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Robotics
Nephrectomy
Warm Ischemia
Anesthesiology
Glomerular Filtration Rate
Cohort Studies
Kidney
Surgeons

Keywords

  • Laparoscopic
  • Learning curve
  • Nephrectomy
  • Outcomes
  • Robotic

ASJC Scopus subject areas

  • Urology

Cite this

Robotic partial nephrectomy versus laparoscopic partial nephrectomy : A single laparoscopic trained surgeon's experience in the development of a robotic partial nephrectomy program. / Williams, Stephen; Kacker, Ravi; Alemozaffar, Mehrdad; Francisco, Ignacio San; Mechaber, Jodi; Wagner, Andrew A.

In: World Journal of Urology, Vol. 31, No. 4, 08.2013, p. 793-798.

Research output: Contribution to journalArticle

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