Robot-assisted partial nephrectomy for complex renal masses

Michael W. Patton, Daniel A. Salevitz, Mark D. Tyson, Paul E. Andrews, Erin N. Ferrigni, Rafael N. Nateras, Erik P Castle

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

To determine whether the approach for partial nephrectomy is influenced by tumor complexity and if the introduction of robotic techniques has allowed us to treat more complex tumors minimally invasively. Data from 292 patients who underwent partial nephrectomy for renal masses from November 1999 to July 2013 at a tertiary referral center were retrospectively reviewed. Nephrometry scores and perioperative outcomes were stratified based on when robotic techniques were introduced. Mean follow-up time was 2.6 years. Preoperative RENAL nephrometry scores and perioperative outcomes were analyzed. Of the 292 patients, 31.5 % underwent robot-assisted partial nephrectomy, 46.2 % laparoscopic partial nephrectomy and 22.9 % open partial nephrectomy. Robot-assisted partial nephrectomy mean nephrometry score was significantly higher than laparoscopic and equivalent to open. Significant perioperative differences were estimated blood loss (p = 0.0001), length of stay (p = 0.0001) and Clavien score (p = 0.0069), all favoring robot-assisted partial nephrectomy. Limitations include retrospective design and single center data. Robot-assisted partial nephrectomy is a safe and effective surgical modality that allows for complex renal tumors that were previously reserved for open partial nephrectomy in the pure laparoscopic era to be managed with a minimally invasive approach.

Original languageEnglish (US)
Pages (from-to)27-31
Number of pages5
JournalJournal of Robotic Surgery
Volume10
Issue number1
DOIs
StatePublished - Mar 1 2016

Fingerprint

Nephrectomy
Kidney
Robotics
Neoplasms
Tertiary Care Centers
Length of Stay

Keywords

  • Kidney neoplasms
  • Minimally invasive surgery
  • Nephrectomy

ASJC Scopus subject areas

  • Surgery
  • Health Informatics

Cite this

Patton, M. W., Salevitz, D. A., Tyson, M. D., Andrews, P. E., Ferrigni, E. N., Nateras, R. N., & Castle, E. P. (2016). Robot-assisted partial nephrectomy for complex renal masses. Journal of Robotic Surgery, 10(1), 27-31. https://doi.org/10.1007/s11701-015-0554-8

Robot-assisted partial nephrectomy for complex renal masses. / Patton, Michael W.; Salevitz, Daniel A.; Tyson, Mark D.; Andrews, Paul E.; Ferrigni, Erin N.; Nateras, Rafael N.; Castle, Erik P.

In: Journal of Robotic Surgery, Vol. 10, No. 1, 01.03.2016, p. 27-31.

Research output: Contribution to journalArticle

Patton, MW, Salevitz, DA, Tyson, MD, Andrews, PE, Ferrigni, EN, Nateras, RN & Castle, EP 2016, 'Robot-assisted partial nephrectomy for complex renal masses', Journal of Robotic Surgery, vol. 10, no. 1, pp. 27-31. https://doi.org/10.1007/s11701-015-0554-8
Patton MW, Salevitz DA, Tyson MD, Andrews PE, Ferrigni EN, Nateras RN et al. Robot-assisted partial nephrectomy for complex renal masses. Journal of Robotic Surgery. 2016 Mar 1;10(1):27-31. https://doi.org/10.1007/s11701-015-0554-8
Patton, Michael W. ; Salevitz, Daniel A. ; Tyson, Mark D. ; Andrews, Paul E. ; Ferrigni, Erin N. ; Nateras, Rafael N. ; Castle, Erik P. / Robot-assisted partial nephrectomy for complex renal masses. In: Journal of Robotic Surgery. 2016 ; Vol. 10, No. 1. pp. 27-31.
@article{23a39bf5df9f48248c7ac21efa9a1cee,
title = "Robot-assisted partial nephrectomy for complex renal masses",
abstract = "To determine whether the approach for partial nephrectomy is influenced by tumor complexity and if the introduction of robotic techniques has allowed us to treat more complex tumors minimally invasively. Data from 292 patients who underwent partial nephrectomy for renal masses from November 1999 to July 2013 at a tertiary referral center were retrospectively reviewed. Nephrometry scores and perioperative outcomes were stratified based on when robotic techniques were introduced. Mean follow-up time was 2.6 years. Preoperative RENAL nephrometry scores and perioperative outcomes were analyzed. Of the 292 patients, 31.5 {\%} underwent robot-assisted partial nephrectomy, 46.2 {\%} laparoscopic partial nephrectomy and 22.9 {\%} open partial nephrectomy. Robot-assisted partial nephrectomy mean nephrometry score was significantly higher than laparoscopic and equivalent to open. Significant perioperative differences were estimated blood loss (p = 0.0001), length of stay (p = 0.0001) and Clavien score (p = 0.0069), all favoring robot-assisted partial nephrectomy. Limitations include retrospective design and single center data. Robot-assisted partial nephrectomy is a safe and effective surgical modality that allows for complex renal tumors that were previously reserved for open partial nephrectomy in the pure laparoscopic era to be managed with a minimally invasive approach.",
keywords = "Kidney neoplasms, Minimally invasive surgery, Nephrectomy",
author = "Patton, {Michael W.} and Salevitz, {Daniel A.} and Tyson, {Mark D.} and Andrews, {Paul E.} and Ferrigni, {Erin N.} and Nateras, {Rafael N.} and Castle, {Erik P}",
year = "2016",
month = "3",
day = "1",
doi = "10.1007/s11701-015-0554-8",
language = "English (US)",
volume = "10",
pages = "27--31",
journal = "Journal of Robotic Surgery",
issn = "1863-2483",
publisher = "Springer London",
number = "1",

}

TY - JOUR

T1 - Robot-assisted partial nephrectomy for complex renal masses

AU - Patton, Michael W.

AU - Salevitz, Daniel A.

AU - Tyson, Mark D.

AU - Andrews, Paul E.

AU - Ferrigni, Erin N.

AU - Nateras, Rafael N.

AU - Castle, Erik P

PY - 2016/3/1

Y1 - 2016/3/1

N2 - To determine whether the approach for partial nephrectomy is influenced by tumor complexity and if the introduction of robotic techniques has allowed us to treat more complex tumors minimally invasively. Data from 292 patients who underwent partial nephrectomy for renal masses from November 1999 to July 2013 at a tertiary referral center were retrospectively reviewed. Nephrometry scores and perioperative outcomes were stratified based on when robotic techniques were introduced. Mean follow-up time was 2.6 years. Preoperative RENAL nephrometry scores and perioperative outcomes were analyzed. Of the 292 patients, 31.5 % underwent robot-assisted partial nephrectomy, 46.2 % laparoscopic partial nephrectomy and 22.9 % open partial nephrectomy. Robot-assisted partial nephrectomy mean nephrometry score was significantly higher than laparoscopic and equivalent to open. Significant perioperative differences were estimated blood loss (p = 0.0001), length of stay (p = 0.0001) and Clavien score (p = 0.0069), all favoring robot-assisted partial nephrectomy. Limitations include retrospective design and single center data. Robot-assisted partial nephrectomy is a safe and effective surgical modality that allows for complex renal tumors that were previously reserved for open partial nephrectomy in the pure laparoscopic era to be managed with a minimally invasive approach.

AB - To determine whether the approach for partial nephrectomy is influenced by tumor complexity and if the introduction of robotic techniques has allowed us to treat more complex tumors minimally invasively. Data from 292 patients who underwent partial nephrectomy for renal masses from November 1999 to July 2013 at a tertiary referral center were retrospectively reviewed. Nephrometry scores and perioperative outcomes were stratified based on when robotic techniques were introduced. Mean follow-up time was 2.6 years. Preoperative RENAL nephrometry scores and perioperative outcomes were analyzed. Of the 292 patients, 31.5 % underwent robot-assisted partial nephrectomy, 46.2 % laparoscopic partial nephrectomy and 22.9 % open partial nephrectomy. Robot-assisted partial nephrectomy mean nephrometry score was significantly higher than laparoscopic and equivalent to open. Significant perioperative differences were estimated blood loss (p = 0.0001), length of stay (p = 0.0001) and Clavien score (p = 0.0069), all favoring robot-assisted partial nephrectomy. Limitations include retrospective design and single center data. Robot-assisted partial nephrectomy is a safe and effective surgical modality that allows for complex renal tumors that were previously reserved for open partial nephrectomy in the pure laparoscopic era to be managed with a minimally invasive approach.

KW - Kidney neoplasms

KW - Minimally invasive surgery

KW - Nephrectomy

UR - http://www.scopus.com/inward/record.url?scp=84959102424&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84959102424&partnerID=8YFLogxK

U2 - 10.1007/s11701-015-0554-8

DO - 10.1007/s11701-015-0554-8

M3 - Article

C2 - 26705114

AN - SCOPUS:84959102424

VL - 10

SP - 27

EP - 31

JO - Journal of Robotic Surgery

JF - Journal of Robotic Surgery

SN - 1863-2483

IS - 1

ER -