Cerebrovascular Disease and Chronic Obstructive Pulmonary Disease Increase Risk of Complications with Robotic Partial Nephrectomy

Abstract

Bauman, Tyler M.; Potretzke, Aaron M.; Vetter, Joel M.; Bhayani, Sam B.; and Sherburne Figenshau, Robert, ,"Cerebrovascular disease and chronic obstructive pulmonary disease increase risk of complications with robotic partial nephrectomy." Journal of Endourology.30,3. 293-299. (2016

Robot‐assisted approach improves surgical outcomes in obese patients undergoing partial nephrectomy

“…By avoiding a large open incision, we hypothesized that the robot‐assisted approach may decrease morbidity in obese patients. Because obesity‐related comorbidities are prevalent in the obese population and may have a confounding effect on peri‐operative outcomes, we chose to study obese patients who were otherwise healthy, as defined by a low comorbidity burden (CCI ≤1) and the presence of two functioning kidneys . We found that the robot‐assisted approach offers clear advantages over the open approach in terms of shorter operating time, fewer postoperative complications and shorter LOS.…”

What Is Better for Predicting Morbidity of Robotic Partial Nephrectomy—A Score or Your Clinical Judgement?

“…The team from Fox Chase reported a strong correlation between tumour complexity and complications when they published their initial study of the RENAL score [18], but other groups failed to identify a similar link [21,22]. Some authors reported an association between patients' comorbidities and complications after RPN [23,24], but this relationship was not confirmed by others [3].…”

The Impact of Arterial Clamping Technique in Robot-Assisted Partial Nephrectomy on Renal Function and Surgical Outcomes: Six-Year Experience at Siriraj Hospital, Thailand

“…Moskowitz et al[28] demonstrated 11.3% of patients experiencing postoperative complication and not associated with surgeon experience. Additionally, a study of 641 consecutive RAPNs in the Washington University demonstrated that cerebrovascular disease was a predictor of perioperative complication [29]. The oncological safety is of the paramount importance in cancer surgery [30].…”