Comparison of perioperative, renal and oncologic outcomes in robotic‐assisted versus open partial nephrectomy

Abstract

We present the largest reported Australian series on partial nephrectomy, confirming that a robotic-assisted approach is equivalent to OPN, with reduced complications, EBL, length of hospital stays and fewer positive margins, even when resecting more complex tumours.

Are there limits of robotic partial nephrectomy? TRIFECTA outcomes of open and robotic partial nephrectomy for completely endophytic renal tumors

“…Remarkably, positive surgical margins were not observed in any RAPN case and in two OPN cases only (2.6%). Hence, the current PSM rates are below the reported range of 3‐12% for endophytic tumors across both approaches and strengthen the evidence that both techniques may offer an oncologically save resection even in highly challenging tumors . The complication rates in this study are relatively high compared to previous studies most likely reflecting the unique patient selection .…”

“…Hence, the current PSM rates are below the reported range of 3-12% for endophytic tumors across both approaches and strengthen the evidence that both techniques may offer an oncologically save resection even in highly challenging tumors. 8,18,[21][22][23] The complication rates in this study are relatively high compared to previous studies most likely reflecting the unique patient selection. 24 Most interestingly, many studies report lower complication rates for RAPN.…”

Open versus robotic partial nephrectomy: Systematic review and meta‐analysis of contemporary studies

“…Thirty‐four eligible studies included 60 808 patients who underwent PN, of whom 19 638 underwent RaPN with mean age 58.9 years and 41 170 underwent OPN with mean age 58.5 years. Table presents the baseline patient demographics of all enrolled studies.…”

Increased utilization of partial nephrectomy in the robotic surgery era

“…showed reduced blood loss, ischaemia time, transfusions rate and length of stay for highly complex renal masses. An Australian group also demonstrated reduced complications, estimated blood loss, length of hospital stays and fewer positive margins . Moreover, Camp et al .…”

“…An Australian group also demonstrated reduced complications, estimated blood loss, length of hospital stays and fewer positive margins. 16 Moreover, Camp et al 17 showed a significant reduction in costs at 1 year post-intervention following RAPN compared to OPN.…”