Robotic versus open partial nephrectomy for highly complex renal masses: Comparison of perioperative, functional, and oncological outcomes

Contact surface area and its association with outcomes in robotic‐assisted partial nephrectomy

“…RAPN has been shown to be a feasible alternative to open partial nephrectomy, even with complex renal masses . To evaluate the complexity of renal masses, there are a variety of nephrometry scoring systems available to surgeons.…”

Increased utilization of partial nephrectomy in the robotic surgery era

“…Some of these studies showed that RAPN would be a superior technique even for very complex tumours. Garisto et al 15 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.…”

“…Some of these studies showed that RAPN would be a superior technique even for very complex tumours. Garisto et al . showed reduced blood loss, ischaemia time, transfusions rate and length of stay for highly complex renal masses.…”

Editorial Comment from Dr Bertolo et al. to Partial nephrectomy preserves renal function without increasing the risk of complications compared with radical nephrectomy for renal cell carcinomas of stages pT2–3a

“…Such bullet points encourage PN when counseling elderly, comorbid patients affected by large/advanced tumors for which a higher rate of complications is otherwise assumed when going nephron‐sparing. Adoption of robotic assistance, eventually including 3‐D reconstruction advanced technologies, could help in pursuing a conservative approach while maximizing the safety of the surgery 3,4 …”