The Learning Curve for Robot-assisted Partial Nephrectomy: Impact of Surgical Experience on Perioperative Outcomes

Larcher, Alessandro; Muttin, Fabio; Peyronnet, B.; Naeyer, Geert De; Khene, Z.; Dell’Oglio, Paolo; Ferreiro, C.; Schatteman, Peter; Capitanio, Umberto; D’Hondt, Frederiek; Montorsi, Francesco; Bensalah, Karim; Mottrie, Alexandre

doi:10.1016/j.eururo.2018.08.042

Cited by 129 publications

(61 citation statements)

References 14 publications

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“…It is also important to remember that RAPN is a complex surgical procedure with a learning phase in which suboptimal surgical outcomes are achieved [12]. These observations, taken together with the findings of the current study, suggest that the choice of the approach should be driven by the surgeon's expertise rather than the tumour location.…”

mentioning

confidence: 58%

The Impact of Surgical Strategy in Robot-assisted Partial Nephrectomy: Is It Beneficial to Treat Anterior Tumours with Transperitoneal Access and Posterior Tumours with Retroperitoneal Access?

Dell’Oglio

Naeyer

Lyu

et al. 2021

European Urology Oncology

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mentioning

confidence: 58%

The Impact of Surgical Strategy in Robot-assisted Partial Nephrectomy: Is It Beneficial to Treat Anterior Tumours with Transperitoneal Access and Posterior Tumours with Retroperitoneal Access?

Dell’Oglio

Naeyer

Lyu

et al. 2021

European Urology Oncology

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“…Therefore, future research should examine differences between surgical techniques at long-term followup concerning functional outcomes, cost effectiveness, and surgical learning. In this regard, recent evidence showed that surgical experience may influence perioperative outcomes in minimally invasive PN [31]. As such, a different relationship between such outcomes and surgical technique may be postulated for more or less experienced surgeons.…”

Section: Discussionmentioning

confidence: 99%

Perioperative Outcomes of Open, Laparoscopic, and Robotic Partial Nephrectomy: A Prospective Multicenter Observational Study (The RECORd 2 Project)

Bravi

Larcher

Capitanio

et al. 2021

European Urology Focus

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Background: Partial nephrectomy (PN) has a non-negligible perioperative morbidity. Comparative evidence of the available surgical techniques is limited. Objective: To compare the perioperative outcomes of open, laparoscopic, and robotic PN. Methods: Data of 2331 patients treated with PN for cT1 renal tumors were extracted from the RECORd2 database, a prospective multicenter project. Multivariable regression models assessed the relationship between surgical technique and surgical margins,

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“…Specifically, RAPN provides non-inferior oncological and functional outcomes and an improved morbidity profile with respect to OPN [36,37] . Moreover, RAPN is now considered the preferable minimally invasive approach to PN because it eliminates the technical issues of LPN and reduces the surgical learning curve [38][39][40] . RTB: renal tumor biopsy; AS: active surveillance…”

Section: Nephron-sparing Surgerymentioning

confidence: 99%

The role of the renal biopsy and surveillance in the management of small renal masses

Muttin¹,

Barret²

2019

MIS

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Cross-sectional imaging shows a limited diagnostic accuracy for the histological discrimination of small renal masses (SRM). In this scenario, a renal tumor biopsy is a safe, feasible and effective diagnostic tool that can guide treatment strategy by providing the histological characterization of a SRM. Although nephron-sparing surgery is still considered the gold standard treatment for patients with SRM, more and more evidence suggests that active surveillance (AS) is a reasonable alternative option, especially in old and comorbid patients. Indeed, owing to the relatively slow growth and favorable biology of SRM, AS followed up by, if necessary, a delayed intervention provides an optimal oncological outcome with low rates of systemic progression or death.

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The Learning Curve for Robot-assisted Partial Nephrectomy: Impact of Surgical Experience on Perioperative Outcomes

Cited by 129 publications

References 14 publications

The Impact of Surgical Strategy in Robot-assisted Partial Nephrectomy: Is It Beneficial to Treat Anterior Tumours with Transperitoneal Access and Posterior Tumours with Retroperitoneal Access?

The Impact of Surgical Strategy in Robot-assisted Partial Nephrectomy: Is It Beneficial to Treat Anterior Tumours with Transperitoneal Access and Posterior Tumours with Retroperitoneal Access?

Perioperative Outcomes of Open, Laparoscopic, and Robotic Partial Nephrectomy: A Prospective Multicenter Observational Study (The RECORd 2 Project)

The role of the renal biopsy and surveillance in the management of small renal masses

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