Comparison of robotic and laparoscopic partial nephrectomy for small renal tumours

  • Abdulmuttalip Simsek | simsek76@yahoo.com Bakirkoy Sadi Konuk Research and Training Hospital, Department of Urology, Istanbul, Turkey.
  • Abdullah Hizir Yavuzsan Bakirkoy Sadi Konuk Research and Training Hospital, Department of Urology, Istanbul, Turkey.
  • Yunus Colakoglu Bakirkoy Sadi Konuk Research and Training Hospital, Department of Urology, Istanbul, Turkey.
  • Arda Atar Bakirkoy Sadi Konuk Research and Training Hospital, Department of Urology, Istanbul, Turkey.
  • Selcuk Sahin Bakirkoy Sadi Konuk Research and Training Hospital, Department of Urology, Istanbul, Turkey.
  • Volkan Tugcu Bakirkoy Sadi Konuk Research and Training Hospital, Department of Urology, Istanbul, Turkey.

Abstract

Objective: To evaluate a single surgeon oncological and functional outcomes of laparoscopic partial nephrectomy (LPN) compared to robotic partial nephrectomy (RPN) for pT1a renal tumours. Materials and methods: Between 2006 and 2016, a retrospective review of 42 patients who underwent LPN (n = 20) or RPN (n = 22) by same surgeon was performed. Patients were matched for gender, age, body mass index (BMI), American Society of Anaesthesiologists (ASA) score, tumour side, RENAL and PADUA scores, peri-operative and post-operative outcomes. Results: There was no significant differences between the two groups with respect to patient gender, age, BMI, ASA score, tumours side, RENAL and PADUA scores. Mean operative time for RPN was 176 vs. 227 minutes for LPN (p = 0.001). Warm ischemia time was similar in both groups (p = 0.58). Estimated blood loss (EBL) was higher in the LPN. There was no significant difference with preoperative and postoperative creatinine and percent change in eGFR levels. Only one case in LPN had positive surgical margin. Conclusions: RPN is a developing procedure, and technically feasible and safe for small-size renal tumours. Moreover RPN is a comparable and alternative operation to LPN, providing equivalent oncological and functional outcomes, as well as saving more healthy marginal tissue and easier and faster suturing.

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Published
2017-06-30
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Section
Original Papers - Oncology
Keywords:
Partial nephrectomy, Robotic, Laparoscopic, Small renal tumour
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How to Cite
Simsek, A., Yavuzsan, A. H., Colakoglu, Y., Atar, A., Sahin, S., & Tugcu, V. (2017). Comparison of robotic and laparoscopic partial nephrectomy for small renal tumours. Archivio Italiano Di Urologia E Andrologia, 89(2), 93-96. https://doi.org/10.4081/aiua.2017.2.93

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