A Single Surgeon's Experience with Open, Laparoscopic, and Robotic Partial Nephrectomy. (29th October 2014)

• Record Type: Journal Article
• Authors: Klaassen, Zachary; Kohut, Robert M.; Patel, Dhruti; Terris, Martha K.; Madi, Rabii
• Other Names: Autorino Riccardo Academic Editor.
• Is Part Of: ISRN obstetrics and gynecology. Volume 2014(2014)
• Publication Date: 2014-10-29
• Subjects: Obstetrics -- Periodicals; Gynecology -- Periodicals; Pregnancy Complications; Genital Diseases, Female; Gynecology; Obstetrics; Electronic journals; Periodical; Periodicals; Fulltext; Internet Resources; Periodicals; 618.2
• DOI: 10.1155/2014/430914
• Languages: English
• ISSNs: 2090-4436

Abstract

Abstract : Objective . To report the perioperative outcomes of patients treated with partial nephrectomy by a single surgeon using three surgical modalities—open, laparoscopic, and robotic. Methods . Between August 2006 and February 2012, 106 consecutive patients underwent open partial nephrectomy (OPN) ( n = 23 ), laparoscopic partial nephrectomy (LPN) ( n = 48 ), and robotic partial nephrectomy (RPN) ( n = 35 ) by a single surgeon. Clinical variables, operative parameters, and renal functional outcomes were analyzed. Results . Preoperative patient characteristics were similar except for baseline glomerular filtration rate (GFR), which was highest in the RPN group ( P = 0.004 ) . Surgery time was longest in the RPN group (244 minutes) and shortest in the OPN group (163 minutes, P < 0.0001 ). Patients who had OPN had the highest incidence of 30-day complications (30%), while the RPN approach had the lowest (14%, P = 0.008 ). Conclusions . When performed by a single surgeon, robotic partial nephrectomy appears to be associated with fewer complications than both open and laparoscopic partial nephrectomy. Kidney function was not affected by surgical approach.