Outcomes of robot-assisted partial nephrectomy for completely endophytic renal tumors: A multicenter analysis.

Published on May 1, 2021in Ejso3.959
· DOI :10.1016/J.EJSO.2020.08.012
Umberto Carbonara3
Estimated H-index: 3
(University of Bari),
Giuseppe Simone27
Estimated H-index: 27
+ 24 AuthorsRiccardo Autorino68
Estimated H-index: 68
Abstract Introduction Multicenter retrospective analysis of robotic partial nephrectomy for completely endophytic renal tumors (i.e. 3 points for the ‘E’ domain of the R.E.N.A.L. nephrometry score) was performed. Materials and methods Patients’ demographics, tumor characteristics, perioperative, functional, pathological and oncological data were analyzed and compared with those of patients with exophytic and mesophytic masses (i.e. 1 and 2 points for the ‘E’ domain, respectively). Multivariable logistic regression analysis was used to assess variables for trifecta achievement (negative margin, no postoperative complications, and 90% estimated glomerular filtration rate [eGFR] recovery). Results Overall, 147 patients were included in the study group. Patients with a completely endophytic mass had bigger tumors (mean 4.2 vs. 4.1 vs. 3.2 cm; p  Conclusions Our findings confirm that RAPN in case of completely endophytic renal masses can be performed with acceptable outcomes in centers with significant robotic expertise.
#1Francesco Porpiglia (UNITO: University of Turin)H-Index: 65
#2Enrico Checcucci (UNITO: University of Turin)H-Index: 21
Last. Alex MottrieH-Index: 17
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#1Zine-Eddine KheneH-Index: 8
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Investigators submitting clinical research to European Urology are encouraged to follow guidelines for the reporting of statistics. Adoption of the guidelines will not only increase the quality of published papers, but also improve statistical knowledge in urology in general.
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CONTEXT As robot-assisted surgery is increasingly used in surgical care, the engineering research effort towards surgical automation has also increased significantly. Automation promises to enhance surgical outcomes, offload mundane or repetitive tasks, and improve workflow. However, we must ask an important question: should autonomous surgery be our long-term goal? OBJECTIVE To provide an overview of the engineering requirements for automating control systems, summarize technical challenges in ...
#1Umberto CarbonaraH-Index: 3
#2Daniel Eun (TU: Temple University)H-Index: 17
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PURPOSE To assess the outcomes of retroperitoneal robot-assisted partial nephrectomy (r-RAPN) in a large cohort of patients with postero-lateral renal masses comparing to those of transperitoneal RAPN (t-RAPN). METHODS Patients with posterior (R.E.N.A.L. score grading P) or lateral (grading X) renal mass who underwent RAPN in six high-volume US and European centers were identified and stratified into two groups according to surgical approach: r-RAPN ("study group") and t-RAPN ("control group"). ...
#1Umberto Carbonara (University of Bari)H-Index: 3
#2Giuseppe SimoneH-Index: 27
Last. Riccardo AutorinoH-Index: 68
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BACKGROUND Patient with "very small" (<2 cm) renal mass can be offered active surveillance, thermal ablation, or partial nephrectomy. The management strategy will consider patient preferences and prioritize potential harms associated with each of these options. To date, outcomes of robot-assisted partial nephrectomy (RAPN) in patients with "very small" renal masses have not been reported. OBJECTIVE To assess the outcomes of RAPN among patients with "very small" renal masses. DESIGN, SETTING, AND...
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