A single surgeon's experience with open, laparoscopic, and robotic partial nephrectomy

Research output: Contribution to journalArticle

2 Citations (Scopus)

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) (P = 23), laparoscopic partial nephrectomy (LPN) (P = 48), and robotic partial nephrectomy (RPN) (P = 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 theOPN 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.

Original languageEnglish (US)
Article number430914
JournalISRN Urology
Volume2014
DOIs
StatePublished - Jan 1 2014

Fingerprint

Robotics
Nephrectomy
Pyridinolcarbamate
Surgeons
Kidney
Glomerular Filtration Rate
Incidence

ASJC Scopus subject areas

  • Urology

Cite this

A single surgeon's experience with open, laparoscopic, and robotic partial nephrectomy. / Klaassen, Zachary W A; Kohut, Robert M.; Patel, Dhruti; Terris, Martha Kennedy; Madi, Rabii Hussein.

In: ISRN Urology, Vol. 2014, 430914, 01.01.2014.

Research output: Contribution to journalArticle

@article{78de56be527343cfac30103ccaa5bcf9,
title = "A single surgeon's experience with open, laparoscopic, and robotic partial nephrectomy",
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) (P = 23), laparoscopic partial nephrectomy (LPN) (P = 48), and robotic partial nephrectomy (RPN) (P = 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 theOPN 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.",
author = "Klaassen, {Zachary W A} and Kohut, {Robert M.} and Dhruti Patel and Terris, {Martha Kennedy} and Madi, {Rabii Hussein}",
year = "2014",
month = "1",
day = "1",
doi = "10.1155/2014/430914",
language = "English (US)",
volume = "2014",
journal = "ISRN Urology",
issn = "2090-5807",
publisher = "Hindawi Limited",

}

TY - JOUR

T1 - A single surgeon's experience with open, laparoscopic, and robotic partial nephrectomy

AU - Klaassen, Zachary W A

AU - Kohut, Robert M.

AU - Patel, Dhruti

AU - Terris, Martha Kennedy

AU - Madi, Rabii Hussein

PY - 2014/1/1

Y1 - 2014/1/1

N2 - 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) (P = 23), laparoscopic partial nephrectomy (LPN) (P = 48), and robotic partial nephrectomy (RPN) (P = 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 theOPN 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.

AB - 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) (P = 23), laparoscopic partial nephrectomy (LPN) (P = 48), and robotic partial nephrectomy (RPN) (P = 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 theOPN 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.

UR - http://www.scopus.com/inward/record.url?scp=85043551959&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85043551959&partnerID=8YFLogxK

U2 - 10.1155/2014/430914

DO - 10.1155/2014/430914

M3 - Article

VL - 2014

JO - ISRN Urology

JF - ISRN Urology

SN - 2090-5807

M1 - 430914

ER -