What is it about?
Robotic partial nephrectomy (robot-assisted removal of tumor-bearing part of the kidney) is increasingly being used for patients with a single kidney. We analyzed the "trifecta" outcomes of this procedure (negative surgical margins, warm ischemia time of <20 minutes, and no perioperative complications (up to 3 months after surgery), at 14 institutions across nine countries.
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Why is it important?
Being the largest series of robot-assisted partial nephrectomy in solitary kidneys, a pooled analysis of data from 22 surgeons at 14 centers across the world, this study suggests that robot-assisted surgery is a safe and effective treatment option for this indication in a multi-institutional setting.
Perspectives
Although open partial nephrectomy is the ‘gold standard’ treatment for a tumor in a solitary kidney, robot-assisted partial nephrectomy is increasingly being used. The results of the present study indicate that the procedure is safe and effective in terms of 'trifecta' outcomes of nephron-sparing surgery.
Sohrab Arora
Henry Ford Hospital, Detroit, MI (USA)
Read the Original
This page is a summary of: ‘Trifecta’ outcomes of robot-assisted partial nephrectomy in solitary kidney: a Vattikuti Collective Quality Initiative (VCQI) database analysis, BJU International, August 2017, Wiley,
DOI: 10.1111/bju.13967.
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