Robot-assisted laparoscopic partial nephrectomy: Contemporary results over a wide range of tumor complexity

Abstract

Abstract. Background. Partial nephrectomy (PN) is considered the gold standard surgical treatment for renal masses 3 Clavien-Dindo classification during the first 30 postoperative days occurred in 5 (5%) patients. The 3 complexity groups were found to have significantly different ischemia time: Low, 8 minutes (interquartile range [IQR], 8–9.5); Intermediate, 12 minutes (IQR, 10–13); and High, 15.5 minutes (IQR, 11.25–18.75) (p < 0.001). There were no significant differences between the groups. Conclusions. Contemporary standards for raPN are safe and reproducible. Adherence to the technique reported by centers of excellence yielded comparable results with regard to tumor control, preservation of renal function, and complication rates in lower-volume settings.