Comparison of perioperative outcomes of robot‐assisted partial nephrectomy without renorrhaphy: Comparative outcomes of cT1a versus cT1b renal tumors

Objectives To assess the perioperative outcomes of robot‐assisted partial nephrectomy without renorrhaphy for cT1b renal tumors compared with cT1a. Methods From February 2015 to May 2018, 100 robot‐assisted partial nephrectomy patients who underwent robot‐assisted partial nephrectomy without renorrh...

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Bibliographic Details
Published in:International journal of urology 2019-09, Vol.26 (9), p.885-889
Main Authors: Tohi, Yoichiro, Murata, Shiori, Makita, Noriyuki, Suzuki, Issei, Kubota, Masashi, Sugino, Yoshio, Inoue, Koji, Kawakita, Mutsushi
Format: Article
Language:English
Subjects:
Cholecystitis
Coagulation
cT1b
Hemostasis
Ischemia
Kidneys
Medical records
Nephrectomy
partial nephrectomy
Pseudoaneurysm
renal tumors
Robotic surgery
Robots
robot‐assisted
Tumors
without renorrhaphy
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Summary:Objectives To assess the perioperative outcomes of robot‐assisted partial nephrectomy without renorrhaphy for cT1b renal tumors compared with cT1a. Methods From February 2015 to May 2018, 100 robot‐assisted partial nephrectomy patients who underwent robot‐assisted partial nephrectomy without renorrhaphy for renal tumors were included. We retrospectively reviewed the medical records, and compared the perioperative outcomes of 66 and 34 patients for cT1a and cT1b tumors, respectively. Inner suture was carried out in the opened collecting system or renal sinus, whereas parenchymal renorrhaphy was not. For hemostasis, the soft‐coagulation system was used, and absorbable hemostats were placed on the resection bed. Results The median tumor size and RENAL nephrometry score were significantly different between the two groups (cT1a vs cT1b: 23.5 vs 45 mm, P 
ISSN:0919-8172
1442-2042
DOI:10.1111/iju.14046