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Robotic assisted partial nephrectomy reduces warm ischemia time and improves renal function acutely compared to the traditional laparoscopic approach; A single surgeon twin centre study

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Abstract

Herein, we compared peri-operative and post-operative outcomes between robotic-assisted and laparoscopic partial nephrectomy. Various reviews of the current literature have detailed the lack of single-surgeon studies in this domain. Our study featured a single surgeon experienced in both approaches to reduce this bias seen in other multi-centre studies. We retrospectively analysed data from two hospitals to compare patient demographics, tumour characteristics, peri-operative and post-operative outcomes of all partial nephrectomies undertaken by a single surgeon with extensive experience in both approaches. Statistical analysis was carried out using GraphPad prism software. Warm ischaemia time was significantly reduced in the robotic arm compared to the laparoscopic group. This translated into an improvement in acute renal function. Length of stay was also significantly reduced. This study highlights some benefits of robotic-assisted in comparison to laparoscopic partial nephrectomy. Further large-scale prospective studies would be valuable in confirming these findings and justifying their usage against their financial cost.

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Data can be requested from the corresponding author on reasonable request.

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Funding

The authors declare that no funds, grants or other support was received during the preparation of this manuscript.

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Authors and Affiliations

  1. Urology Department, Gold Coast University Hospital, Gold Coast, Australia

    Gerard Bray, A. Bahadori, S. Ranasinghe & Christopher Tracey

  2. Division of Medicine, Bond University, Gold Coast, Australia

    D. Mao

  3. 1 Hospital Boulevard, Gold Coast, South Coast, Australia

    Gerard Bray

Authors
  1. Gerard Bray
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  2. A. Bahadori
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  3. D. Mao
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  4. S. Ranasinghe
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  5. Christopher Tracey
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Contributions

GB, SR and AB were involved with study conception. A.B and D.M were involved with data collection. G.B was involved in writing of journal and assisted with statistical analysis or data.

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Correspondence to Gerard Bray.

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The authors have no relevant financial or non-financial interests to disclose.

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This retrospective study was approved by the Human Research Ethics Committees.

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Consent to publish has been received from all participants.

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Bray, G., Bahadori, A., Mao, D. et al. Robotic assisted partial nephrectomy reduces warm ischemia time and improves renal function acutely compared to the traditional laparoscopic approach; A single surgeon twin centre study. J Robotic Surg 17, 1555–1559 (2023). https://doi.org/10.1007/s11701-023-01553-7

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  • DOI: https://doi.org/10.1007/s11701-023-01553-7

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