Publications

Robot-Assisted Partial Nephrectomy for Multiple Renal Tumors: A Vattikuti Collective Quality Initiative Database Analysis.

01st Feb 2018

Sohrab Arora, Rajesh K. Ahlawat, Ronney Abaza, James M. Adshead, Benjamin J. Challacombe, Prokar Dasgupta, Giorgio Gandaglia, Daniel A. Moon, Thyavihally Yuvaraja, Umberto Capitanio, Alessandro Larcher, Francesco Porpiglia, James R. Porter, Alexander Mottrie, Mahendra Bhandari, Craig Rogers

RAPN, multiple renal tumors

Not available from the Liebert website.

 Published in: VideourologyVol. 32, No. 1, in video form. From the Mary Ann Liebert, Inc. publishers website: Abstract of video program: Patients with multiple renal tumors may have a higher chance of metachronous contralateral renal tumors. Owing to this, efforts must be made to utilize nephron sparing surgery in these cases, wherever possible. Longer ischemia times are expected because of resection and reconstruction of multiple defects. The outcomes of robot-assisted partial nephrectomy (RAPN) for this indication have previously been reported to be comparable with solitary tumors. However, other series have shown an increased complication rate. The three goals of surgery are to remove all the tumor with acceptable ischemia time and low complication rate. This video shows the technique and outcomes of RAPN for multiple tumors in a single operative session in a multi-institutional setting. Please use the "Read More" link below to access the Liebert website with the full Abstract and link to the video (with payment), or this link: https://www.liebertpub.com/doi/10.1089/vid.2017.0029

Published in: VideourologyVol. 32, No. 1, in video form.  From the Mary Ann Liebert, Inc. publishers website:

From the Abstract for the video:

Introduction: Patients with multiple renal tumors may have a higher chance of metachronous contralateral renal tumors.1Owing to this, efforts must be made to utilize nephron sparing surgery in these cases, wherever possible. Longer ischemia times are expected because of resection and reconstruction of multiple defects. The outcomes of robot-assisted partial nephrectomy (RAPN) for this indication have previously been reported to be comparable with solitary tumors.2,3 However, other series have shown an increased complication rate.4 The three goals of surgery are to remove all the tumor with acceptable ischemia time and low complication rate. This video shows the technique and outcomes of RAPN for multiple tumors in a single operative session in a multi-institutional setting.

Materials and Methods: Retrospective analysis of the Vattikuti Collective Quality Initiative prospective database was done. A total of 501 patients underwent RAPN from November 2014 till January 2017 at 14 institutions in 9 countries by 22 surgeons. Out of these, 37 patients underwent RAPN for multiple tumors. The first representative video shows resection of two tumors enbloc with reconstruction of a single defect, whereas the second representative video shows separate excision of renal tumors with reconstruction of individual renal defects.

Please use the "Read More" link below to access the Liebert website with the full Abstract and link to the video (with payment), or this link:

https://www.liebertpub.com/doi/10.1089/vid.2017.0029

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