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Significant impact of three-dimensional volumetry of perinephric fat on the console time during robot-assisted partial nephrectomy

BACKGROUND: To assess the impact of volumetry of perinephric fat (PNF) on the perioperative outcomes of robot-assisted partial nephrectomy (RAPN). METHODS: Between 2016 and 2019, a single surgeon performed RAPN for 128 patients with clinical T1a-b renal tumors at our institution, and the 70 most rec...

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Autores principales: Motoyama, Daisuke, Matsushita, Yuto, Watanabe, Hiromitsu, Tamura, Keita, Ito, Toshiki, Sugiyama, Takayuki, Otsuka, Atsushi, Miyake, Hideaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6909637/
https://www.ncbi.nlm.nih.gov/pubmed/31830961
http://dx.doi.org/10.1186/s12894-019-0567-0
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author Motoyama, Daisuke
Matsushita, Yuto
Watanabe, Hiromitsu
Tamura, Keita
Ito, Toshiki
Sugiyama, Takayuki
Otsuka, Atsushi
Miyake, Hideaki
author_facet Motoyama, Daisuke
Matsushita, Yuto
Watanabe, Hiromitsu
Tamura, Keita
Ito, Toshiki
Sugiyama, Takayuki
Otsuka, Atsushi
Miyake, Hideaki
author_sort Motoyama, Daisuke
collection PubMed
description BACKGROUND: To assess the impact of volumetry of perinephric fat (PNF) on the perioperative outcomes of robot-assisted partial nephrectomy (RAPN). METHODS: Between 2016 and 2019, a single surgeon performed RAPN for 128 patients with clinical T1a-b renal tumors at our institution, and the 70 most recent patients were included in this study to minimize the effects of surgical experience. PNF was defined as a fatty area around the kidney within the anatomical structures, including the lateroconal fascia, fusion fascia, psoas muscle, lumbar quadrate muscle and diaphragm, and its volume was calculated based on reconstructed three-dimensional computed tomography images using the SYNAPSE VINCENT system. RESULTS: In this series, the trifecta and MIC (margin, ischemia and complications) score system outcomes were achieved in 69 (98.6%) and 64 patients (91.4%), respectively. The median PNF volume in the 70 patients was 166.05 cm(3), which was significantly correlated with both the body mass index (BMI) and Mayo adhesive probability (MAP) score (correlation coefficient = 0.68 and 0.74, respectively). There was no significant difference in the R.E.N.A.L. nephrometry score, PNF volume or console time during RAPN among 5 groups consisting of 14 consecutive patients. Of several factors examined, the console time was significantly affected by the sex, MAP score and PNF volume, and only the PNF volume was independently associated with the console time. CONCLUSION: Even if performed by an experienced robotic surgeon beyond the initial learning curve, the PNF volume may influence the console time during RAPN.
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spelling pubmed-69096372019-12-30 Significant impact of three-dimensional volumetry of perinephric fat on the console time during robot-assisted partial nephrectomy Motoyama, Daisuke Matsushita, Yuto Watanabe, Hiromitsu Tamura, Keita Ito, Toshiki Sugiyama, Takayuki Otsuka, Atsushi Miyake, Hideaki BMC Urol Research Article BACKGROUND: To assess the impact of volumetry of perinephric fat (PNF) on the perioperative outcomes of robot-assisted partial nephrectomy (RAPN). METHODS: Between 2016 and 2019, a single surgeon performed RAPN for 128 patients with clinical T1a-b renal tumors at our institution, and the 70 most recent patients were included in this study to minimize the effects of surgical experience. PNF was defined as a fatty area around the kidney within the anatomical structures, including the lateroconal fascia, fusion fascia, psoas muscle, lumbar quadrate muscle and diaphragm, and its volume was calculated based on reconstructed three-dimensional computed tomography images using the SYNAPSE VINCENT system. RESULTS: In this series, the trifecta and MIC (margin, ischemia and complications) score system outcomes were achieved in 69 (98.6%) and 64 patients (91.4%), respectively. The median PNF volume in the 70 patients was 166.05 cm(3), which was significantly correlated with both the body mass index (BMI) and Mayo adhesive probability (MAP) score (correlation coefficient = 0.68 and 0.74, respectively). There was no significant difference in the R.E.N.A.L. nephrometry score, PNF volume or console time during RAPN among 5 groups consisting of 14 consecutive patients. Of several factors examined, the console time was significantly affected by the sex, MAP score and PNF volume, and only the PNF volume was independently associated with the console time. CONCLUSION: Even if performed by an experienced robotic surgeon beyond the initial learning curve, the PNF volume may influence the console time during RAPN. BioMed Central 2019-12-12 /pmc/articles/PMC6909637/ /pubmed/31830961 http://dx.doi.org/10.1186/s12894-019-0567-0 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Motoyama, Daisuke
Matsushita, Yuto
Watanabe, Hiromitsu
Tamura, Keita
Ito, Toshiki
Sugiyama, Takayuki
Otsuka, Atsushi
Miyake, Hideaki
Significant impact of three-dimensional volumetry of perinephric fat on the console time during robot-assisted partial nephrectomy
title Significant impact of three-dimensional volumetry of perinephric fat on the console time during robot-assisted partial nephrectomy
title_full Significant impact of three-dimensional volumetry of perinephric fat on the console time during robot-assisted partial nephrectomy
title_fullStr Significant impact of three-dimensional volumetry of perinephric fat on the console time during robot-assisted partial nephrectomy
title_full_unstemmed Significant impact of three-dimensional volumetry of perinephric fat on the console time during robot-assisted partial nephrectomy
title_short Significant impact of three-dimensional volumetry of perinephric fat on the console time during robot-assisted partial nephrectomy
title_sort significant impact of three-dimensional volumetry of perinephric fat on the console time during robot-assisted partial nephrectomy
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6909637/
https://www.ncbi.nlm.nih.gov/pubmed/31830961
http://dx.doi.org/10.1186/s12894-019-0567-0
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