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Analysis of surgical and histopathological results of robot-assisted partial nephrectomy with use of three or four robotic arms: an early series results

OBJECTIVES: The aim of this study was to evaluate whether criteria exist to guide election between the use the three- or four-arm technique in robotic partial nephrectomy (RPN) instead of just the surgeon’s preference. MATERIAL AND METHODS: We performed a retrospective review of 80 patients submitte...

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Autores principales: Schulze, Lucas, Dubeux, Victor Teixeira, Milfont, José C. A., Peçanha, Gustavo, Ferrer, Pedro, Cavalcanti, Andre Guilherme
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Urologia 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9060166/
https://www.ncbi.nlm.nih.gov/pubmed/35333488
http://dx.doi.org/10.1590/S1677-5538.IBJU.2021.0495
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author Schulze, Lucas
Dubeux, Victor Teixeira
Milfont, José C. A.
Peçanha, Gustavo
Ferrer, Pedro
Cavalcanti, Andre Guilherme
author_facet Schulze, Lucas
Dubeux, Victor Teixeira
Milfont, José C. A.
Peçanha, Gustavo
Ferrer, Pedro
Cavalcanti, Andre Guilherme
author_sort Schulze, Lucas
collection PubMed
description OBJECTIVES: The aim of this study was to evaluate whether criteria exist to guide election between the use the three- or four-arm technique in robotic partial nephrectomy (RPN) instead of just the surgeon’s preference. MATERIAL AND METHODS: We performed a retrospective review of 80 patients submitted to RPN from May 2016 to February 2020. The patients were divided into two groups of 40, the first submitted to the surgical procedure with use of three robotic arms and the second with four arms. The group division was performed independently of the complexity of the cases, age or gender of the patients and laterality of the renal lesions. Peri- and postoperative data were analyzed for comparison between the two groups. RESULTS: Both techniques had similar oncological outcomes (positive tumor margins), renal function preservation (warm ischemia time) and hemorrhagic complications (estimated blood loss and renal artery pseudoaneurysm), with a small difference in the need for blood transfusion, favoring the technique with three arms. CONCLUSIONS: The two robotic partial nephrectomy techniques had similar oncological and postoperative outcomes, with minimal perioperative complications. The three-arm technique is safe and feasible regardless of the complexity and size of the tumor. Additionally, the use of the three-arm technique reduced surgery costs by US$ 413.00 per patient.
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spelling pubmed-90601662022-05-06 Analysis of surgical and histopathological results of robot-assisted partial nephrectomy with use of three or four robotic arms: an early series results Schulze, Lucas Dubeux, Victor Teixeira Milfont, José C. A. Peçanha, Gustavo Ferrer, Pedro Cavalcanti, Andre Guilherme Int Braz J Urol Original Article OBJECTIVES: The aim of this study was to evaluate whether criteria exist to guide election between the use the three- or four-arm technique in robotic partial nephrectomy (RPN) instead of just the surgeon’s preference. MATERIAL AND METHODS: We performed a retrospective review of 80 patients submitted to RPN from May 2016 to February 2020. The patients were divided into two groups of 40, the first submitted to the surgical procedure with use of three robotic arms and the second with four arms. The group division was performed independently of the complexity of the cases, age or gender of the patients and laterality of the renal lesions. Peri- and postoperative data were analyzed for comparison between the two groups. RESULTS: Both techniques had similar oncological outcomes (positive tumor margins), renal function preservation (warm ischemia time) and hemorrhagic complications (estimated blood loss and renal artery pseudoaneurysm), with a small difference in the need for blood transfusion, favoring the technique with three arms. CONCLUSIONS: The two robotic partial nephrectomy techniques had similar oncological and postoperative outcomes, with minimal perioperative complications. The three-arm technique is safe and feasible regardless of the complexity and size of the tumor. Additionally, the use of the three-arm technique reduced surgery costs by US$ 413.00 per patient. Sociedade Brasileira de Urologia 2022-03-14 /pmc/articles/PMC9060166/ /pubmed/35333488 http://dx.doi.org/10.1590/S1677-5538.IBJU.2021.0495 Text en https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Schulze, Lucas
Dubeux, Victor Teixeira
Milfont, José C. A.
Peçanha, Gustavo
Ferrer, Pedro
Cavalcanti, Andre Guilherme
Analysis of surgical and histopathological results of robot-assisted partial nephrectomy with use of three or four robotic arms: an early series results
title Analysis of surgical and histopathological results of robot-assisted partial nephrectomy with use of three or four robotic arms: an early series results
title_full Analysis of surgical and histopathological results of robot-assisted partial nephrectomy with use of three or four robotic arms: an early series results
title_fullStr Analysis of surgical and histopathological results of robot-assisted partial nephrectomy with use of three or four robotic arms: an early series results
title_full_unstemmed Analysis of surgical and histopathological results of robot-assisted partial nephrectomy with use of three or four robotic arms: an early series results
title_short Analysis of surgical and histopathological results of robot-assisted partial nephrectomy with use of three or four robotic arms: an early series results
title_sort analysis of surgical and histopathological results of robot-assisted partial nephrectomy with use of three or four robotic arms: an early series results
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9060166/
https://www.ncbi.nlm.nih.gov/pubmed/35333488
http://dx.doi.org/10.1590/S1677-5538.IBJU.2021.0495
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