Reference Citation Analysis: Find an Article, Find a Category, Find a Journal, Find a Scholar

For: Tuderti G, Mastroianni R, Anceschi U, Bove AM, Brassetti A, Ferriero M, Misuraca L, Guaglianone S, Costantini M, Torregiani G, Saidian A, Mari A, Narasimhan R, Derweesh I, Minervini A, Gallucci M, Simone G. Assessing the Trade-off Between the Safety and Effectiveness of Off-clamp Robotic Partial Nephrectomy for Renal Masses with a High RENAL Score: A Propensity Score-matched Comparison of Perioperative and Functional Outcomes in a Multicenter Analysis. Eur Urol Focus 2023;9:1037-1043. [PMID: 37263828 DOI: 10.1016/j.euf.2023.05.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Revised: 04/23/2023] [Accepted: 05/23/2023] [Indexed: 06/03/2023]

For:	Tuderti G, Mastroianni R, Anceschi U, Bove AM, Brassetti A, Ferriero M, Misuraca L, Guaglianone S, Costantini M, Torregiani G, Saidian A, Mari A, Narasimhan R, Derweesh I, Minervini A, Gallucci M, Simone G. Assessing the Trade-off Between the Safety and Effectiveness of Off-clamp Robotic Partial Nephrectomy for Renal Masses with a High RENAL Score: A Propensity Score-matched Comparison of Perioperative and Functional Outcomes in a Multicenter Analysis. Eur Urol Focus 2023;9:1037-1043. [PMID: 37263828 DOI: 10.1016/j.euf.2023.05.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Revised: 04/23/2023] [Accepted: 05/23/2023] [Indexed: 06/03/2023]

Number

Cited by Other Article(s)

Ohsugi H, Ikeda J, Takayasu K, Takizawa N, Taniguchi H, Yanishi M, Kinoshita H. Trifecta outcomes of robotic partial nephrectomy in obese patients: A comparison of body mass index <25, 25 to <30, and ≥30. Int J Urol 2024. [PMID: 39073237 DOI: 10.1111/iju.15529] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2024] [Accepted: 06/19/2024] [Indexed: 07/30/2024]

Franco A, Riolo S, Tema G, Guidotti A, Brassetti A, Anceschi U, Bove AM, D’Annunzio S, Ferriero M, Mastroianni R, Misuraca L, Guaglianone S, Tuderti G, Leonardo C, Cicione A, Licari LC, Bologna E, Flammia RS, Nacchia A, Trucchi A, Lombardo R, Franco G, Tubaro A, Simone G, De Nunzio C. Renal Function Preservation in Purely Off-Clamp Sutureless Robotic Partial Nephrectomy: Initial Experience and Technique. Diagnostics (Basel) 2024;14:1579. [PMID: 39125455 PMCID: PMC11311424 DOI: 10.3390/diagnostics14151579] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2024] [Revised: 07/15/2024] [Accepted: 07/16/2024] [Indexed: 08/12/2024] Open

Affiliation(s)

Antonio Franco Department of Urology, Sant’Andrea Hospital, La Sapienza University, 00185 Rome, Italy; (A.F.); (S.R.); (G.T.); (A.G.); (A.C.); (A.N.); (A.T.); (A.T.); (C.D.N.)
Sara Riolo Department of Urology, Sant’Andrea Hospital, La Sapienza University, 00185 Rome, Italy; (A.F.); (S.R.); (G.T.); (A.G.); (A.C.); (A.N.); (A.T.); (A.T.); (C.D.N.)
Giorgia Tema Department of Urology, Sant’Andrea Hospital, La Sapienza University, 00185 Rome, Italy; (A.F.); (S.R.); (G.T.); (A.G.); (A.C.); (A.N.); (A.T.); (A.T.); (C.D.N.)
Alessio Guidotti Department of Urology, Sant’Andrea Hospital, La Sapienza University, 00185 Rome, Italy; (A.F.); (S.R.); (G.T.); (A.G.); (A.C.); (A.N.); (A.T.); (A.T.); (C.D.N.)
Aldo Brassetti Department of Urology, IRCCS “Regina Elena” National Cancer Institute, 00144 Rome, Italy; (A.B.); (U.A.); (A.M.B.); (S.D.); (M.F.); (R.M.); (L.M.); (S.G.); (G.T.); (C.L.); (R.S.F.); (G.S.)
Umberto Anceschi Department of Urology, IRCCS “Regina Elena” National Cancer Institute, 00144 Rome, Italy; (A.B.); (U.A.); (A.M.B.); (S.D.); (M.F.); (R.M.); (L.M.); (S.G.); (G.T.); (C.L.); (R.S.F.); (G.S.)
Alfredo Maria Bove Department of Urology, IRCCS “Regina Elena” National Cancer Institute, 00144 Rome, Italy; (A.B.); (U.A.); (A.M.B.); (S.D.); (M.F.); (R.M.); (L.M.); (S.G.); (G.T.); (C.L.); (R.S.F.); (G.S.)
Simone D’Annunzio Department of Urology, IRCCS “Regina Elena” National Cancer Institute, 00144 Rome, Italy; (A.B.); (U.A.); (A.M.B.); (S.D.); (M.F.); (R.M.); (L.M.); (S.G.); (G.T.); (C.L.); (R.S.F.); (G.S.)
Mariaconsiglia Ferriero Department of Urology, IRCCS “Regina Elena” National Cancer Institute, 00144 Rome, Italy; (A.B.); (U.A.); (A.M.B.); (S.D.); (M.F.); (R.M.); (L.M.); (S.G.); (G.T.); (C.L.); (R.S.F.); (G.S.)
Riccardo Mastroianni Department of Urology, IRCCS “Regina Elena” National Cancer Institute, 00144 Rome, Italy; (A.B.); (U.A.); (A.M.B.); (S.D.); (M.F.); (R.M.); (L.M.); (S.G.); (G.T.); (C.L.); (R.S.F.); (G.S.)
Leonardo Misuraca Department of Urology, IRCCS “Regina Elena” National Cancer Institute, 00144 Rome, Italy; (A.B.); (U.A.); (A.M.B.); (S.D.); (M.F.); (R.M.); (L.M.); (S.G.); (G.T.); (C.L.); (R.S.F.); (G.S.)
Salvatore Guaglianone Department of Urology, IRCCS “Regina Elena” National Cancer Institute, 00144 Rome, Italy; (A.B.); (U.A.); (A.M.B.); (S.D.); (M.F.); (R.M.); (L.M.); (S.G.); (G.T.); (C.L.); (R.S.F.); (G.S.)
Gabriele Tuderti Department of Urology, IRCCS “Regina Elena” National Cancer Institute, 00144 Rome, Italy; (A.B.); (U.A.); (A.M.B.); (S.D.); (M.F.); (R.M.); (L.M.); (S.G.); (G.T.); (C.L.); (R.S.F.); (G.S.)
Costantino Leonardo Department of Urology, IRCCS “Regina Elena” National Cancer Institute, 00144 Rome, Italy; (A.B.); (U.A.); (A.M.B.); (S.D.); (M.F.); (R.M.); (L.M.); (S.G.); (G.T.); (C.L.); (R.S.F.); (G.S.)
Antonio Cicione Department of Urology, Sant’Andrea Hospital, La Sapienza University, 00185 Rome, Italy; (A.F.); (S.R.); (G.T.); (A.G.); (A.C.); (A.N.); (A.T.); (A.T.); (C.D.N.)
Leslie Claire Licari Urology Unit, Department of Maternal-Child and Urological Sciences, Policlinico Umberto I Hospital, “Sapienza” University of Rome, 00185 Rome, Italy; (L.C.L.); (E.B.); (G.F.)
Eugenio Bologna Urology Unit, Department of Maternal-Child and Urological Sciences, Policlinico Umberto I Hospital, “Sapienza” University of Rome, 00185 Rome, Italy; (L.C.L.); (E.B.); (G.F.)
Rocco Simone Flammia Department of Urology, IRCCS “Regina Elena” National Cancer Institute, 00144 Rome, Italy; (A.B.); (U.A.); (A.M.B.); (S.D.); (M.F.); (R.M.); (L.M.); (S.G.); (G.T.); (C.L.); (R.S.F.); (G.S.)
Antonio Nacchia Department of Urology, Sant’Andrea Hospital, La Sapienza University, 00185 Rome, Italy; (A.F.); (S.R.); (G.T.); (A.G.); (A.C.); (A.N.); (A.T.); (A.T.); (C.D.N.)
Alberto Trucchi Department of Urology, Sant’Andrea Hospital, La Sapienza University, 00185 Rome, Italy; (A.F.); (S.R.); (G.T.); (A.G.); (A.C.); (A.N.); (A.T.); (A.T.); (C.D.N.)
Riccardo Lombardo Department of Urology, Sant’Andrea Hospital, La Sapienza University, 00185 Rome, Italy; (A.F.); (S.R.); (G.T.); (A.G.); (A.C.); (A.N.); (A.T.); (A.T.); (C.D.N.)
Giorgio Franco Urology Unit, Department of Maternal-Child and Urological Sciences, Policlinico Umberto I Hospital, “Sapienza” University of Rome, 00185 Rome, Italy; (L.C.L.); (E.B.); (G.F.)
Andrea Tubaro Department of Urology, Sant’Andrea Hospital, La Sapienza University, 00185 Rome, Italy; (A.F.); (S.R.); (G.T.); (A.G.); (A.C.); (A.N.); (A.T.); (A.T.); (C.D.N.)
Giuseppe Simone Department of Urology, IRCCS “Regina Elena” National Cancer Institute, 00144 Rome, Italy; (A.B.); (U.A.); (A.M.B.); (S.D.); (M.F.); (R.M.); (L.M.); (S.G.); (G.T.); (C.L.); (R.S.F.); (G.S.)
Cosimo De Nunzio Department of Urology, Sant’Andrea Hospital, La Sapienza University, 00185 Rome, Italy; (A.F.); (S.R.); (G.T.); (A.G.); (A.C.); (A.N.); (A.T.); (A.T.); (C.D.N.)

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Suppanuntaroek S, Garcia K, Combates C, Deal C, Paster IC, Morrill CC, Batai K, Lee B. Best predictive single nephrometry score component to correlate with achievement of trifecta outcome in laparoscopic and robotic surgery. BMC Urol 2024;24:134. [PMID: 38943111 PMCID: PMC11212392 DOI: 10.1186/s12894-024-01518-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2024] [Accepted: 06/14/2024] [Indexed: 07/01/2024] Open

Sarkis J, Champy CM, Doumerc N, Bruyere F, Rouprêt M, Branger N, Surlemont L, Michel C, Waeckel T, Parier B, Beauval JB, Bigot P, Lang H, Vallee M, Guillotreau J, Patard JJ, Sarrazin C, de Vergie S, Belas O, Boissier R, Mallet R, Panthier F, Taha F, Le Clerc QC, Hoquetis L, Audenet F, Vignot L, Paparel P, Fontenil A, Bernhard JC, Ingels A. Robot-assisted Partial Nephrectomy for Hilar and Nonhilar Renal Masses: Comparison of Perioperative, Oncological, and Functional Results in a Multicentre Prospective Cohort (NEPRAH Study, UroCCR 175). Eur Urol Oncol 2024:S2588-9311(24)00150-0. [PMID: 38937207 DOI: 10.1016/j.euo.2024.06.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2024] [Revised: 05/04/2024] [Accepted: 06/07/2024] [Indexed: 06/29/2024]

Abstract

BACKGROUND AND OBJECTIVE

A hilar location for a renal tumour is sometimes viewed as a limiting factor for safe partial nephrectomy. Our aim was to evaluate perioperative, oncological, and functional outcomes of robot-assisted partial nephrectomy (RAPN) for hilar tumours (RAPN-H) in comparison to RAPN for nonhilar tumours (RAPN-NH).

METHODS

We conducted an observational, multicentre cohort study using prospectively collected data from the French Research Network on Kidney Cancer (UroCCR). The registry includes data for 3551 patients who underwent RAPN for localised or locally advanced renal masses between 2010 and 2023 in 29 hospitals in France. We studied the impact of a hilar location on surgery, postoperative renal function, tumour characteristics, and survival. We also compared rates of trifecta achievement (warm ischaemia time [WIT] <25 min, negative surgical margins, and no perioperative complications) between the groups. Finally, we performed a subgroup analysis of RAPN without vascular clamping. Variables were compared in univariable analysis and using multivariable linear, logistic, and Cox proportional-hazards models adjusted for relevant patient and tumour covariates.

KEY FINDINGS AND LIMITATIONS

The analytical population included 3451 patients, of whom 2773 underwent RAPN-NH and 678 underwent RAPN-H. Longer WIT (β = 2.4 min; p < 0.01), longer operative time (β = 11.4 min; p < 0.01) and a higher risk of postoperative complications (odds ratio 1.33; p = 0.05) were observed in the hilar group. Blood loss, the perioperative transfusion rate, postoperative changes in the estimated glomerular filtration rate, and trifecta achievement rates were comparable between the groups (p > 0.05). At mean follow-up of 31.9 mo, there was no significant difference in recurrence-free survival (hazard ratio [HR] 0.82, 95% confidence interval [CI] 0.58-1.2; p = 0.3), cancer-specific survival (HR 1.1, 95% CI 0.48-2.6; p = 0.79), or overall survival (HR 0.89, 95% CI 0.52-1.53; p = 0.69).

CONCLUSIONS AND CLINICAL IMPLICATIONS

Patient and tumour characteristics rather than just hilar location should be the main determinants of the optimal surgical strategy for hilar tumours.

PATIENT SUMMARY

We found that kidney tumours located close to major kidney blood vessels led to a longer operation and a higher risk of complications during robot-assisted surgery to remove the tumour. However, tumours in these locations were not related to a higher risk of kidney function loss, cancer recurrence, or death.

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Affiliation(s)

Julien Sarkis Urology Department, Grand Hôpital de l'Est Francilien, Meaux, France.
Cecile M Champy Urology Department, Henri Mondor University Hospital, AP-HP, Creteil, France; Inserm Clinical Investigation Centre 1430, Henri Mondor University Hospital, AP-HP, Creteil, France
Nicolas Doumerc Urology Department, CHU Rangueil, Toulouse, France
Franck Bruyere Urology Department, CHRU Tours, Tours, France
Morgan Rouprêt Urology Department, CHU La Pitié Salpêtrière, AP-HP Paris, France
Nicolas Branger Urology Department, Institut Paoli Calmettes, Marseille, France
Louis Surlemont Urology Department, CHU Rouen, Rouen, France
Constance Michel Urology Department, Hôpital Privé St. Joseph, Paris, France
Thibaut Waeckel Urology Department, CHU Caen, Caen, France
Bastien Parier Urology Department, Hôpital Bicêtre, AP-HP Paris, France
Jean-Baptiste Beauval Urology Department, Clinique La Croix du Sud, Toulouse, France
Pierre Bigot Urology Department, CHU Angers, Angers, France
Hervé Lang Urology Department, CHRU Strasbourg, Strasbourg, France
Maxime Vallee Urology Department, CHU Poitiers, Poitiers, France
Julien Guillotreau Urology Department, Clinique Pasteur, Toulouse, France
Jean-Jacques Patard Urology Department, CH Mont-de-Marsan, Mont-de-Marsan, France
Clément Sarrazin Urology Department, CHU Grenoble, Grenoble, France
Stéphane de Vergie Urology Department, CHU Nantes, Nantes, France
Olivier Belas Pôle Santé Sud, Le Mans, France
Romain Boissier Aix Marseille Université, Service de Chirurgie urologique et de Transplantation rénale, CHU Conception, AP-HM, Marseille, France
Richard Mallet Urology Department, Polyclinique Francheville, Périgueux, France
Frédéric Panthier Urology Department, Hôpital Tenon, AP-HP Paris, France
Fayek Taha Urology Department, CHU Reims, Reims, France
Quentin-Côme Le Clerc Clinique Santé Atlantique, Nantes, France
Lionel Hoquetis Clinique Nantes Atlantis, Saint-Herblain, France
François Audenet Urology Department, Hôpital Européen Georges Pompidou, Paris, France
Louis Vignot Urology Department, CHU Nice, Nice, France
Philippe Paparel Urology Department, Lyon Sud, Hospices Civils de Lyon, Lyon, France
Alexis Fontenil Urology Department, CHU Nîmes, Nîmes, France
Jean-Christophe Bernhard Urology Department CHU Bordeaux, Bordeaux, France
Alexandre Ingels Urology Department, Henri Mondor University Hospital, AP-HP, Creteil, France; Inserm Clinical Investigation Centre 1430, Henri Mondor University Hospital, AP-HP, Creteil, France

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De Nunzio C, Tema G, Brassetti A, Anceschi U, Bove AM, D’Annunzio S, Ferriero M, Mastroianni R, Misuraca L, Guaglianone S, Tuderti G, Leonardo C, Lombardo R, Cicione A, Franco A, Bologna E, Licari LC, Riolo S, Flammia RS, Nacchia A, Trucchi A, Franco G, Tubaro A, Simone G. Purely Off-Clamp Sutureless Robotic Partial Nephrectomy for Novice Robotic Surgeons: A Multi-Institutional Propensity Score-Matched Analysis. J Clin Med 2024;13:3553. [PMID: 38930082 PMCID: PMC11204664 DOI: 10.3390/jcm13123553] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2024] [Revised: 06/10/2024] [Accepted: 06/11/2024] [Indexed: 06/28/2024] Open

Affiliation(s)

Cosimo De Nunzio Department of Urology, Ospedale Sant’Andrea, Sant’Andrea Hospital, La Sapienza University, 00185 Rome, Italy; (G.T.); (R.L.); (A.C.); (A.F.); (S.R.); (A.N.); (A.T.); (A.T.)
Giorgia Tema Department of Urology, Ospedale Sant’Andrea, Sant’Andrea Hospital, La Sapienza University, 00185 Rome, Italy; (G.T.); (R.L.); (A.C.); (A.F.); (S.R.); (A.N.); (A.T.); (A.T.)
Aldo Brassetti Department of Urology, IRCCS “Regina Elena” National Cancer Institute, 00144 Rome, Italy; (A.B.); (U.A.); (A.M.B.); (S.D.); (M.F.); (R.M.); (L.M.); (S.G.); (G.T.); (C.L.); (R.S.F.); (G.S.)
Umberto Anceschi Department of Urology, IRCCS “Regina Elena” National Cancer Institute, 00144 Rome, Italy; (A.B.); (U.A.); (A.M.B.); (S.D.); (M.F.); (R.M.); (L.M.); (S.G.); (G.T.); (C.L.); (R.S.F.); (G.S.)
Alfredo Maria Bove Department of Urology, IRCCS “Regina Elena” National Cancer Institute, 00144 Rome, Italy; (A.B.); (U.A.); (A.M.B.); (S.D.); (M.F.); (R.M.); (L.M.); (S.G.); (G.T.); (C.L.); (R.S.F.); (G.S.)
Simone D’Annunzio Department of Urology, IRCCS “Regina Elena” National Cancer Institute, 00144 Rome, Italy; (A.B.); (U.A.); (A.M.B.); (S.D.); (M.F.); (R.M.); (L.M.); (S.G.); (G.T.); (C.L.); (R.S.F.); (G.S.)
Mariaconsiglia Ferriero Department of Urology, IRCCS “Regina Elena” National Cancer Institute, 00144 Rome, Italy; (A.B.); (U.A.); (A.M.B.); (S.D.); (M.F.); (R.M.); (L.M.); (S.G.); (G.T.); (C.L.); (R.S.F.); (G.S.)
Riccardo Mastroianni Department of Urology, IRCCS “Regina Elena” National Cancer Institute, 00144 Rome, Italy; (A.B.); (U.A.); (A.M.B.); (S.D.); (M.F.); (R.M.); (L.M.); (S.G.); (G.T.); (C.L.); (R.S.F.); (G.S.)
Leonardo Misuraca Department of Urology, IRCCS “Regina Elena” National Cancer Institute, 00144 Rome, Italy; (A.B.); (U.A.); (A.M.B.); (S.D.); (M.F.); (R.M.); (L.M.); (S.G.); (G.T.); (C.L.); (R.S.F.); (G.S.)
Salvatore Guaglianone Department of Urology, IRCCS “Regina Elena” National Cancer Institute, 00144 Rome, Italy; (A.B.); (U.A.); (A.M.B.); (S.D.); (M.F.); (R.M.); (L.M.); (S.G.); (G.T.); (C.L.); (R.S.F.); (G.S.)
Gabriele Tuderti Department of Urology, IRCCS “Regina Elena” National Cancer Institute, 00144 Rome, Italy; (A.B.); (U.A.); (A.M.B.); (S.D.); (M.F.); (R.M.); (L.M.); (S.G.); (G.T.); (C.L.); (R.S.F.); (G.S.)
Costantino Leonardo Department of Urology, IRCCS “Regina Elena” National Cancer Institute, 00144 Rome, Italy; (A.B.); (U.A.); (A.M.B.); (S.D.); (M.F.); (R.M.); (L.M.); (S.G.); (G.T.); (C.L.); (R.S.F.); (G.S.)
Riccardo Lombardo Department of Urology, Ospedale Sant’Andrea, Sant’Andrea Hospital, La Sapienza University, 00185 Rome, Italy; (G.T.); (R.L.); (A.C.); (A.F.); (S.R.); (A.N.); (A.T.); (A.T.)
Antonio Cicione Department of Urology, Ospedale Sant’Andrea, Sant’Andrea Hospital, La Sapienza University, 00185 Rome, Italy; (G.T.); (R.L.); (A.C.); (A.F.); (S.R.); (A.N.); (A.T.); (A.T.)
Antonio Franco Department of Urology, Ospedale Sant’Andrea, Sant’Andrea Hospital, La Sapienza University, 00185 Rome, Italy; (G.T.); (R.L.); (A.C.); (A.F.); (S.R.); (A.N.); (A.T.); (A.T.)
Eugenio Bologna Urology Unit, Department of Maternal-Child and Urological Sciences, Policlinico Umberto I Hospital, “Sapienza” University of Rome, 00185 Rome, Italy; (E.B.); (L.C.L.); (G.F.)
Leslie Claire Licari Urology Unit, Department of Maternal-Child and Urological Sciences, Policlinico Umberto I Hospital, “Sapienza” University of Rome, 00185 Rome, Italy; (E.B.); (L.C.L.); (G.F.)
Sara Riolo Department of Urology, Ospedale Sant’Andrea, Sant’Andrea Hospital, La Sapienza University, 00185 Rome, Italy; (G.T.); (R.L.); (A.C.); (A.F.); (S.R.); (A.N.); (A.T.); (A.T.)
Rocco Simone Flammia Department of Urology, IRCCS “Regina Elena” National Cancer Institute, 00144 Rome, Italy; (A.B.); (U.A.); (A.M.B.); (S.D.); (M.F.); (R.M.); (L.M.); (S.G.); (G.T.); (C.L.); (R.S.F.); (G.S.)
Antonio Nacchia Department of Urology, Ospedale Sant’Andrea, Sant’Andrea Hospital, La Sapienza University, 00185 Rome, Italy; (G.T.); (R.L.); (A.C.); (A.F.); (S.R.); (A.N.); (A.T.); (A.T.)
Alberto Trucchi Department of Urology, Ospedale Sant’Andrea, Sant’Andrea Hospital, La Sapienza University, 00185 Rome, Italy; (G.T.); (R.L.); (A.C.); (A.F.); (S.R.); (A.N.); (A.T.); (A.T.)
Giorgio Franco Urology Unit, Department of Maternal-Child and Urological Sciences, Policlinico Umberto I Hospital, “Sapienza” University of Rome, 00185 Rome, Italy; (E.B.); (L.C.L.); (G.F.)
Andrea Tubaro Department of Urology, Ospedale Sant’Andrea, Sant’Andrea Hospital, La Sapienza University, 00185 Rome, Italy; (G.T.); (R.L.); (A.C.); (A.F.); (S.R.); (A.N.); (A.T.); (A.T.)
Giuseppe Simone Department of Urology, IRCCS “Regina Elena” National Cancer Institute, 00144 Rome, Italy; (A.B.); (U.A.); (A.M.B.); (S.D.); (M.F.); (R.M.); (L.M.); (S.G.); (G.T.); (C.L.); (R.S.F.); (G.S.)

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Soputro NA, Ferguson EL, Ramos-Carpinteyro R, Chavali JS, Geskin A, Fareed K, Berglund R, Fergany AF, Stein RJ, Haber GP, Campbell SC, Weight CJ, Kaouk JH. Long-Term Functional and Oncologic Outcomes Following Robotic Partial and Radical Nephrectomy: A Report from a Single Institution with up to 15 Years of Follow-Up. J Endourol 2024;38:573-583. [PMID: 38568897 DOI: 10.1089/end.2023.0543] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2024] Open

Okada A, Ohashi K, Hashimoto H, Ota Y, Sugino T, Unno R, Iwatsuki S, Etani T, Taguchi K, Naiki T, Kurokawa S, Hamamoto S, Ando R, Nakane A, Kawai N, Tozawa K, Yasui T. Three-dimensional computed tomography-based resection process map for robot-assisted partial nephrectomy: propensity score matching of a single-center retrospective study. J Surg Oncol 2024;129:1311-1324. [PMID: 38470556 DOI: 10.1002/jso.27615] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2023] [Revised: 01/22/2024] [Accepted: 02/11/2024] [Indexed: 03/14/2024]

Affiliation(s)

Atsushi Okada Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
Kazuya Ohashi Department of Radiology, Nagoya City University Hospital, Nagoya, Japan Department of Radiology, Nagoya City University Midori Municipal Hospital, Nagoya, Japan
Hiroya Hashimoto Clinical Research Center, National Hospital Organization Nagoya Medical Center, Nagoya, Japan
Yuya Ota Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
Teruaki Sugino Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
Rei Unno Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
Shoichiro Iwatsuki Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
Toshiki Etani Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
Kazumi Taguchi Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
Taku Naiki Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
Satoshi Kurokawa Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
Shuzo Hamamoto Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
Ryosuke Ando Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
Akihiro Nakane Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
Noriyasu Kawai Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
Keiichi Tozawa Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
Takahiro Yasui Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan

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Prata F, Basile S, Tedesco F, Ragusa A, Pira M, Iannuzzi A, Fantozzi M, Civitella A, Scarpa RM, Papalia R. Skill Transfer from Laparoscopic Partial Nephrectomy to the Hugo™ RAS System: A Novel Proficiency Score to Assess Surgical Quality during the Learning Curve. J Clin Med 2024;13:2226. [PMID: 38673499 PMCID: PMC11050920 DOI: 10.3390/jcm13082226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2024] [Revised: 04/09/2024] [Accepted: 04/10/2024] [Indexed: 04/28/2024] Open

Prata F, Ragusa A, Tedesco F, Pira M, Iannuzzi A, Fantozzi M, Civitella A, Scarpa RM, Papalia R. Trifecta Outcomes of Robot-Assisted Partial Nephrectomy Using the New Hugo™ RAS System Versus Laparoscopic Partial Nephrectomy. J Clin Med 2024;13:2138. [PMID: 38610903 PMCID: PMC11012303 DOI: 10.3390/jcm13072138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2024] [Revised: 04/03/2024] [Accepted: 04/04/2024] [Indexed: 04/14/2024] Open

Fong KY, Gan VHL, Lim BJH, Chan YH, Castellani D, Chen K, Tay KJ, Ho HSS, Yuen JSP, Aslim E, Teoh J, Lim EJ. Off-clamp vs on-clamp robot-assisted partial nephrectomy: a systematic review and meta-analysis. BJU Int 2024;133:375-386. [PMID: 38069544 DOI: 10.1111/bju.16250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2023]

Mazzoleni F, Perri D, Pacchetti A, Morini E, Berti L, Besana U, Faiella E, Moramarco L, Santucci D, Fior D, Bozzini G. Indocyanine green-marked fluorescence-guided off-clamp versus intraoperative ultrasound-guided on-clamp robotic partial nephrectomy: Outcomes on surgical procedure. BJUI COMPASS 2024;5:466-472. [PMID: 38633831 PMCID: PMC11019242 DOI: 10.1002/bco2.307] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2023] [Revised: 09/09/2023] [Accepted: 09/26/2023] [Indexed: 04/19/2024] Open

Abstract

Objectives

To compare surgical and functional outcomes between off-clamp robot-assisted partial nephrectomy with indocyanine-green tumour marking through preliminary superselective embolization and on-clamp robot-assisted partial nephrectomy with intraoperative ultrasound identification of the renal mass.

Material and methods

One hundred and forty patients with a single renal mass underwent indocyanine-green fluorescence-guided off-clamp robot-assisted partial nephrectomy with preoperative superselective embolization (Group A, 70 patients) versus intraoperative ultrasound-guided on-clamp robot-assisted partial nephrectomy without embolization (Group B, 70 patients). We assessed operative time, intraoperative blood loss, complications, length of stay, renal function, need for ancillary procedures and blood transfusions.

Results

Mean tumour size was 24 versus 25 mm in Group A versus Group B (p = 0.19). Mean operative time was 86.5 versus 121.8 min (p = 0.02), mean blood loss was 72.8 versus 214.2 mL (p = 0.02), and mean haemoglobin drop on postoperative day 1 was 1.1 versus 2.6 g/dL (p = 0.04) in Group A versus Group B. One-month creatinine, hospital stay and enucleated tumour volume were comparable. Ten postoperative complications occurred in Group A (13.3%) and 11 in Group B (15.3%). Following superselective embolization, no patients required blood transfusions versus two patients in Group B. Postoperative selective renal embolization was needed in one case per group.

Conclusions

Preoperative superselective embolization of a renal mass with indocyanine-green before off-clamp robot-assisted partial nephrectomy significantly reduces operative time and intraoperative blood loss compared to on-clamp intraoperative ultrasound-guided robot-assisted partial nephrectomy. A longer follow-up is needed to establish the effect on renal function.

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Sun ZJ, Liu F, Wei HB, Zhang DH. Laparoscopic partial versus radical nephrectomy for localized renal cell carcinoma over 4 cm. J Cancer Res Clin Oncol 2023;149:17837-17848. [PMID: 37943356 PMCID: PMC10725398 DOI: 10.1007/s00432-023-05487-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Accepted: 10/20/2023] [Indexed: 11/10/2023]

Cheng Q, Ren A, Xu X, Meng Z, Feng X, Pylypenko D, Dou W, Yu D. Application of DKI and IVIM imaging in evaluating histologic grades and clinical stages of clear cell renal cell carcinoma. Front Oncol 2023;13:1203922. [PMID: 37954085 PMCID: PMC10637387 DOI: 10.3389/fonc.2023.1203922] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Accepted: 10/09/2023] [Indexed: 11/14/2023] Open

Abstract

Purpose

To evaluate the value of quantitative parameters derived from diffusion kurtosis imaging (DKI) and intravoxel incoherent motion (IVIM) in differentiating histologic grades and clinical stages of clear cell renal cell carcinoma (ccRCC).

Materials and methods

A total of 65 patients who were surgically and pathologically diagnosed as ccRCC were recruited in this study. In addition to routine renal magnetic resonance imaging examination, all patients underwent preoperative IVIM and DKI. The corresponding diffusion coefficient (D), pseudo-diffusion coefficient (D*), perfusion fraction (f), mean diffusivity (MD), kurtosis anisotropy (KA), and mean kurtosis (MK) values were obtained. Independent-samples t-test or Mann-Whitney U test was used for comparing the differences in IVIM and DKI parameters among different histologic grades and clinical stages. The diagnostic efficacy of IVIM and DKI parameters was evaluated using the receiver operating characteristic (ROC) curve. Spearman's correlation analysis was used to separately analyze the correlation of each parameter with histologic grades and stages of ccRCC.

Results

The D and MD values were significantly higher in low-grade ccRCC than high-grade ccRCC (all p < 0.001) and in low-stage than high-stage ccRCC (all p < 0.05), and the f value of high-stage ccRCC was lower than that of low-stage ccRCC (p = 0.007). The KA and MK values were significantly higher in low-grade than high-grade ccRCC (p = 0.000 and 0.000, respectively) and in low-stage than high-stage ccRCC (p = 0.000 and 0.000, respectively). The area under the curve (AUC) values of D, D*, f, MD, KA, MK, DKI, and IVIM+DKI values were 0.825, 0.598, 0.626, 0.792, 0.750, 0.754, 0.803, and 0.857, respectively, in grading ccRCC and 0.837, 0.719, 0.710, 0.787, 0.796, 0.784, 0.864, 0.823, and 0.916, respectively, in staging ccRCC. The AUC of IVIM was 0.913 in staging ccRCC. The D, D*, and MD values were negatively correlated with the histologic grades and clinical stages (all p < 0.05), and the KA and MK values showed a positive correlation with histologic grades and clinical stages (all p < 0.05). The f value was also negatively correlated with the ccRCC clinical stage (p = 0.008).

Conclusion

Both the IVIM and DKI values can be used preoperatively to predict the degree of histologic grades and stages in ccRCC, and the D and MD values have better diagnostic performance in the grading and staging. Also, further slightly enhanced diagnostic efficacy was observed in the model with combined IVIM and DKI parameters.

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Bic A, Mazeaud C, Salleron J, Bannay A, Balkau B, Larose C, Hubert J, Eschwège P. Complications after partial nephrectomy: robotics overcomes open surgery and laparoscopy: the PMSI French national database. BMC Urol 2023;23:146. [PMID: 37715175 PMCID: PMC10502976 DOI: 10.1186/s12894-023-01322-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2023] [Accepted: 09/11/2023] [Indexed: 09/17/2023] Open

Abstract

PURPOSE

To evaluate three partial nephrectomies (PN) procedures: open (OPN), standard laparoscopy (LPN), and robot-assisted laparoscopy (RAPN), for the risk of initial complications and rehospitalization for two years after the surgery.

MATERIALS AND METHODS

From the French national hospital database (PMSI-MCO), every hospitalization in French hospitals for renal tumor PN in 2016-2017 were extracted. Complications were documented from the initial hospitalization and any rehospitalization over two years. Chi-square and ANOVA tests compared the frequency of complications and length of initial hospitalization between the three surgical procedures. Relative risks (RR) and 95% confidence intervals were computed.

RESULTS

The 9119 initial hospitalizations included 4035 OPN, 1709 LPN, and 1900 RAPN; 1475 were excluded as the laparoscopic procedure performed was not determined. The average length of hospitalization was 8.1, 6.2, and 4.5 days for OPN, LPN, and RAPN, respectively. Compared to OPN, there were fewer complications at the time of initial hospitalization for the mini-invasive procedures: 29% for OPN vs. 20% for LPN (0.70 [0.63;0.78]) and 12% for RAPN (RR=0.43, 95%CI [0.38;0.49]). For RAPN compared to LPN, there were fewer haemorrhages (RR=0.55 [0.43;0.72]), anemia (0.69 {0.48;0.98]), and sepsis (0.51 [0.36;0.71]); during follow up, there were fewer urinary tract infections (0.64 [0.45;0.91]) but more infectious lung diseases (1.69 [1.03;2.76]). Over the two-year postoperative period, RAPN was associated with fewer acute renal failures (RR=0.73 [0.55;0.98]), renal abscesses (0.41 [0.23;0.74]), parietal complications (0.69 [0.52;0.92]) and urinary tract infections (0.54 [0.40;0.73]) than for OPN.

CONCLUSIONS

Conservative renal surgery is associated with postoperative morbidity related to the surgical procedure fashion. Mini-invasive procedures, especially robot-assisted surgery, had fewer complications and shorter hospital lengths of stay.

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