ArticleSpringerPlus2015
Comparison of the trifecta outcomes of robotic and open nephron-sparing surgeries performed in the robotic era of a single institution.
Article in SpringerPlus, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Comparing robotic and open partial nephrectomy under the prism of surgical precision: a meta-analysis of the average blood loss rate as a novel variable.Journal of robotic surgery · 2024Pooled it
- Comparative Outcomes and Predictive Assessment of Trifecta in Open, Laparoscopic, and Robotic-Assisted Partial Nephrectomy Cases with Renal Cell Carcinoma: A 10-Year Experience at Ramathibodi Hospital.Research and reports in urology · 2021Article
- Predicting Strict Trifecta Outcomes after Robot-Assisted Partial Nephrectomy: Comparison of RENAL, PADUA, and C-Index Scores.Journal of kidney cancer and VHL · 2021Article
- Predicting trifecta outcomes after robot-assisted nephron-sparing surgery: Beyond the nephrometry score.Investigative and clinical urology · 2018Article
- Erratum to: Comparison of the trifecta outcomes of robotic and open nephron-sparing surgeries performed in the robotic era of a single institution.SpringerPlus · 2015Article
- Comparison of RENAL, PADUA, and C-index scoring systems in predicting perioperative outcomes after nephron sparing surgery.Indian journal of urology : IJU : journal of the Urological Society of IndiaArticle
- Clinicoradiological parameters predicting operative difficulty in laparoscopic partial nephrectomy for renal tumors.Indian journal of urology : IJU : journal of the Urological Society of IndiaArticle
Corrections and comments
- Erratum issued
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIn this study we aimed to report a comparative analysis between open and robotic nephron sparing surgeries (NSS) from a single institutional database.
methodsPatients who have undergone NSS during the robotic era of our institution were included in this study. Open (n = 74) and robotic (n = 59) groups were compared regarding trifecta outcome. Trifecta was defined as; warm ischemia time (WIT) <25 min, negative surgical margins and the absence of perioperative complications.
resultsA total of 57 (77 %) and 45 (76 %) patients in the open and robotic groups, respectively achieved the trifecta outcome. Overall trifecta rate was 77 % (n = 102/133). The only statistically significant difference between trifecta positive and trifecta negative patients was the length of hospitalization (LOH). Except LOH; none of the tested parameters were shown to be predictive of trifecta outcome on univariate and multivariate analyses. Concerning trifecta positive patients; those in the open surgery group had larger tumors with a higher degree of morphometric complexity and were hospitalized for a longer period of time. Additionally, operative duration was significantly higher in the robotic group.
conclusionsIn our cohort, no significant difference in achieving the trifecta outcome was reported after open and robotic NSS. Length of hospitalization was the only parameter that differed significantly between trifecta positive and trifecta negative patients. Surgical approach was not a significant predictor of simultaneous achievement of trifecta outcomes. Irrespective of the trifecta definition; larger and more complicated tumors were handled via open NSS.
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