ArticleIndian journal of urology : IJU : journal of the Urological Society of India
Impact of learning curve on the perioperative outcomes following robot-assisted partial nephrectomy for renal tumors.
Article in Indian journal of urology : IJU : journal of the Urological Society of India. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Robot-assisted and embolization-assisted partial nephrectomy versus laparoscopic partial nephrectomy for renal angiomyolipoma: a systematic review and meta-analysis.Journal of robotic surgery · 2025Pooled it
- Learning Curves in Robotic Urological Oncological Surgery: Has Anything Changed During the Last Five Years?Cancers · 2025Review
- Article
- Skill Transfer from Laparoscopic Partial Nephrectomy to the Hugo™ RAS System: A Novel Proficiency Score to Assess Surgical Quality during the Learning Curve.Journal of clinical medicine · 2024Article
- Impact of Surgical Experience Before Robot-assisted Partial Nephrectomy on Surgical Outcomes: A Multicenter Analysis of 2500 Patients.European urology open science · 2022Article
- The impact of a fellow on a regional robotic-assisted partial nephrectomy service.Annals of the Royal College of Surgeons of England · 2022Article
- Total robotic surgical volume influences outcomes of low-volume robotic-assisted partial nephrectomy over an extended duration.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2021Article
- The safety of urologic robotic surgery depends on the skills of the surgeon.World journal of urology · 2020Review
- Robot-assisted partial nephrectomy: How to minimise renal ischaemia.Arab journal of urology · 2018Review
- What's inside.Indian journal of urology : IJU : journal of the Urological Society of IndiaArticle
- Trifecta and pentafecta outcomes following robot-assisted partial nephrectomy in a multi-institutional cohort of Indian patients.Indian journal of urology : IJU : journal of the Urological Society of IndiaArticle
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6 authors at 1 institution in 1 country.
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Abstract
introductionRobot-assisted partial nephrectomy (RAPN) is an established, minimally invasive technique to treat patients with renal masses. The aim of this study was to assess the learning curve (LC) of RAPN, evaluate its impact on perioperative outcomes following RAPN and to study the role of surgeon experience in achieving "trifecta" outcomes following RAPN.
methodsWe prospectively analyzed the clinical and pathological outcomes of 108 consecutive patients who underwent RAPN for renal tumors from January 2012 to December 2016 by a laparoscopy trained surgeon with no prior robotic experience. We used warm ischemia time (WIT) <20 min, operative time <120 min, and blood loss <100 ml as endpoints for plotting the LCs. Trifecta was analyzed in relation to our LC.
resultsSurgeon experience was found to correlate with WIT, operative time, and blood loss. Overall 18.5% of patients developed complications. Complication rate reduced with increasing surgeon experience. LC was 44 cases for WIT ≤20 min, 44 cases for operative time <120 min, and 54 cases for blood loss <100 ml. Trifecta outcome was achieved in 67.6% patients overall and was found to correlate with increasing surgeon experience. Improvement in trifecta outcomes continued to occur beyond the LC.
conclusionsRAPN is a viable option for nephron-sparing surgery in patients with renal carcinoma. For a surgeon trained in laparoscopy, acceptable perioperative outcomes following RAPN can be achieved after an LC of about 44 cases. Increasing surgeon experience was associated with improved "trifecta" achievement following RAPN.
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