ArticleWorld journal of urology2022
Simultaneous robotic partial nephrectomy for bilateral renal masses.
Article in World journal of urology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 9 citations in OpenAlex.
- Novel prone retroperitoneal robotic-assisted approach for bilateral partial nephrectomy: a case report.Annals of medicine and surgery (2012) · 2026Article
- Robot-assisted laparoscopic simultaneous bilateral partial nephrectomy for bilateral renal carcinoma: a case report.Frontiers in medicine · 2026Article
- Robot-assisted partial nephrectomy for renal cell carcinoma: A narrative review of different clinical scenarios.Asian journal of urology · 2025Review
- DaVinci SP-based simultaneous bilateral partial nephrectomy from the midline transperitoneal approach: a case report.Journal of Yeungnam medical science · 2024Article
- A systematic review of robot-assisted partial nephrectomy outcomes for advanced indications: Large tumors (cT2-T3), solitary kidney, completely endophytic, hilar, recurrent, and multiple renal tumors.Asian journal of urology · 2023Review
- The current evidence on surgical management for synchronous bilateral renal tumors: results from a scoping review.World journal of urology · 2023Article
- Robotic Partial Nephrectomy for Bilateral Renal Masses.Current urology reports · 2023Review
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Authors and funding
19 authors at 9 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThere is currently no consensus regarding the optimal treatment strategy for patients presenting with synchronous bilateral renal masses. The decision to perform bilateral procedures on the same intervention or in staged procedures is debated. The aim of this manuscript is to analyse the outcomes of simultaneous robot-assisted partial nephrectomy (RAPN) in a series of patients with bilateral renal masses treated at five Italian robotic institutions.
methodsData from a prospectively maintained multi-institutional database on patients subjected to simultaneous RAPN between November 2011 and July 2019 were reviewed. RAPNs were performed with da Vinci Si or Xi surgical system by expert robotic surgeons. Baseline demographics and clinical features, peri- and post-operative data were collected.
resultsOverall, 27 patients underwent simultaneous bilateral RAPN, and 54 RAPNs were performed without need of conversion; median operative time was 250 minutes, median estimated blood loss was 200 mL. Renal artery clamping was needed for 27 (50%) RAPNs with a median warm ischemia time of 15 minutes and no case of acute kidney injury. Complications were reported in 7 (25.9%) patients, mainly represented by Clavien 2 events (6 blood transfusions). Positive surgical margins were assessed in 2 (3.7%) of the renal cell carcinoma. At the median follow-up of 30 months, recurrence-free survival was 100%.
conclusionOur data showed that, in selected patients and expert hands, simultaneous bilateral RAPNs could be a safe and feasible procedure with promising results for the treatment of bilateral synchronous renal masses.
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