ArticleWorld journal of surgical oncology2022
Factors influencing warm ischemia time in robot-assisted partial nephrectomy change depending on the surgeon's experience.
Article in World journal of surgical oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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.
- 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
- Anatomy and patient comorbidity in robotic partial nephrectomy: predictors of complexity and outcomes.Journal of robotic surgery · 2026Article
- Article
- Evaluating the Efficacy of Robot-Assisted Partial Nephrectomy in Complex Renal Tumours: A Single-Centre Retrospective Study.Medicina (Kaunas, Lithuania) · 2025Article
- Reassessment of T1a cutoff for kidney cancer in the robotic era.Journal of robotic surgery · 2025Article
- Impact of the "L" score from the RENAL nephrometry score on RAPN surgical outcomes in medial versus lateral renal tumors.Scientific reports · 2025Article
- Risk of pseudoaneurysm and bleeding complications after partial nephrectomy: comparison of tumor enucleation to standard margin technique.Journal of robotic surgery · 2024Article
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10 authors.
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Abstract
introductionWarm ischemia time (WIT) is a primary concern for robot-assisted laparoscopic partial nephrectomy (RALPN) patients because longer WIT is significantly associated with postoperative deteriorating kidney function. Tumor complexity, determined by the RENAL nephrometry score (RENAL score), can help predict surgical outcomes, but it is unclear what RENAL score and clinical factors affect WIT. This study explored the clinical factors predicting long WIT in experienced surgeon to RALPN. MATERIALS AND
methodsIn our institute, 174 RALPNs were performed between November 2013 and February 2021, of which 114 were performed by a single surgeon and included in this study. Clinical staging and the total RENAL score were determined based on preoperative CT scans. The cases were divided into three groups based on experience: period 1: 1-38, period 2: 39-76, and period 3: 77-114. The clinical factors associated with longer WIT were analyzed per period.
resultsThe overall median tumor diameter was 32 mm, and one patient had a positive surgical margin, but there were no cancer-related deaths. In total, there were 18 complications (15.8%). Periods 2 and 3 had larger tumor diameters (p < 0.01) and worse preoperative kidney function (p = 0.029) than period 1. A RENAL L-component score of 3 was associated with longer WIT in period 3 (odds ratio: 3.900; 95% confidence interval: 1.004-15.276; p = 0.044), but the tumor diameter and the total RENAL score were not.
conclusionsA large tumor in the central lesion indicated by the RENAL L-component score was associated with increased WIT in RALPN.
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