ArticleWorld journal of urology2022
Comparison of perioperative outcomes following transperitoneal versus retroperitoneal robot-assisted partial nephrectomy: a propensity-matched analysis of VCQI database.
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 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.
- Transperitoneal vs retroperitoneal robotic partial nephrectomy: a meta-analysis and systematic review of propensity-matched studies.Journal of robotic surgery · 2025Pooled it
- Transperitoneal versus retroperitoneal robot-assisted partial nephrectomy: a systematic review and meta-analysis.World journal of urology · 2024Pooled it
- Randomised controlled feasibility trial of retroperitoneal vs transperitoneal robot-assisted partial nephrectomy: the ROPARN study.BJU international · 2025Trial
- Comparison of outcomes between transperitoneal and retroperitoneal robot-assisted partial nephrectomy: a systematic review and meta-analysis of comparative studies.International urology and nephrology · 2026Article
- Experience of Robotic Partial Nephrectomy for Localized Renal Tumors: Functional and Oncologic Outcomes.World journal of oncology · 2026Article
- Comment on "A comparative analysis of pre-operative factors, intra-operative events and post-operative outcomes assessing transperitoneal and retroperitoneal approaches for robotic partial nephrectomy in T1 renal cancer: a multicenter international experience".Journal of robotic surgery · 2025Article
- Adoption and perioperative outcomes of single-port (SP) robotic partial nephrectomy in the state of Michigan: a MUSIC-KIDNEY analysis.Journal of robotic surgery · 2025Article
- Learning curve of robot-assisted laparoscopic partial nephrectomy surgery via the transperitoneal approach: a CUSUM analysis.Journal of robotic surgery · 2025Article
- Retroperitoneal Versus Transperitoneal Robot Assisted Partial Nephrectomy: A Prospective Controlled Non-Randomized Single Centre Study Non-Inferiority Design.The international journal of medical robotics + computer assisted surgery : MRCAS · 2025Article
- Multiport anterior retroperitoneal access for robotic-assisted partial nephrectomy: an innovative technique for renal tumour.Frontiers in surgery · 2025Article
- Single-port vs multi-port robot-assisted renal surgery: analysis of perioperative outcomes for excision of high and low complexity renal masses.Journal of robotic surgery · 2023Article
- Perioperative outcomes following robot-assisted partial nephrectomy in elderly patients.World journal of urology · 2022Article
- Perioperative and functional outcomes following robot-assisted partial nephrectomy: Descriptive analysis of Indian study group on partial nephrectomy database.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
- Author Reply Re: Sharma G, Shah M, Ahluwalia P, Dasgupta P, Challacombe BJ, Bhandari M,Indian journal of urology : IJU : journal of the Urological Society of IndiaArticle
- Round up.Indian journal of urology : IJU : journal of the Urological Society of IndiaArticle
- Perioperative outcomes following robot-assisted partial nephrectomy for complex renal masses: A Vattikuti Collective Quality Initiative database study.Indian journal of urology : IJU : journal of the Urological Society of IndiaArticle
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Authors and funding
23 authors at 18 institutions in 9 countries.
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Abstract
objectiveTo compare perioperative outcomes following retroperitoneal robot-assisted partial nephrectomy (RPRAPN) and transperitoneal robot-assisted partial nephrectomy (TPRAPN).
methodsWith this Vattikuti Collective Quality Initiative (VCQI) database, study propensity scores were calculated according to the surgical access (TPRAPN and RPRAPN) for the following independent variables, i.e., age, sex, side of the surgery, RENAL nephrometry scores (RNS), estimated glomerular filtration rate (eGFR) and serum creatinine. The study's primary outcome was the comparison of trifecta between the two groups.
resultsIn this study, 309 patients who underwent RPRAPN were matched with 309 patients who underwent TPRAPN. The two groups matched well for age, sex, tumor side, polar location of the tumor, RNS, preoperative creatinine and eGFR. Operative time and warm ischemia time were significantly shorter with RPRAPN. Intraoperative blood loss and need for blood transfusion were lower with RPRAPN. There was a significantly higher number of intraoperative complications with RPRAPN. However, there was no difference in the two groups for postoperative complications. Trifecta outcomes were better with RPRAPN (70.2% vs. 53%, p < 0.0001) compared to TPRAPN. We noted no significant change in overall results when controlled for tumor location (anteriorly or posteriorly). The surgical approach, tumor size and RNS were identified as independent predictors of trifecta on multivariate analysis.
conclusionRPRAPN is associated with superior perioperative outcomes in well-selected patients compared to TPRAPN. However, the data for the retroperitoneal approach were contributed by a few centers with greater experience with this technique, thus limiting the generalizability of the results of this study.
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