Evidence map›Paper›PMID 40525006›Full record

ArticleCureus2025

Perioperative, Functional, and Oncological Outcomes of Robotic-Assisted Partial Nephrectomy in 1,267 Indian Patients: A Multicenter Analysis by the Indian Robotic Partial Nephrectomy (IRPN) Collaborative Group.

Gagan Gautam, Arvind Ganpule, Anant Kumar, Mohan Keshavamurthy, Sudhir Rawal, Ravimohan Mavuduru, Kishore Ta, Ginil Kumar Pooleri, Deepak Dubey, Narasimhan Ragavan and 6 more

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Gagan GautamDepartment of Uro-Oncology and Robotic Surgery, Medanta - The Medicity, Gurugram, IND.
Arvind GanpuleUrology, Muljibhai Patel Urological Hospital, Nadiad, IND.
Anant KumarUro-Oncology, Robotic, and Kidney Transplantation, Max Super Speciality Hospital, Saket, New Delhi, IND.
Mohan KeshavamurthyUrology, Uro-Oncology, Andrology, Transplant, and Robotic Surgery, Fortis Hospital, Bannerghatta Road, Bengaluru, IND.
Sudhir RawalDepartment of Genito Uro-Oncology Services, Rajiv Gandhi Cancer Institute and Research Centre, Delhi, IND.
Ravimohan MavuduruUrology, Postgraduate Institute of Medical Education and Research, Chandigarh, IND.
Kishore TaDepartment of Urology, Aster Medcity, Kochi, IND.
Ginil Kumar PooleriUrology, Amrita Institute of Medical Sciences, Kochi, IND.
Deepak DubeyDepartment of Urology, Manipal Hospitals, Bengaluru, IND.
Narasimhan RagavanUrology, Apollo Hospitals, Chennai, IND.
Hemang BakshiDepartment of Urology, HCG Cancer Center, Ahmedabad, IND.
Sanjai AddlaRobotic Uro-Oncology, Apollo Hospitals, Hyderabad, IND.
S K RaghunathDepartment of Uro-Oncologyand Robotic Surgery, HCG Hospitals, Bengaluru, IND.
Divya GuptaClinical Operations, Catalyst Clinical Services Pvt. Ltd., Delhi, IND.
Kamal MalikManagement, Intuitive Surgical, Sunnyvale, USA.
Akhil DahiyaClinical and Medical Affairs, Intuitive Surgical, Sunnyvale, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRobotic-assisted partial nephrectomy (RPN) is increasingly recognized as an effective treatment for small renal masses. This study aims to highlight the therapeutic benefits of RPN for both small and relatively larger renal masses in the Indian population.

methodsA retrospective chart review was conducted on patients who underwent RPN using the da Vinci surgical system between September 2010 and September 2022 across 14 centers located in various cities of India, including Ahmedabad, Bengaluru, Chandigarh, Chennai, Delhi, Gurugram, Hyderabad, Kochi, and Nadiad. Data on demographics, medical history, clinical characteristics, and perioperative, functional, and oncological outcomes were extracted from medical records and analyzed statistically.

resultsA total of 1,267 patients were included in the study, with 757 in the T1a tumor group and 510 in the T1b+T2 tumor group. In terms of baseline characteristics, the two groups showed a significant difference (p < 0.001) in renal nephrometry score (RENAL score). The mean operating room time (201.31 ± 77.57 vs. 191.06 ± 74.51; p = 0.0021) and warm ischemia time (25.21 ± 8.08 vs. 22.51 ± 7.95; p < 0.001) were significantly higher in the T1b+T2 tumor groups. Other outcomes were comparable, namely, length of hospital stay (4.21 ± 2.47 vs. 4.05 ± 2.30 days; p = 0.2459), postoperative complications (3.33% vs. 2.11%; p = 0.181), conversion rates (0% vs. 0%), and surgical margins (3.04 vs. 4.31%, p = 0.229). There was no difference in recurrence rates, and no significant differences were observed in the functional outcomes between the two groups.

conclusionRPN provides encouraging surgical, oncological, and functional outcomes for both T1a and T1b+T2 renal masses, enabling nephron-sparing surgery and early recovery of renal function.

Indexed as

minimal access surgerypartial nephrectomyrobotic-assisted surgeryt1a renal massest2 renal masses

Identifiers

PMID40525006
PMCPMC12168657

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