Evidence map›Paper›PMID 40637905›Full record

ArticleJournal of robotic surgery2025

Predicting hemorrhagic complications in robotic-assisted partial nephrectomy for renal tumors: simplifying risk assessment with tumor diameter and depth.

I-Hung Shao, Chung-Lin Lee, Yu-Hsiang Lin, Hsiang-Sheng Wang, Ming-Chien Chen, Ying-Hsu Chang, Ting-Wen Sheng, Liang-Kang Huang, Hung-Chen Kan, Chung-Yi Liu and 5 more

Registry-linked trialAbstract read
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In one paragraph

Article in Journal of robotic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07232927 (Evaluation of Hemostatic Agents in Partial Nephrectomy), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

NCT07232927 nacompletednot on this map

Evaluation of Hemostatic Agents in Partial Nephrectomy: A Prospective Randomized Trial

TypeinterventionalSponsorAnkara UniversityRan2023 to 2024Enrolled150ConditionsPartial Nephrectomy, Hemostatic Agents, Localized Renal Cell CarcinomaArmsStandard Parenchymal Suturing, Suturing with FloSeal®, Suturing with Surgicel®
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

15 authors.

I-Hung ShaoDivision of Urology, Department of Surgery, Chang Gung Memorial Hospital, Linkou Branch, No.5, Fusing St., Gueishan Dist., Taoyuan, Taiwan (R.O.C.).
Chung-Lin LeeDivision of Urology, Department of Surgery, Chang Gung Memorial Hospital, Linkou Branch, No.5, Fusing St., Gueishan Dist., Taoyuan, Taiwan (R.O.C.).
Yu-Hsiang LinDivision of Urology, Department of Surgery, Chang Gung Memorial Hospital, Linkou Branch, No.5, Fusing St., Gueishan Dist., Taoyuan, Taiwan (R.O.C.).
Hsiang-Sheng WangDepartment of Pathology, Chang Gung Memorial Hospital, Chang Gung University School of Medicine, Kwei-Shan, Taoyuan, 33305, Taiwan.
Ming-Chien ChenDepartment of Medicine, Chang Gung University, Taoyuan, Taiwan.
Ying-Hsu ChangDepartment of Medicine, Chang Gung University, Taoyuan, Taiwan.
Ting-Wen ShengDepartment of Medicine, Chang Gung University, Taoyuan, Taiwan.
Liang-Kang HuangDivision of Urology, Department of Surgery, Chang Gung Memorial Hospital, Linkou Branch, No.5, Fusing St., Gueishan Dist., Taoyuan, Taiwan (R.O.C.).
Hung-Chen KanDivision of Urology, Department of Surgery, Chang Gung Memorial Hospital, Linkou Branch, No.5, Fusing St., Gueishan Dist., Taoyuan, Taiwan (R.O.C.).
Chung-Yi LiuDepartment of Medicine, Chang Gung University, Taoyuan, Taiwan.
Po-Hung LinDivision of Urology, Department of Surgery, Chang Gung Memorial Hospital, Linkou Branch, No.5, Fusing St., Gueishan Dist., Taoyuan, Taiwan (R.O.C.).
Kai-Jie YuDivision of Urology, Department of Surgery, Chang Gung Memorial Hospital, Linkou Branch, No.5, Fusing St., Gueishan Dist., Taoyuan, Taiwan (R.O.C.).
Cheng-Keng ChuangDivision of Urology, Department of Surgery, Chang Gung Memorial Hospital, Linkou Branch, No.5, Fusing St., Gueishan Dist., Taoyuan, Taiwan (R.O.C.).
See-Tong PangDivision of Urology, Department of Surgery, Chang Gung Memorial Hospital, Linkou Branch, No.5, Fusing St., Gueishan Dist., Taoyuan, Taiwan (R.O.C.).
Chun-Te WuDivision of Urology, Department of Surgery, Chang Gung Memorial Hospital, Linkou Branch, No.5, Fusing St., Gueishan Dist., Taoyuan, Taiwan (R.O.C.). wucgmh@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRobotic-assisted partial nephrectomy has emerged as the standard surgical procedure for managing localized kidney cancers, with bleeding risk being a primary clinical consideration. This investigation seeks to establish simple predictive indicators for hemorrhage-related adverse events. MATERIALS AND

methodsWe performed a retrospective review of sequential patients undergoing robotic-assisted partial nephrectomy at a single tertiary medical center. Patient records and radiographic studies were analyzed to obtain clinical parameters. Tumor characteristics (size, infiltration depth, and standardized nephrometry measurements) were assessed by an experienced radiologist. Bleeding-related outcomes included surgical blood loss, transfusion requirements, reoperation, and need for angiographic intervention. Predictive factors for hemorrhagic events were examined statistically.

resultsThe study included 260 participants. Median nephrometry scores were 8.5 (PADUA) and 7.0 (RENAL). The average tumor size measured 39.1 mm with a mean penetration depth of 2.02 mm, and the median renal ischemia duration was 25.5 min. Mean operative hemorrhage volume was 147 ml. Transfusion was administered to 12.7% of cases, with 3.5% experiencing significant hemorrhagic complications. Tumor size independently predicted both intraoperative bleeding and transfusion needs, while invasion depth showed a strong association with severe bleeding events.

conclusionsCompared to comprehensive nephrometry systems, basic tumor measurements (diameter and depth) effectively anticipate bleeding risks. These straightforward parameters enable clinicians to identify high-risk patients and initiate preventive measures.

Indexed as

Kidney NeoplasmsNephrectomyPostoperative HemorrhageRobotic Surgical ProceduresAdultAgedBlood Loss, SurgicalBlood TransfusionFemaleHumansMaleMiddle AgedRetrospective StudiesRisk AssessmentHemorrhagic complicationNephrometryRobotic-assisted partial nephrectomyTumor depthTumor diameter

Identifiers

PMID40637905

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.