Evidence map›Paper›PMID 40778055›Full record

ArticleFrontiers in urology2023

Recommendations and optimal approaches to robotic-assisted partial nephrectomy: A consensus of Brazilian experts.

Eliney Ferreira Faria, Marcio Covas Moschovas, Carlos Vaz, Alexandre Pompeo, Alexandre Santos, Alexandre Stievano, Andre Berger, Arie Carneiro, Aurus Dourado, Jose Roberto Colombo and 20 more

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In one paragraph

Article in Frontiers in urology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

30 authors.

Eliney Ferreira FariaUrology Department, Hospital Felício Rocho, Belo, Horizonte, Brazil.
Marcio Covas MoschovasUrology Department, Advent Health, Orlando, FL, United States.
Carlos VazUrology Department, Hospital Felício Rocho, Belo, Horizonte, Brazil.
Alexandre PompeoUrology Department, Beneficência Portuguesa de São Paulo, São Paulo, Brazil.
Alexandre SantosUrology Department, Hospital Beneficiencia Portuguesa de Rio Preto, Rio Preto, Brazil.
Alexandre StievanoUrology Department, Hospital Santa Marcelina, São Paulo, Brazil.
Andre BergerUrology Department, Hospital Moinhos de Vento, Porto Alegre, Brazil.
Arie CarneiroUrology Department, Albert Einstein Israelite Hospital, São Paulo, Brazil.
Aurus DouradoUrology Department, Hospital São Marcos, Terezina, Brazil.
Jose Roberto ColomboUrology Department, Albert Einstein Israelite Hospital, São Paulo, Brazil.
Carlo PasserottiUrology Department, Hospital Alemão Oswaldo Cruz, São Paulo, Brazil.
Cassio AndreoniUrology Department, Albert Einstein Israelite Hospital, São Paulo, Brazil.
Clovis FragaUrology Department, Real Hospital Português, Recife, Brazil.
Giuliano GuglielmettiUrology Department, Hospital das Clinicas FMUSP, São Paulo, Brazil.
Gustavo LemosUrology Department, Albert Einstein Israelite Hospital, São Paulo, Brazil.
Gustavo GuimarãesUrology Department, Beneficência Portuguesa de São Paulo, São Paulo, Brazil.
Lucas NogueiraUrology Department, Hospital das Cínicas UFMG, Belo Horizonte, Minas Gerais, Brazil.
Marcos RochaUrology Department, Hospital Geral de Fortaleza, Fortaleza, Brazil.
Pablo MeloUrology Department, Hospital Felício Rocho, Belo, Horizonte, Brazil.
Paulo ArantesUrology Department, Hospital Felício Rocho, Belo, Horizonte, Brazil.
Pedro RomanelliUrology Department, Hospital Felício Rocho, Belo, Horizonte, Brazil.
Rafael TourinhoUrology Department, Hospital Cardiopulmonar, Salvador, Brazil.
Ricardo NishimotoUrology Department, Hospital Madre Teresa, Belo Horizonte, Brazil.
Roberto MachadoUrology Department, Hospital do Amor, Barretos, Brazil.
Rodolfo ReisUrology Department, Hospital das Clinicas FMUSP, São Paulo, Brazil.
Rodrigo FrotaUrology Department, Hospital Quinta Dor, Rio de Janeiro, Brazil.
Romulo GuidaUrology Department, Hospital Quinta Dor, Rio de Janeiro, Brazil.
Victor DubeuxUrology Department, Hospital Universitário Pedro Ernesto, Rio de Janeiro, Brazil.
Rodrigo GualbertoUrology Department, Hospital Felício Rocho, Belo, Horizonte, Brazil.
Marcos Tobias-MachadoUrology Department, Instituto do Cancer Arnaldo Vieira de Carvalho, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Robotic-assisted partial nephrectomy (RAPN) is established as the gold standard approach to treating small renal masses. However, numerous technical challenges and concepts related to this approach are still under discussion and are not consensus among surgeons from different centers. We performed an online questionnaire with multiple topics about RAPN and selected high-volume surgeons from referral centers in Brazil to achieve a consensus. Methods: We implemented an online consensus of 29 experts selected based on surgical expertise and competence in analyzing the published literature. Based on the collected literature and current Guidelines (NCCN, AUA, and EAU) we created a questionnaire with 131 questions and administered it to all participants. The statements and the Delphi technique design were combined in a single round of questions. The answers were reviewed, 70% of concordance was considered a consensus, and a final manuscript with recommendations was developed. Results: We divided our results into 25 subtopics that included all questions and discussions of the questionnaire, including preoperative settings, surgical technique, pathological analysis, technology use, and challenging cases. Some areas had limited data in the literature, and these potential limitations were addressed and discussed on each topic. Conclusion: RAPN is the standard surgical treatment for renal masses in the centers of robotic surgery. Among the important topics of this study, we recommend always performing the first RAPN cases with proctors' assistance, conducting preoperative planning using good-quality imaging exams, minimizing the amount of renal parenchyma removed, and achieving appropriate hemostatic suture while reducing renal parenchyma ischemia.

Indexed as

kidneykidney cancernephrectomypartial nephrectomyrobotic surgery

Identifiers

PMID40778055
PMCPMC12327267

What OpenQuestion holds

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Registered trials

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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.