ArticleJournal of robotic surgery2025
Comparative outcomes of robot-assisted, laparoscopic, and open radical nephrectomy: A Taiwan population-based study.
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. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- Effects of surgery on cancer metastasis: biological mechanisms and perioperative implications.Frontiers in oncology · 2026Review
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4 authors.
Funding
Abstract
objectiveRadical nephrectomy continues to be the established treatment for patients with large or locally advanced renal tumors. Although the use of robot-assisted techniques has grown substantially in recent years, their definitive advantages compared to traditional laparoscopic or open surgeries remain unclear. MATERIALS AND
methodsThis retrospective, population-based analysis utilized data from the Taiwan Cancer Registry Database (TCRD) for patients who underwent open, laparoscopic, or robot-assisted radical nephrectomy between 2018 and 2020. Postoperative outcomes were assessed using the National Health Insurance Research Database (NHIRD), with follow-up information available through 2021.
resultsThis study demonstrates that minimally invasive techniques (robotic-assisted RN (RARN) and laparoscopic RN (LRN)) were associated with lower blood transfusion rates, shorter length of hospital stays (LOS), and reduced ICU (intensive care unit) admissions compared to open radical nephrectomy (ORN), both before and after Inverse Probability of Treatment Weighting (IPTW) adjustment. Additionally, RARN showed a lower overall complication rate compared to ORN, though reoperation and readmission rates remained similar among all groups. Despite these perioperative advantages, no significant differences in overall survival were observed among the three surgical techniques.
conclusionThe results of the study highlight the potential benefits of robotic and laparoscopic approaches in improving short-term surgical outcomes without compromising long-term survival. Interpretation is constrained by database limitations and residual selection bias.
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