The results of patients undergoing partial nephrectomy for renal mass: robotic versus laparoscopic

Abstract

Objective: Robotic surgery is an emerging trend nowadays, but when the costs are considered, there are question marks associated with preferring it to laparoscopic surgery. In this study, we examined the results of both approaches by comparing the intraoperative, postoperative and oncological outcomes of the patients who underwent robotic partial nephrectomy (RPN) and laparoscopic partial nephrectomy (LPN) for renal cell carcinoma in our clinic. Design: Retrospective study Setting: Ankara City Hospital, Turkey Subject: A total of 96 patients who underwent LPN and RPN for renal mass between 2011 and 2018 and followed up for at least three months were included in the study. Interventions: Preoperative patient data included age, gender, body mass index, smoking cessation, American Society of Anaesthesia physical status score, Padua score and renal nephrometry score. Main Outcome Measure: Perioperative and postoperative data included duration of operation, warm ischemia time, blood loss, perioperative and post-operative complications (1-30 days) according to Clavien-Dindo classification. Results: There was a significant difference between the groups in terms of hospital stay (3.6 +/- 1.1 days in the RPN group and 5.32 +/- 2.2 days in the LPN group). In the RPN group, renal artery clamp placement reduced the amount of bleeding compared to non-clamped patients, which was statistically significant. Conclusion: Despite concerns about the higher cost of RPN in comparison to LPN, RPN is a safe and feasible approach in clinical T1 tumors with similar morbidity and oncologic outcomes and shorter hospital stay.