Strategies for success: a multi-institutional study on robot-assisted partial nephrectomy for complex renal lesions

Abstract

Objective: To describe our technique, illustrated with images and videos, of robot-assisted partial nephrectomy (RAPN) for challenging renal tumours. Patients and Methods: A study of 249 patients who underwent RAPN in multiple institutions was performed. Patients were identified using prospective RAPN databases. Complex renal lesion were defined as those with a RENAL nephrometry score ≥10. Data were analysed and differences among groups examined. Results: A total of 31 (12.4%) RAPNs were performed for complex renal tumours. The median (interquartile range [IQR]) patient age was 57 (50.5–70.5) years and 21 patients (67.7%) were men. The median (IQR) American Society of Anesthesiologists score..