| Title: | Transition from laparoscopic to robot-assisted partial nephrectomy : perioperative outcomes during an institutional transition in a high-volume European centre |
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| Authors: | ID Bizjak, Jure (Author)
ID Kondža, Andraž (Author)
ID Cerović, Kosta (Author)
ID Medved, Milan (Author)
ID Hawlina, Simon (Author) |
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| Files: |  PDF - Presentation file, download (210,92 KB)
MD5: 0924B9D38B91FC413A3C9D9948BEB69B
 URL - Source URL, visit https://www.mdpi.com/2077-0383/15/12/4746
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| Language: | English |
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| Typology: | 1.01 - Original Scientific Article |
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| Organization: |  UKC LJ - Ljubljana University Medical Centre
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| Abstract: | Background/Objectives: Robot-assisted partial nephrectomy (RAPN) has increasingly replaced laparoscopic partial nephrectomy (LPN) in the management of localized renal tumours. This study aimed to evaluate perioperative, functional and surgical margin outcomes during an institutional transition from LPN to RAPN in a high-volume centre. Methods: We performed a retrospective single-centre analysis of 100 consecutive patients undergoing minimally invasive partial nephrectomy. The last 50 LPN cases (August 2014 May 2018) were compared with the rst 50 RAPN cases (June 2018February 2020). Baseline characteristics, perioperative outcomes, early functional parameters and surgical margin status were analysed. Complications were classied according to the Clavien Dindo system. Results: Tumours treated in the RAPN group were signicantly larger (3.4 vs. 2.5 cm) and more complex (RENAL score of 6 vs. 5; p < 0.001). Operative time was longer in the RAPN group (143 vs. 122 min; p < 0.01), while warm ischaemia time did not di er signicantly (16 vs. 15 min; p = 0.37). Estimated blood loss was lower (0 vs. 10 mL; p = 0.049) and the hospital stay was shorter (3 vs. 4 days; p < 0.001) in the RAPN group. Haemoglobin decrease and postoperative creatinine change were comparable between groups. Positive surgical margins were observed less frequently in the RAPN group (2.3% vs. 7.7%), but this di erence was not statistically signicant (p = 0.34). Complication rates were signicantly lower in the RAPN group (4% vs. 22%; p < 0.05), with no major complications observed in the robotic cohort. Conclusions: In this institutional experience, RAPN was associated with favourable perioperative outcomes during the transition period, despite the treatment of larger and more complex renal tumours. The slightly longer operative and warm ischaemia times likely reect a more comprehensive reconstruction strategy, which may contribute to improved haemostatic control and lower complication rates. Further studies with extended follow-up are required to evaluate oncological and renal functional outcomes. |
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| Keywords: | robot-assisted partial nephrectomy, laparoscopic partial nephrectomy, renal cell carcinoma, nephron-sparing surgery, minimally invasive surgery, warm ischaemia time, surgical outcomes, complications, renal function, enucleation |
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| Publication status: | Published |
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| Publication version: | Version of Record |
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| Year of publishing: | 2026 |
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| Number of pages: | str. 1-11 |
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| Numbering: | Vol. 15, iss. 12, [article no.] 4746 |
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| PID: | 20.500.12556/DiRROS-30700  |
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| UDC: | 617:616.61 |
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| ISSN on article: | 2077-0383 |
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| DOI: | 10.3390/jcm15124746 |
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| COBISS.SI-ID: | 282663683 |
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| Note: | Nasl. z nasl. zaslona;
Opis vira z dne 24. 6. 2026;
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| Publication date in DiRROS: | 01.07.2026 |
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| Views: | 157 |
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| Downloads: | 104 |
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