TY - JOUR
T1 - Complications after robotic partial nephrectomy at centers of excellence
T2 - Multi-institutional analysis of 450 cases
AU - Spana, Gregory
AU - Haber, Georges Pascal
AU - Dulabon, Lori M.
AU - Petros, Firas
AU - Rogers, Craig G.
AU - Bhayani, Sam B.
AU - Stifelman, Michael D.
AU - Kaouk, Jihad H.
PY - 2011/8
Y1 - 2011/8
N2 - Purpose: We evaluated the incidence of perioperative complications after robotic partial nephrectomy. Materials and Methods: We retrospectively reviewed the records of patients treated with robotic assisted partial nephrectomy across the 4 participating institutions. Demographic, blood loss, warm ischemia time, and intraoperative and postoperative complication data were collected. All complications were graded according to the Clavien classification system. Results: A total of 450 consecutive robotic assisted partial nephrectomies were done between June 2006 and May 2009. Overall 71 patients (15.8%) had a complication, including intraoperative and postoperative complications in 8 (1.8%) and 65 (14.4%), respectively. Hemorrhage developed in 2 patients (0.2%) intraoperatively and in 22 (4.9%) postoperatively. Seven patients (1.6%) had urine leakage. As classified by the Clavien system, complications were grade I-II in 76.1% of cases and grade III-IV in 23.9%. Robotic assisted partial nephrectomy was converted to open or conventional laparoscopic surgery in 3 patients (0.7%) and to radical nephrectomy in 7 (1.6%). There were no deaths. Conclusions: Current data indicate that robotic assisted partial nephrectomy is safe. Most postoperative complications are Clavien grade I or II, or can be managed conservatively.
AB - Purpose: We evaluated the incidence of perioperative complications after robotic partial nephrectomy. Materials and Methods: We retrospectively reviewed the records of patients treated with robotic assisted partial nephrectomy across the 4 participating institutions. Demographic, blood loss, warm ischemia time, and intraoperative and postoperative complication data were collected. All complications were graded according to the Clavien classification system. Results: A total of 450 consecutive robotic assisted partial nephrectomies were done between June 2006 and May 2009. Overall 71 patients (15.8%) had a complication, including intraoperative and postoperative complications in 8 (1.8%) and 65 (14.4%), respectively. Hemorrhage developed in 2 patients (0.2%) intraoperatively and in 22 (4.9%) postoperatively. Seven patients (1.6%) had urine leakage. As classified by the Clavien system, complications were grade I-II in 76.1% of cases and grade III-IV in 23.9%. Robotic assisted partial nephrectomy was converted to open or conventional laparoscopic surgery in 3 patients (0.7%) and to radical nephrectomy in 7 (1.6%). There were no deaths. Conclusions: Current data indicate that robotic assisted partial nephrectomy is safe. Most postoperative complications are Clavien grade I or II, or can be managed conservatively.
KW - kidney
KW - kidney neoplasms
KW - laparoscopy
KW - nephrectomy
KW - robotics
UR - http://www.scopus.com/inward/record.url?scp=79960169509&partnerID=8YFLogxK
U2 - 10.1016/j.juro.2011.03.127
DO - 10.1016/j.juro.2011.03.127
M3 - Article
C2 - 21679980
AN - SCOPUS:79960169509
SN - 0022-5347
VL - 186
SP - 417
EP - 422
JO - The Journal of Urology
JF - The Journal of Urology
IS - 2
ER -