Robotic-assisted versus traditional laparoscopic partial nephrectomy: Comparison of outcomes and evaluation of learning curve

Phillip Martin Pierorazio, Hiten D. Patel, Tom Feng, Jithin Yohannan, Elias S. Hyams, Mohamad E Allaf

Research output: Contribution to journalArticle

Abstract

Objectives: To examine the transition to robot-assisted laparoscopic partial nephrectomy (RALPN) from pure laparoscopic partial nephrectomy (LPN) and investigate the learning curve (LC). RALPN has emerged as a minimally invasive alternative to nephron-sparing surgery. Methods: A total of 150 consecutive patients were identified who underwent LPN or RALPN in the initial experience of a single surgeon since 2006. The perioperative data were evaluated using appropriate comparative tests. The LC was investigated by examining the operative times, warm ischemia times (WITs), and estimated blood loss (EBL) in groups of 25 consecutive patients. To account for laparoscopic LC, the outcomes of patients who underwent surgery in 2009 or later were also compared. Results: Of the 150 patients, 102 and 48 underwent LPN and RALPN, respectively. The patient and tumor characteristics were similar. The mean operative time (193 vs 152 minutes, P

Original languageEnglish (US)
Pages (from-to)813-819
Number of pages7
JournalUrology
Volume78
Issue number4
DOIs
StatePublished - Oct 2011

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Learning Curve
Robotics
Nephrectomy
Operative Time
Warm Ischemia
Nephrons
Neoplasms

ASJC Scopus subject areas

  • Urology

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Robotic-assisted versus traditional laparoscopic partial nephrectomy : Comparison of outcomes and evaluation of learning curve. / Pierorazio, Phillip Martin; Patel, Hiten D.; Feng, Tom; Yohannan, Jithin; Hyams, Elias S.; Allaf, Mohamad E.

In: Urology, Vol. 78, No. 4, 10.2011, p. 813-819.

Research output: Contribution to journalArticle

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AU - Allaf, Mohamad E

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