The learning curve and factors affecting warm ischemia time during robot-assisted partial nephrectomy

The learning curve and factors affecting warm ischemia time during robot-assisted partial nephrectomy

INTRODUCTION The learning curve for robotic partial nephrectomy was investigated for an experienced laparoscopic surgeon and factors associated with warm ischemia time (WIT) were assessed. MATERIALS AND METHODS Between 2007 and 2014, one surgeon completed 171 procedures. Operative time, blood loss, complications and ischemia time were examined to determine the learning curve. The learning cur...

strategies to extend warm ischemia time during laparoscopic partial nephrectomy-part ii

Robot-assisted Laparoscopic Partial Nephrectomy

The indications for nephron-sparing surgery and for minimally invasive surgery are continually expanding. Nephron-sparing surgery, also known as partial nephrectomy, presents a challenge to the minimally invasive surgeon. Herein, we describe our technique of robot-assisted laparoscopic partial nephrectomy. This approach may have potential advantages of including easier excision and suturing. Mo...

Early vascular unclamping reduces warm ischaemia time in robot-assisted laparoscopic partial nephrectomy

INTRODUCTION The aim of this study was to assess the outcomes of early vascular release in robot-assisted laparoscopic partial nephrectomy (RAPN) to reduce warm ischaemia time (WIT) and minimise renal dysfunction. RAPN is increasingly utilised in the management of small renal masses. To this end it is imperative that WIT is kept to a minimum to maintain renal function. METHODS RAPN was perfor...

Robot-assisted partial nephrectomy: evaluation of learning curve for an experienced renal surgeon.

PURPOSE The learning curve for robot-assisted partial nephrectomy (RAPN) has not been extensively studied. We therefore evaluated the learning curve of RAPN for a fellowship-trained laparoscopic surgeon with extensive prior experience with laparoscopic partial nephrectomy (LPN). We also examined the potential effect of tumor size on the learning curve. PATIENTS AND METHODS We prospectively ev...