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Table 2 Surgical outcomes of robot-assisted partial nephrectomy

From: Factors influencing warm ischemia time in robot-assisted partial nephrectomy change depending on the surgeon’s experience

  

All cases

All cases by HT

1st period

2nd period

3rd period

Median (range)

 

N = 174

N = 114

N = 38

N = 38

N = 38

Approach (%)

Transperitoneal

114 (65.5)

69 (60.5)

31 (81.6)

27 (71.1)

11 (28.9)

 

Retroperitoneal

60 (34.5)

45 (39.5)

7 (18.4)

11 (28.9)

27 (71.1)

Operative time (min)

 

221 (140–399)

223 (140–353)

197.5 (140–353)

231 (153–290)

239.5 (174–328)

Operator

 

6

1

1

1

1

Console time (min)

All cases

143 (42–277)

138.5 (42–277)

140.5 (64–203)

142 (74–200)

136.5 (42–277)

 

Transperitoneal

157 (42–262)

    
 

Retroperitoneal

113 (58–277)

    

Estimated blood loss (mL)

 

42 (0–1805)

60 (0–1805)

63 (0–1805)

50.5 (0–1184)

74.5 (0–736)

Warm ischemia time (min)

 

17.3 (9.2–56)

17.2 (9.2–56.0)

17.4 (9.3–34.0)

16.9 (10.1–56.0)

17.3 (10.9–29.2)

Intra-operative complication (%)

Satava ≥ 2

3 (1.7)

1 (0.9)

1 (2.6)

0 (0)

0 (0)

Postoperative complication (%)

Clavien-Dindo ≥ 2

27 (15.5)

17 (14.9)

5 (13.2)

6 (15.8)

6 (15.8)

Positive surgical margin (%)

 

1 (0.6)

1 (0.9)

1 (2.6)

0 (0)

0 (0)

eGFR at 1 month after operation (%)

≥ 90%

121 (69.5)

73 (64.0)

29 (76.3)

28 (73.7)

16 (42.1)

Trifecta accomplishment (%)

 

151 (86.8)

100 (87.7)

33 (86.8)

32 (84.2)

35 (92.1)

Histology (%)

Clear

128 (73.6)

84 (73.7)

27 (71.1)

33 (86.8)

24 (63.2)

 

Papillary

22 (12.6)

14 (12.3)

4 (10.5)

3 (7.9)

7 (18.4)

 

Chromophobe

9 (5.2)

7 (6.1)

2 (5.3)

2 (5.3)

3 (7.9)

 

AML

7 (4.0)

5 (4.4)

3 (7.9)

0 (0)

2 (5.3)

 

Oncocytoma

3 (1.7)

3 (2.6)

2 (5.3)

0 (0)

1 (2.6)

 

Xp11.2

1 (0.6)

1 (0.9)

0 (0)

0 (0)

1 (2.6)

 

MTSCC

1 (0.6)

0 (0)

0 (0)

0 (0)

0 (0)

Pathological T (%)

1a

145 (83.3)

90 (78.9)

31 (81.6)

33 (86.8)

26 (68.4)

 

1b

15 (8.6)

14 (12.3)

1 (2.6)

5 (13.2)

8 (21.1)

 

3a

2 (1.1)

2 (1.8)

1 (2.6)

0 (0)

1 (2.6)

  1. HT high-volume surgeon in our hospital; eGFR estimated glomerular filtration rate; AML angiomyolipoma; MTSCC mucinous tubular and spindle cell carcinoma; T size of the primary tumor and whether it has invaded nearby tissue