Table 5.
Perioperative outcomes following robot-assisted partial nephrectomy in studies with high complexity renal masses (radius, endophytic/exophytic, nearness, anterior/posterior location or preoperative aspects and dimensions used for an anatomical score ≥10)
| Study year (n) | Duration (min), mean | Blood loss (ml), mean | Blood transfusion (ml), n (%) | WIT (min), mean | Grade I or II complication, n (%) | Grade III, IV complication, n (%) | Hospital stay (days), mean | Margin positivity, n (%) | Trifecta (%) | Trifecta definition |
|---|---|---|---|---|---|---|---|---|---|---|
| Garisto et al., 2018[18] (203) | 208 | 200 | 6 (2.9) | 28 | 43 (21.1) | 14 (6.9) | 3 | 18/179 (10) | - | - |
| Hennessey et al., 2017[19] (31) | 155 | 200 | - | 23 | 2 (6.4) | 0 | 3.5 | 1 (3.2) | - | - |
| Kim et al., 2019[20] (85) | 150 | 200 | 8 (9.4) | 24 | 8 (9.4) | 10 (11.7) | 5 | 0 | ||
| Raheem et al., 2016[15] (121) | 164 | 360 | 10 (8.2) | 26 | 20 (16.5) | 6 (4.9) | 5.6 | 12 (9.9) | 37.5 | WIT of <25 min and negative surgical margins and absence of intraoperative and major postoperative complications |
| Schiavina et al., 2017[7] (79) | 169 | 243 | - | 24.7 | 2 (2.5) | 4 (5) | - | - | - | - |
| Simhan et al., 2012[22] (10) | 221 | 225 | - | 33.8 | - | - | 3.7 | 0 | - | - |
| Tomaszewski et al., 2014[23] (24) | 215 | 262 | - | 36.1 | - | - | - | - | - | - |
| Ubrig 2018[32] (212) | 193.7 | - | 3 (1.4) | 15.5 | 35 (16.5) | 19 (8.9) | - | 13 (6.1) | 75.5 | WIT of <20 min and negative surgical margins and absence of major postoperative complications |
| Volpe et al., 2014[25] (44) | 132.5 | 381 | 2 (4.5) | 18 | 6 (13.6) | 4 (9) | 7.7 | 2 (4.5) | - | - |
| White et al., 2011[26] (11) | 201 | 456.25 | - | 27 | - | - | 4 | 1 (9) | - | - |
| Beksac et al., 2019[16] (144) | 214.6 | 168.75 | 1 (0.69) | 20.25 | 12 (8.3) | 3 (2.3) | 1 | 8 (5.5) | 61.8 | WIT <25 min, no perioperative complications, and negative surgical margins |
| Buffi et al., 2020[17] (255) | 162 | 162.5 | - | 18.5 | 62 (24.3) | 13 (5.1) | 4 | 4 (1.9) | 62 | Absence of Clavien-Dindo >2 complications, WIT <20 min, and absence of positive surgical margins |
| Koukourikis et al.[33] (n=155) | 150 (112-186) | 250 (100-500) | 26 (23-32) | 13 (14.8) | 2 (1.2) | 4 (3-6) | 10.5 | 43.2 | WIT of <25 min and negative surgical margins and major postoperative complications | |
| Current study (n=514) | 173 (45-546) | 150 ml (50-3500 ml) | 2.1 | 21 (0-55) | 6.6 | 2.1 | 3 (1-19) | 10.3 | 60.7 | WIT <25 min, no perioperative complications, and negative surgical margins |
WIT=Warm ischemia time