Factors influencing warm ischemia time in robot-assisted partial nephrectomy change depending on the surgeon's experience.

Journal: World journal of surgical oncology
PMID:

Abstract

INTRODUCTION: Warm ischemia time (WIT) is a primary concern for robot-assisted laparoscopic partial nephrectomy (RALPN) patients because longer WIT is significantly associated with postoperative deteriorating kidney function. Tumor complexity, determined by the RENAL nephrometry score (RENAL score), can help predict surgical outcomes, but it is unclear what RENAL score and clinical factors affect WIT. This study explored the clinical factors predicting long WIT in experienced surgeon to RALPN.

Authors

  • Kazuyuki Numakura
    Department of Urology, Akita University School of Medicine, Akita.
  • Mizuki Kobayashi
    Department of Urology, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita, 010-8543, Japan.
  • Atsushi Koizumi
    Department of Urology, Akita University School of Medicine, Akita.
  • Soki Kashima
    Department of Urology, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita, 010-8543, Japan.
  • Ryohei Yamamoto
    Department of Urology, Akita University School of Medicine, Akita, Japan.
  • Taketoshi Nara
    Department of Urology, Akita University School of Medicine, Akita.
  • Mitsuru Saito
    Department of Urology, Akita University School of Medicine, Akita.
  • Shintaro Narita
    Department of Urology, Akita University School of Medicine, Akita.
  • Takamitsu Inoue
    Department of Urology, Akita University School of Medicine, Akita.
  • Tomonori Habuchi
    Department of Urology, Akita University School of Medicine, Akita.