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A systematic literature search was performed using the Pubmed and Embase databases to identify peer reviewed articles that studied peri-operative complications related to RAPN. The search was conducted on the 26th September 2018.
However only 117 of these patients underwent a RAPN and nephrometry scores were not reported.
RAPN has significantly decreased the learning curve for laparoscopic tasks such as suturing compared to traditional laparoscopic surgery.
Studies describe an overall peri-operative complication rate of 7%-35% for RAPN. (5,7,15,18) This wide range is likely due to under-reporting of lower grade (Clavien-Dindo 1-2) complications among groups.
Intra-operative complications for RAPN are infrequent and are typically due to haemorrhage.
Between January 2012 and June 2013, there were 21 patients who underwent zero ischemia RAPN and included in this study (n = 21).
Notably, our experience represents an entirely RAPN series at a Canadian centre versus a combination LPN (74%) and RAPN (26%) series previously presented in the initial study.
Edmonton versus USC outcomes Outcome measure Edmonton USC (LPN (RAPN only) and RAPN) Average estimated blood loss (cc) 158 206 Creatinine increase 9.2% 18% Operating room time (minutes) 153 264 Length of stay (days) 2.2 3.9 Blood transfusions 0% 21% Postoperative complications within 90 days 14% 23% RAPN: robotic-assisted partial nephrectomy
We retrospectively evaluated 106 consecutive patients who underwent RAPN for a localized renal tumour performed by a single surgeon, at our institution between April 2009 and June 2012.
SCr was measured before and after RAPN in all patients.
In total, 106 tumours treated by RAPN were evaluated in this study (Table 1).
Six months after RAPN, a median decline of −6.30 mL/min per 1.73 m[sup.2] (IQR −13.4 to 2.6) was observed for eGFR and a median increase of 0.07 mg/dL (IQR −0.02 to 0.12) for SCr.
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