Skip to main content

Complications in Robot-Assisted Partial Nephrectomy

  • Chapter
  • First Online:
  • 1019 Accesses

Abstract

Robot-assisted partial nephrectomy is becoming increasingly applied as a surgical technique for the treatment of T1 renal masses. In the hands of experienced urologists trained in minimally-invasive surgery, the complication rates are low. We review complications associated with this surgical approach of robotic partial nephrectomy, including hemorrhage, urine leak, bowel injuries, those related to positioning, and the effects of surgery on progression of chronic kidney disease.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Huang WC, Elkin EB, Levey AS, Jang TL, Russo P. Partial nephrectomy versus radical nephrectomy in patients with small renal tumors – is there a difference in mortality and cardiovascular outcomes? J Urol. 2009;181(1):55–61. discussion 61-2

    Article  PubMed  Google Scholar 

  2. Tan HJ, Norton EC, Ye Z, Hafez KS, Gore JL, Miller DC. Long-term survival following partial vs radical nephrectomy among older patients with early-stage kidney cancer. JAMA. 2012;307(15):1629–35.

    Article  CAS  PubMed  Google Scholar 

  3. Thompson RH, Boorjian SA, Lohse CM, Leibovich BC, Kwon ED, Cheville JC, et al. Radical nephrectomy for pT1a renal masses may be associated with decreased overall survival compared with partial nephrectomy. J Urol. 2008;179(2):468–71. discussion 472-3

    Article  PubMed  Google Scholar 

  4. Haseebuddin M, Benway BM, Cabello JM, Bhayani SB. Robot-assisted partial nephrectomy: evaluation of learning curve for an experienced renal surgeon. J Endourol. 2010;24(1):57–61.

    Article  PubMed  Google Scholar 

  5. Mottrie A, De Naeyer G, Schatteman P, Carpentier P, Sangalli M, Ficarra V. Impact of the learning curve on perioperative outcomes in patients who underwent robotic partial nephrectomy for parenchymal renal tumours. Eur Urol. 2010;58(1):127–32.

    Article  PubMed  Google Scholar 

  6. Petros F, Sukumar S, Haber GP, Dulabon L, Bhayani S, Stifelman M, et al. Multi-institutional analysis of robot-assisted partial nephrectomy for renal tumors >4 cm versus. J Endourol. 2012;26(6):642–6.

    Article  PubMed  Google Scholar 

  7. Spana G, Haber GP, Dulabon LM, Petros F, Rogers CG, Bhayani SB, et al. Complications after robotic partial nephrectomy at centers of excellence: multi-institutional analysis of 450 cases. J Urol. 2011;186(2):417–21.

    Article  PubMed  Google Scholar 

  8. Ficarra V, Bhayani S, Porter J, Buffi N, Lee R, Cestari A, et al. Robot-assisted partial nephrectomy for renal tumors larger than 4 cm: results of a multicenter, international series. World J Urol. 2012;30(5):665–70.

    Article  PubMed  Google Scholar 

  9. Caruso RP, Phillips CK, Kau E, Taneja SS, Stifelman MD. Robot assisted laparoscopic partial nephrectomy: initial experience. J Urol. 2006;176(1):36–9.

    Article  PubMed  Google Scholar 

  10. Deane LA, Lee HJ, Box GN, Melamud O, Yee DS, Abraham JB, et al. Robotic versus standard laparoscopic partial/wedge nephrectomy: a comparison of intraoperative and perioperative results from a single institution. J Endourol. 2008;22(5):947–52.

    Article  PubMed  Google Scholar 

  11. Benway BM, Bhayani SB, Rogers CG, Dulabon LM, Patel MN, Lipkin M, et al. Robot assisted partial nephrectomy versus laparoscopic partial nephrectomy for renal tumors: a multi-institutional analysis of perioperative outcomes. J Urol. 2009;182(3):866–72.

    Article  PubMed  Google Scholar 

  12. Wang AJ, Bhayani SB. Robotic partial nephrectomy versus laparoscopic partial nephrectomy for renal cell carcinoma: single-surgeon analysis of >100 consecutive procedures. Urology. 2009;73(2):306–10.

    Article  PubMed  Google Scholar 

  13. Williams SB, Kacker R, Alemozaffar M, Francisco IS, Mechaber J, Wagner AA. Robotic partial nephrectomy versus laparoscopic partial nephrectomy: a single laparoscopic trained surgeon's experience in the development of a robotic partial nephrectomy program. World J Urol. 2013;31(4):793–8.

    Article  PubMed  Google Scholar 

  14. Haber GP, White WM, Crouzet S, White MA, Forest S, Autorino R, et al. Robotic versus laparoscopic partial nephrectomy: single-surgeon matched cohort study of 150 patients. Urology. 2010;76(3):754–8.

    Article  PubMed  Google Scholar 

  15. Tanagho YS, Figenshau RS, Bhayani SB. Robotic partial nephrectomy. AUA update series 2013 Linthicum. Linthicum, MD: American Urological Association; 2013. p. 110–9.

    Google Scholar 

  16. Reisiger KE, Landman J, Kibel A, Clayman RV. Laparoscopic renal surgery and the risk of rhabdomyolysis: diagnosis and treatment. Urology. 2005;66(5 Suppl):29–35.

    Article  PubMed  Google Scholar 

  17. Glassman DT, Merriam WG, Trabulsi EJ, Byrne D, Gomella L. Rhabdomyolysis after laparoscopic nephrectomy. JSLS. 2007;11(4):432–7.

    PubMed  PubMed Central  Google Scholar 

  18. Pugh J, Parekattil S, Willis D, Stifelman M, Hemal A, Su LM. Perioperative outcomes of robot-assisted nephroureterectomy for upper urinary tract urothelial carcinoma: a multi-institutional series. BJU Int. 2013;112(4):E295–300.

    Article  PubMed  Google Scholar 

  19. Nepple KG, Sandhu GS, Rogers CG, Allaf ME, Kaouk JH, Figenshau RS, et al. Description of a multicenter safety checklist for intraoperative hemorrhage control while clamped during robotic partial nephrectomy. Patient Saf Surg. 2012;6:8-9493-6-8.

    Article  Google Scholar 

  20. Tanagho YS, Kaouk JH, Allaf ME, Rogers CG, Stifelman MD, Kaczmarek BF, et al. Perioperative complications of robot-assisted partial nephrectomy: analysis of 886 patients at 5 United States centers. Urology. 2013;81(3):573–9.

    Article  PubMed  Google Scholar 

  21. Cha EK, Lee DJ, Del Pizzo JJ. Current status of robotic partial nephrectomy (RPN). BJU Int. 2011;108(6 Pt 2):935–41.

    Article  PubMed  Google Scholar 

  22. Kaouk JH, Khalifeh A, Hillyer S, Haber GP, Stein RJ, Autorino R. Robot-assisted laparoscopic partial nephrectomy: step-by-step contemporary technique and surgical outcomes at a single high-volume institution. Eur Urol. 2012;62(3):553–61.

    Article  PubMed  Google Scholar 

  23. Scoll BJ, Uzzo RG, Chen DY, Boorjian SA, Kutikov A, Manley BJ, et al. Robot-assisted partial nephrectomy: a large single-institutional experience. Urology. 2010;75(6):1328–34.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Kondo T, Takagi T, Morita S, Omae K, Hashimoto Y, Kobayashi H, et al. Early unclamping might reduce the risk of renal artery pseudoaneurysm after robot-assisted laparoscopic partial nephrectomy. Int J Urol. 2015;22:1096.

    Article  PubMed  Google Scholar 

  25. Cho KJ. Carbon dioxide angiography: scientific principles and practice. Vasc Specialist Int. 2015;31(3):67–80.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Said MA, McGuire BB, Liu JS, Resnick SA, Nadler RB. Novel use of carbon dioxide arteriography in renal artery pseudoaneurysm in patients with poor renal function. BMJ Case Rep. 2014;2014. https://doi.org/10.1136/bcr-2014-206915.

  27. Potretzke AM, Knight BA, Zargar H, Kaouk JH, Barod R, Rogers CG, et al. Urinary fistula after robot-assisted partial nephrectomy: a multicentre analysis of 1 791 patients. BJU Int. 2015;117(1):131–7.

    Article  PubMed  Google Scholar 

  28. Schwartz MJ, Faiena I, Cinman N, Kucharczyk J, Meriggi JS, Waingankar N, et al. Laparoscopic bowel injury in retroperitoneal surgery: current incidence and outcomes. J Urol. 2010;184(2):589–94.

    Article  PubMed  Google Scholar 

  29. Janda G, Deal A, Yang H, Nielsen M, Smith A, Pruthi RS, et al. Single institution experience with robotic partial nephrectomy for renal masses greater than 4cm. J Endourol. 2016;30(4):384–9.

    Article  PubMed  Google Scholar 

  30. Maddox M, Mandava S, Liu J, Boonjindasup A, Lee BR. Robotic partial nephrectomy for clinical stage T1b tumors: intermediate oncologic and functional outcomes. Clin Genitourin Cancer. 2015 Feb;13(1):94–9.

    Article  PubMed  Google Scholar 

  31. Lane BR, Demirjian S, Derweesh IH, Takagi T, Zhang Z, Velet L, et al. Survival and functional stability in chronic kidney disease due to surgical removal of nephrons: importance of the new baseline glomerular filtration rate. Eur Urol. 2015;68(6):996–1003.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Benjamin R. Lee .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Lai, W.R., Lee, B.R. (2018). Complications in Robot-Assisted Partial Nephrectomy. In: Hemal, A., Menon, M. (eds) Robotics in Genitourinary Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-20645-5_45

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-20645-5_45

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-20644-8

  • Online ISBN: 978-3-319-20645-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics