Table of Contents
International Scholarly Research Notices
Volume 2014, Article ID 430914, 5 pages
http://dx.doi.org/10.1155/2014/430914
Clinical Study

A Single Surgeon’s Experience with Open, Laparoscopic, and Robotic Partial Nephrectomy

1Department of Surgery, Section of Urology, Medical College of Georgia, Georgia Regents University, 1120 15th Street, BA 8414, Augusta, GA 30912, USA
2The Urology Institute, University Hospitals Case Medical Center, Case Western Reserve University, Cleveland, OH 44106, USA

Received 13 July 2014; Revised 7 September 2014; Accepted 7 September 2014; Published 29 October 2014

Academic Editor: Riccardo Autorino

Copyright © 2014 Zachary Klaassen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. To report the perioperative outcomes of patients treated with partial nephrectomy by a single surgeon using three surgical modalities—open, laparoscopic, and robotic. Methods. Between August 2006 and February 2012, 106 consecutive patients underwent open partial nephrectomy (OPN) , laparoscopic partial nephrectomy (LPN) , and robotic partial nephrectomy (RPN) by a single surgeon. Clinical variables, operative parameters, and renal functional outcomes were analyzed. Results. Preoperative patient characteristics were similar except for baseline glomerular filtration rate (GFR), which was highest in the RPN group . Surgery time was longest in the RPN group (244 minutes) and shortest in the OPN group (163 minutes, ). Patients who had OPN had the highest incidence of 30-day complications (30%), while the RPN approach had the lowest (14%, ). Conclusions. When performed by a single surgeon, robotic partial nephrectomy appears to be associated with fewer complications than both open and laparoscopic partial nephrectomy. Kidney function was not affected by surgical approach.