Laparoscopic nephron-sparing surgery.

J Endourol

Department of Urology, University of Chicago, Chicago, Illinois 60637, USA.

Published: May 2007

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http://dx.doi.org/10.1089/end.2007.9966DOI Listing

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Article Synopsis
  • * A total of 68 patients were analyzed, with 28 utilizing MR for enhanced preoperative planning and intraoperative guidance, while 40 followed traditional imaging methods.
  • * Results revealed that the MR group achieved significant reductions in operation time and ischemia time compared to the control group, indicating that MR technology could improve efficiency in complex renal surgeries.
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Article Synopsis
  • The study aims to evaluate if machine learning can effectively predict early outcomes of laparoscopic nephron-sparing surgery (NSS) for kidney tumors, taking the surgeons' experience into account.
  • Analyzing data from 320 surgery cases by four surgeons, the research utilizes eXtreme Gradient Boosting and the SHAP method to identify key factors influencing surgical success, including patient demographics, tumor characteristics, and the surgical learning curve.
  • Results show that the SHAP method offers valuable insights from the machine learning model, highlighting the importance of certain new features in predicting surgical outcomes such as procedure duration and postoperative kidney function.
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Introduction: Renal angiomyolipoma is the most common benign kidney tumor, representing 1-3 % of solid renal tumors. Despite its benign nature, it can be associated with lethal hemorrhage, and can also show signs of local extension mimicking malignant tumors. The cornerstone of treatment remains angioembolization and nephron sparing surgery.

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[Application value of domestic single-port robot in nephron sparing surgery].

Zhonghua Yi Xue Za Zhi

September 2024

Department of Urology and Medicine, PLA General Hospital, Beijing 100853, China.

To explore the application value of the domestic precision ®single-port robotic system in nephron sparing surgery. The clinical data of patients with renal masses underwent nephron sparing surgery using the domestic precision ®single-port robotic system at the PLA General Hospital, Gulou Hospital Affiliated to Nanjing University School of Medicine, Zhongnan Hospital of Wuhan University and the First Affiliated Hospital of Nanchang University from September to November 2023 were retrospectively included. Perioperative clinical data, pathological examination results, and postoperative complications were summarized.

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Objective: This study aimed to provide valuable insights into the comparative efficacy of different surgical approaches for nephron-sparing surgery (NSS) and contribute to the existing literature in this field.

Materials And Methods: This study included patients who underwent NSS for small renal masses between January 2016 and March 2024. A total of 97 patients (41 in the open approach group, 56 in the laparoscopic approach group) with demographic, radiological, intraoperative, renal functional, and oncological follow-up data were included.

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