Results and initial experience of robot - assisted radical nephrectomy at Binh Dan Hospital

Abstract Introduction: To evaluate and analyze the initial experience of robot-assisted radical nephrectomy (RARN) at Binh Dan Hospital. Patients and Methods: We retrospectively analyzed data from 46 patients diagnosed with renal tumors who underwent RARN at Binh Dan Hospital from January 2023 to May 2024. Clinical characteristics, surgical procedures, and complications were recorded and analyzed. Results: 46 patients (29 males, 17 females, median age 58 years, range 48 to 69) were treated. The median tumor diameter was 68 mm with 24, 20 and 2 patients were classified into cT1N0M0, cT2N0M0 and cT3aN0M0, respectively. No patients required conversion to open surgery, and the median operative time and docking time were 158 and 14 minutes, respectively. The median estimated blood loss was 46ml, and no patient required blood transfusion. During the perioperative period, no major complications corresponding to Clavien-Dindo grade ≥ 3 occurred. Conclusion: Based on this study, we preliminarily conclude that RARN is a safe and effective method. The study also helps reinforce the evidence that RARN as a promising alternative solution to conventional laparoscopic surgery in cases of complex renal tumors or instances where robot-assisted partial nephrectomy is not feasible. Keywords: Robot-assisted radical nephrectomy, renal tumor, renal