Functional Outcomes of Robot-Assisted and Laparoscopic Partial Nephrectomy for cT1a and cT1b Renal Neoplasia with Low-Intermediate Tumor Complexity: Do Mass Localization, Ischemia, and Surgical Approach Matter?

Tumor localization, ischemia type, and surgical approach did not significantly impact functional outcomes in low-to-intermediate complexity cT1 renal tumors. Comparable renal recovery was observed with both on-/off-clamp and robotic/laparoscopic techniques, as long as ischemia remained under 30 min. In this setting, the ischemic strategy may be chosen to enhance visibility and maximize parenchymal preservation.

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Publication Details

Journal
Annals of Surgical Oncology
Published
2025-10-28
DOI
https://doi.org/10.1245/s10434-025-18554-5
Citations
1
Primary Topic
Renal cell carcinoma treatment
Type
article
Field-Weighted Citation Impact
1.52
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article

Functional Outcomes of Robot-Assisted and Laparoscopic Partial Nephrectomy for cT1a and cT1b Renal Neoplasia with Low-Intermediate Tumor Complexity: Do Mass Localization, Ischemia, and Surgical Approach Matter?

Francesco Saverio Grossi, Gianluigi Califano, Francesco Di Bello, Arman Tsaturyan et al.
1 citations
Annals of Surgical Oncology
Renal cell carcinoma treatment
1.52
article

Functional Outcomes of Robot-Assisted and Laparoscopic Partial Nephrectomy for cT1a and cT1b Renal Neoplasia with Low-Intermediate Tumor Complexity: Do Mass Localization, Ischemia, and Surgical Approach Matter?

Francesco Saverio Grossi, Gianluigi Califano, Francesco Di Bello, Arman Tsaturyan, Fabrizio Di Benedetto, A. Balestra, Claudia Collà Ruvolo, Pier Paolo Prontera, Simone Morra, Angelo Porreca, Marco Lattarulo, L. Di Gianfrancesco
article en
1 citations

Abstract

Tumor localization, ischemia type, and surgical approach did not significantly impact functional outcomes in low-to-intermediate complexity cT1 renal tumors. Comparable renal recovery was observed with both on-/off-clamp and robotic/laparoscopic techniques, as long as ischemia remained under 30 min. In this setting, the ischemic strategy may be chosen to enhance visibility and maximize parenchymal preservation.

Annals of Surgical OncologyVol. 33(2)
Martin University (US), Humanitas Gavazzeni (IT), Erebouni Medical Center (AM), Ospedale SS. Annunziata (IT), Yerevan State Medical University (AM), University of Naples Federico II (IT)
Openalex Percentile: Top 13%
Renal cell carcinoma treatment
1.52
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