Impact of Robotic Fellowship Experience on Perioperative Outcomes of Robotic-Assisted Laparoscopic Partial Nephrectomy

Michael A Moriarty; Kenneth G Nepple; Chad R Tracy; Michael E Strigenz; Daniel K Lee; James A Brown

doi:10.1159/000442845

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Impact of Robotic Fellowship Experience on Perioperative Outcomes of Robotic-Assisted Laparoscopic Partial Nephrectomy

Journal article

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Peer reviewed

Impact of Robotic Fellowship Experience on Perioperative Outcomes of Robotic-Assisted Laparoscopic Partial Nephrectomy

Michael A Moriarty, Kenneth G Nepple, Chad R Tracy, Michael E Strigenz, Daniel K Lee and James A Brown

Current urology, Vol.9(1), pp.19-23

02/2016

DOI: 10.1159/000442845

PMCID: PMC4789880

PMID: 26989366

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Abstract

We analyzed differences in patient selection and perioperative outcomes between robotic-fellowship trained and non-fellowship trained surgeons in their initial experience with robotic-assisted laparoscopic partial nephrectomy. Data through surgeon case 10 was analyzed. Forty patients were identified from two fellowship trained surgeons (n = 20) and two non-fellowship trained surgeons (n = 20). Fellowship trained surgeons performed surgery on masses of higher nephrometry score (8.0 vs. 6.0, p = 0.007) and more posterior location (60 vs. 25%, p = 0.03). Retroperitoneal approach was more common (50 vs. 0%, p = 0.0003). Fellowship trained surgeons trended toward shorter warm ischemia time (25.5 vs. 31.0 min, p = 0.08). There was no significant difference in perioperative complications (35 vs. 35%, p = 0.45) or final positive margin rates (0 vs. 15%, p = 0.23). Fellowship experience may allow for treating more challenging and posterior tumors in initial practice and significantly more comfort performing retroperitoneal robotic-assisted laparoscopic partial nephrectomy.

Robotics

Fellowship training

Partial nephrectomy

Laparoscopic surgeries

Perioperative period

Details

Title: Subtitle: Impact of Robotic Fellowship Experience on Perioperative Outcomes of Robotic-Assisted Laparoscopic Partial Nephrectomy
Creators: Michael A Moriarty - Department of Urology, University of Iowa, Iowa City, Iowa, USA
Kenneth G Nepple - Department of Urology, University of Iowa, Iowa City, Iowa, USA
Chad R Tracy - Department of Urology, University of Iowa, Iowa City, Iowa, USA
Michael E Strigenz - Department of Urology, University of Iowa, Iowa City, Iowa, USA
Daniel K Lee - University of Iowa
James A Brown - Department of Urology, University of Iowa, Iowa City, Iowa, USA
Resource Type: Journal article
Publication Details: Current urology, Vol.9(1), pp.19-23
DOI: 10.1159/000442845
PMID: 26989366
PMCID: PMC4789880
NLM abbreviation: Curr Urol
ISSN: 1661-7649
eISSN: 1661-7657
Publisher: Switzerland
Language: English
Date published: 02/2016
Academic Unit: Roy J. Carver Department of Biomedical Engineering; Radiology; Urology
Record Identifier: 9984051725802771

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