E-ISSN 2149-388X | ISSN 2149-0430
 

Original Research (Original Article) 


Robotic Nephrectomy vs Open Nephrectomy: Comparison of Complications and Oncological Outcomes

Omar Ibrahim Alhaidari, Maher Saleh Moazin, Abdullah Adel Kokandi, Reema Mohammed Alhussein, Ahmed Ali Alghaith.

Abstract
Background: Many patients present in the late stage of renal cell carcinoma (RCC) which need to be resected, there are two surgical approaches (open and robotic). We aim to identify and compare the complications and outcomes following radical robotic nephrectomy and open radical nephrectomy.
Materials and Method: Cross-sectional study, compares demographical characteristic, surgical procedure details, oncological results and operative complications between open and robotic. Patients were followed for six months after the surgery. Data were collected from the year of 2008 to 2016 for patients who underwent radical nephrectomy.
Results: The study included 70 patients, (n:42) 60% open and (n:28) 40% robotic. Mean age was 5514 years. Demographics were similar in both groups. Mean blood loss was significantly higher in open nephrectomy (p=0.042). Mean operation time was almost similar. Mean hospitalization length was less by half in the robotic group (p=0.007). Mean tumor size was larger in open group by 2.2 cm (p=0.018). A high number of complications was noted in the open approach compared with robotic in most categories. Seventy-five percent of the complications occurred in the first month, and only twenty-five percent was between 1 to 6 months following the surgery.
Conclusion: Robotic radical nephrectomy for RCC has the advantage over open surgery in the amount of blood loss, operative time, hospitalization length and some complications.

Key words: Nephrectomy; renal cell carcinoma; surgical outcome; complication; robotic nephrectomy; Radical Nephrectomy.


 
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How to Cite this Article
Pubmed Style

Alhaidari OI, Moazin MS, Kokandi AA, Alhussein RM, Alghaith AA. Robotic Nephrectomy vs Open Nephrectomy: Comparison of Complications and Oncological Outcomes. Ulutas Med J. 2018; 4(4): 221-226. doi:10.5455/umj.20180913113022


Web Style

Alhaidari OI, Moazin MS, Kokandi AA, Alhussein RM, Alghaith AA. Robotic Nephrectomy vs Open Nephrectomy: Comparison of Complications and Oncological Outcomes. https://www.ulutasmedicaljournal.com/?mno=8380 [Access: June 25, 2019]. doi:10.5455/umj.20180913113022


AMA (American Medical Association) Style

Alhaidari OI, Moazin MS, Kokandi AA, Alhussein RM, Alghaith AA. Robotic Nephrectomy vs Open Nephrectomy: Comparison of Complications and Oncological Outcomes. Ulutas Med J. 2018; 4(4): 221-226. doi:10.5455/umj.20180913113022



Vancouver/ICMJE Style

Alhaidari OI, Moazin MS, Kokandi AA, Alhussein RM, Alghaith AA. Robotic Nephrectomy vs Open Nephrectomy: Comparison of Complications and Oncological Outcomes. Ulutas Med J. (2018), [cited June 25, 2019]; 4(4): 221-226. doi:10.5455/umj.20180913113022



Harvard Style

Alhaidari, O. I., Moazin, . M. S., Kokandi, . A. A., Alhussein, . R. M. & Alghaith, . A. A. (2018) Robotic Nephrectomy vs Open Nephrectomy: Comparison of Complications and Oncological Outcomes. Ulutas Med J, 4 (4), 221-226. doi:10.5455/umj.20180913113022



Turabian Style

Alhaidari, Omar Ibrahim, Maher Saleh Moazin, Abdullah Adel Kokandi, Reema Mohammed Alhussein, and Ahmed Ali Alghaith. 2018. Robotic Nephrectomy vs Open Nephrectomy: Comparison of Complications and Oncological Outcomes. THE ULUTAS MEDICAL JOURNAL, 4 (4), 221-226. doi:10.5455/umj.20180913113022



Chicago Style

Alhaidari, Omar Ibrahim, Maher Saleh Moazin, Abdullah Adel Kokandi, Reema Mohammed Alhussein, and Ahmed Ali Alghaith. "Robotic Nephrectomy vs Open Nephrectomy: Comparison of Complications and Oncological Outcomes." THE ULUTAS MEDICAL JOURNAL 4 (2018), 221-226. doi:10.5455/umj.20180913113022



MLA (The Modern Language Association) Style

Alhaidari, Omar Ibrahim, Maher Saleh Moazin, Abdullah Adel Kokandi, Reema Mohammed Alhussein, and Ahmed Ali Alghaith. "Robotic Nephrectomy vs Open Nephrectomy: Comparison of Complications and Oncological Outcomes." THE ULUTAS MEDICAL JOURNAL 4.4 (2018), 221-226. Print. doi:10.5455/umj.20180913113022



APA (American Psychological Association) Style

Alhaidari, O. I., Moazin, . M. S., Kokandi, . A. A., Alhussein, . R. M. & Alghaith, . A. A. (2018) Robotic Nephrectomy vs Open Nephrectomy: Comparison of Complications and Oncological Outcomes. THE ULUTAS MEDICAL JOURNAL, 4 (4), 221-226. doi:10.5455/umj.20180913113022