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Comparative analysis of Robotic vs 3D-Laparoscopic Partial Nephrectomy in Renal Tumors

D. Soni¹, D. Kumar¹, D. Navriya¹, D. Bhirud¹, D. Singh¹, D. Choudhary¹, D. Sandhu¹

¹AIIMS Jodhpur, Urology, Jodhpur, India

Introduction:

The aim of this study was to compare the outcomes of robotic-assisted partial nephrectomy (RAPN) and 3D-laparoscopic partial nephrectomy (3D-LPN) for the management of renal tumors, focusing on perioperative variables, postoperative recovery, and long-term oncological and functional results.

Material and methods:

We conducted a retrospective analysis of renal tumor patients who underwent RAPN or 3D-LPN at our institution. Outcomes evaluated included operative time, blood loss, length of hospital stay, complication rates, and positive margin rate

Results:

The mean warm ischemia time was significantly shorter in the robotic PN group (22.40 ± 8.0 minutes) compared to the 3D-laparoscopic PN group (40.49 ± 7.3 minutes, p < 0.05). Estimated blood loss showed a trend toward lower values in the robotic PN group (189.5 ± 35 ml) compared to the 3D-laparoscopic PN group (258.8 ± 28 ml), though this difference was not statistically significant (p = 0.057). Conversely, operation time was significantly longer in the robotic PN group (282.17 ± 60 minutes) compared to the 3D-laparoscopic PN group (205.24 ± 71 minutes, p < 0.05).