Japanese Journal of Endourology and Robotics
Online ISSN : 2436-875X
Urologist at Work
Clinical Comparison of Robot-Assisted Radical Nephrectomy and Laparoscopic Radical Nephrectomy at Our Hospital
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2025 Volume 38 Issue 1 Pages 165-167

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Abstract

Background : Robotic-assisted radical nephrectomy (RARN) has been widely adopted worldwide. This study aimed to compare perioperative outcomes between RARN and laparoscopic radical nephrectomy (LRN) in a single institution.

Methods : We retrospectively analyzed 40 RARN and 39 LRN cases performed between January 2019 and August 2024. Perioperative outcomes were compared between the two groups.

Results : The RARN group demonstrated significantly shorter operative time (126 vs 183 minutes, p<0.01) and pneumoperitoneum time (98.5 vs 155 minutes, p<0.01) compared to the LRN group. No significant differences were observed in patient characteristics, perioperative complications, or blood loss. Surgical material costs tended to be slightly higher in the RARN group.

Conclusion : RARN showed reduced operative time with comparable safety to LRN. Considering potential economic benefits with labor costs, RARN may be a viable option for suitable patients. Further studies are needed to validate these findings.

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© 2025 Japanese Society of Endourology and Robotics
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