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De Nunzio et al. Mini-invasive Surg 2024;8:22 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2023.138

Review Open Access

Renorrhaphy techniques and effects on renal

function with robotic partial nephrectomy

Cosimo De Nunzio, Giorgia Tema, Nicola Ghezzo, Antonio Cicione
Department of Urology, Azienda Ospedaliera Sant’Andrea, Sapienza University, Rome 00185, Italy.

Correspondence to: Prof. Cosimo De Nunzio, Department of Urology, Azienda Ospedaliera Sant’Andrea, Sapienza University,
Via di Grottarossa 1035, Rome 00185, Italy. E-mail: cosimo.denunzio@uniroma1.it

How to cite this article: De Nunzio C, Tema G, Ghezzo N, Cicione A. Renorrhaphy techniques and effects on renal function with
robotic partial nephrectomy. Mini-invasive Surg 2024;8:22. https://dx.doi.org/10.20517/2574-1225.2023.138

Received: 21 Dec 2023 First Decision: 12 Jul 2024 Revised: 30 Aug 2024 Accepted: 25 Sep 2024 Published: 11 Oct 2024

Academic Editor: Giulio Belli Copy Editor: Dong-Li Li Production Editor: Dong-Li Li

Abstract
The management of small renal masses has evolved over the past several years. Partial nephrectomy is now
thought of as the standard of care for the management of small renal masses. Bleeding and calyceal injuries can be
challenging to manage and make the procedure technically challenging. The debate between renorrhaphy
techniques during robot-assisted partial nephrectomy represents a subject of ongoing discourse. We aim to
compare the perioperative and functional outcomes of different renorrhaphy during robot-assisted partial
nephrectomy. Our study suggests that different renorrhaphy techniques demonstrated comparable perioperative
and functional outcomes in terms of renal function.
Keywords: Robotic-assisted partial nephrectomy, renorraphy, renal function

INTRODUCTION
In 1870, Gustav Simon conducted the first partial nephrectomy . Over the following century, this surgical
[1]
procedure had limited application, mainly being designated for individuals with a single kidney, impaired
renal function, and masses in both kidneys. This limitation stemmed from worries about the likelihood of
[2]
local recurrence in multifocal tumors and the associated risks of bleeding, both during and after surgery .
The computed tomography (CT) dramatically transformed this scenario by enhancing the identification of
asymptomatic small renal masses, simplifying preoperative preparations, and promoting the use of partial
[3]
nephrectomy .

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