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Carilli et al. Mini-invasive Surg 2024;8:9 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2023.132

Brief Communication Open Access

Robot-assisted partial nephrectomy in patients with

multiple ipsilateral renal tumors: single-centre
experience

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Marco Carilli , Riccardo Bertolo 2 , Matteo Vittori , Valerio Iacovelli , Michele Antonucci , Marta Signoretti ,
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Francesco Maiorino , Filomena Petta , Pierluigi Bove 1,3
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Urology Unit, San Carlo di Nancy Hospital - GVM Care and Research, Rome 00165, Italy.
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Department of Urology, AOUI Verona, Verona 37126, Italy.
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Department of Surgical Sciences, Tor Vergata University of Rome, Rome 00133, Italy.
Correspondence to: Dr. Marco Carilli, Urology Unit, San Carlo di Nancy Hospital - GVM Care and Research, Via Aurelia 275,
Rome 00165, Italy. E-mail: carillimarco@gmail.com
How to cite this article: Carilli M, Bertolo R, Vittori M, Iacovelli V, Antonucci M, Signoretti M, Maiorino F, Petta F, Bove P. Robot-
assisted partial nephrectomy in patients with multiple ipsilateral renal tumors: single-centre experience. Mini-invasive Surg
2024;8:9. https://dx.doi.org/10.20517/2574-1225.2023.132
Received: 27 Nov 2023 First Decision: 5 Jun 2024 Revised: 18 Jun 2024 Accepted: 2 Jul 2024 Published: 5 Jul 2024
Academic Editor: Richard Naspro Copy Editor: Dong-Li Li Production Editor: Dong-Li Li

Abstract
Aim: This study aimed to report the perioperative outcomes of off-clamp robot-assisted partial nephrectomy
(RAPN) for multiple ipsilateral renal tumours at our Institution.

Methods: Data of consecutive patients affected by multiple ipsilateral renal tumours managed by RAPN between
September 2018 and June 2023 were retrospectively analysed. Perioperative and post-operative data were
collected. Eventual intra- and post-operative complications with or without readmissions (occurred within 30 days)
were recorded and classified according to Clavien-Dindo system. Final pathology examination of excised tumours
was performed.

Results: Twelve patients were included in the analysis. Median tumour size was 34 mm and median R.E.N.A.L.
[(R)adius (tumour size as maximal diameter), (E)xophytic/endophytic properties of the tumour, (N)earness of
tumour deepest portion to the collecting system or sinus, (A)nterior (a)/posterior (p) descriptor and the
(L)ocation relative to the polar line] score was 6. Median console time was 134 min. An off-clamp approach with
pure enucleation was possible in 20 out of 28 lesions (71.4%). Median estimated blood loss was 200 mL. No
differences were observed in renal function both at discharge and after 30 days, with respect to baseline. No
intraoperative complications were recorded. Post-operative complications occurred in two patients, both classified

© The Author(s) 2024. Open Access This article is licensed under a Creative Commons Attribution 4.0
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