This was the first live televised kidney surgery. I performed it at Newark Beth Israel Medical Center in May of 2007. We telecasted it to Anaheim at the Intuitive Surgical display at the AUA national meeting.
The mean total operative time (140 vs 156 minutes, P = .04), warm ischemia time (19 vs 25 minutes, P = .03), and length of stay (2.5 vs 2.9 days, P = .03) were significantly shorter for RPN than for LPN, respectively.
RPN can produce results comparable to LPN but has disadvantages, such as cost and assistant control of the renal hilum. Additional randomized trials are needed.
A friend and expert robotic renal surgeon, Dr Bhayani, discusses his results with robotic partial nephrectomy.
The most important finding is the improvement in warm ischemia time, the amount of time the kidney is not receiving blood supply.
Another important finding is that the operation can be done quicker robotically, which can translate into a cost savings that will partially offset the increased cost of the robotic equipment.