Evidence mapPaperPMID 40531237Full record

ArticleWorld journal of urology2025

Safety and feasibility of prone retroperitoneal robotic-assisted partial nephrectomy (prRAPN): a novel posterior approach and perioperative results - a prospective study.

Xiao Yang, Hao Yu, Haonan Chen, Peikun Liu, Yiran Tao, Rongjie Bai, Pengchao Li, Pengfei Shao, Jie Li, Qiang Cao and 1 more

Abstract read
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Article in World journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Xiao Yang *Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.ORCID http://orcid.org/0000-0002-5429-9162
Hao Yu *Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.
Haonan Chen *Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.
Peikun LiuDepartment of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.
Yiran TaoDepartment of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.
Rongjie BaiDepartment of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.
Pengchao LiDepartment of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.
Pengfei ShaoDepartment of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.
Jie LiDepartment of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.
Qiang CaoDepartment of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China. qiang_cao@126.com.
Qiang LuDepartment of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China. doctorlvqiang@njmu.edu.cn.ORCID http://orcid.org/0000-0003-3589-2507

Funding

China Postdoctoral Science Foundation 2024M761211Jiangsu Province Hospital (the First Affiliated Hospital of Nanjing Medical University) Clinical Capacity Enhancement Project JSPH-MA-2022-5Nanjing Postdoctoral Science Foundation 2024BHS210National Natural Science Foundation of China 82273152Natural Science Foundation of Jiangsu Province BK20241128
6 · The paper itself

Abstract

purposeLateral positioning remains standard for retroperitoneal robotic-assisted partial nephrectomy (rRAPN). Emerging single-port systems have expanded supine positioning applications in rRAPN. This study evaluates the feasibility and safety of novel prone retroperitoneal RAPN (prRAPN).

methodsFrom August 2023 to December 2024, 108 patients with renal tumors in various anatomical locations prospectively underwent prRAPN. Demographic and perioperative parameters were analyzed.

resultsThis prospective cohort (n = 108) demonstrated median age 59 years, BMI 24.6 kg/m², R.E.N.A.L. score 7, and PADUA score 9. 10 patients had stage ≥ 3 chronic kidney disease, 75 had an age-adjusted charlson comorbidity index ≥ 2 and 23 had an American Society of Anesthesiologists score ≥ 3. All 86 patients with renal malignancies achieved negative surgical margins. Operative outcomes demonstrated median hilar access time 5.3 min, warm ischemia time 20.3 min, operation time 47.3 min, and estimated blood loss 50 mL. Postoperative 90-day ΔeGFR decreased by 7.2 mL/(min·1.73m

conclusionsPreliminary results demonstrated prRAPN is feasible and safe, which could expedite access to surgical area and improve exposure of posterior tumor. Larger-scale and multi-center studies are needed for confirmation.

Indexed as

Kidney NeoplasmsNephrectomyPatient PositioningRobotic Surgical ProceduresAdultAgedFeasibility StudiesFemaleHumansMaleMiddle AgedProne PositionProspective StudiesRetroperitoneal SpaceTreatment OutcomeProne positionRenal tumorRetroperitonealRobotic-assisted partial nephrectomy

Identifiers

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.