{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T04:19:58Z","timestamp":1787717998255,"version":"build-2784847793"},"reference-count":28,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJUI Compass"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to report the impact of minimally invasive partial nephrectomy (PN) on short\u2010 and long\u2010term renal functional outcomes through a single\u2010institution, long\u2010term experience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed consecutive patients who underwent retroperitoneal laparoscopic and\/or robotic\u2010assisted PN for renal masses by a single surgeon between 2016 and 2025. A multimodal perioperative renal\u2010protective protocol was routinely utilized. Baseline estimated glomerular filtration rate (eGFR) was compared with early and late postoperative eGFR changes surveilled over a 2\u2010year period post\u2010PN. Multivariate regression analysis of multiple variables was performed for the association with change in eGFR at 2\u2010year follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 281 patients with a mean (standard deviation [SD]) age of 67.70 (\u00b110.05) years were included. Mean (SD) baseline serum creatinine and eGFR were 1.04 (\u00b10.31) mg\/dL and 74.08 (\u00b119.28) mL\/min, respectively. Mean eGFR showed an early postoperative significant decline to 63.98\u2009\u00b1\u200919.8\u2009mL\/min at 2\u2009weeks, followed by delayed recovery at 6\u2009months (69.23\u2009\u00b1\u200920.87) and then stabilization through 1\u2010 (69.4\u2009\u00b1\u200919.26) and 2\u2010year (68.15\u2009\u00b1\u200919.67) follow\u2010up. Multivariate logistic regression analysis identified renal mass size (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u20090.001, odds ratio [OR]\u2009=\u20094.78, 95% confidence interval [CI]: 3.34 to 6.23) and preop eGFR (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u20090.001, OR\u2009=\u20090.13, 95% CI: 0.06 to 0.2) as the independent significant predictors of functional decline at 2\u2010year follow\u2010up, whereas other variables including warm ischaemia time (WIT) were statistically insignificant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>After PN, renal function demonstrates a pattern of early decline followed by substantial recovery over time. Tumour size and preoperative eGFR were the main predictors of late eGFR changes. With proper surgical techniques and perioperative renal\u2010protective strategies, the effect of WIT can be mitigated.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/bco2.70268","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T07:17:31Z","timestamp":1787037451000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Renal functional outcomes after minimally invasive partial nephrectomy, single\u2010surgeon experience"],"prefix":"10.1002","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3341-3648","authenticated-orcid":false,"given":"Mohamed","family":"Elsaqa","sequence":"first","affiliation":[{"name":"Department of Urology Phelps Hospital, Northwell Health  Sleepy Hollow New York USA"},{"name":"Faculty of Medicine Alexandria University  Alexandria Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4176-8246","authenticated-orcid":false,"given":"Ahmed","family":"Rabie","sequence":"additional","affiliation":[{"name":"Department of Urology Phelps Hospital, Northwell Health  Sleepy Hollow New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Israel","family":"Franco","sequence":"additional","affiliation":[{"name":"Yale School of Medicine  New Heaven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Fishman","sequence":"additional","affiliation":[{"name":"Department of Urology Phelps Hospital, Northwell Health  Sleepy Hollow New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wayne","family":"Debeatham","sequence":"additional","affiliation":[{"name":"Department of Urology Phelps Hospital, Northwell Health  Sleepy Hollow New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Grasso","sequence":"additional","affiliation":[{"name":"Department of Urology Phelps Hospital, Northwell Health  Sleepy Hollow New York USA"},{"name":"Department of Urology New York Medical College  Valhalla New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,18]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000001912"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2025.02.020"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2018.11.038"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.16093"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2010.05.047"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urolonc.2024.11.002"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12894-025-01803-w"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2015.01.093"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urolonc.2011.02.015"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2015.01.025"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-017-0734-9"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2015.04.044"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.13614"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/UPJ.0000000000000779"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2015.04.043"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2012.04.079"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2008.08.036"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.11941116"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2009.02.026"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2012.02.001"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2013.03.068"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.15848"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2010.06.011"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2011.03.154"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urolonc.2022.04.004"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urolonc.2024.09.018"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2018.06.019"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2011.04.065"}],"container-title":["BJUI Compass"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/bco2.70268","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/bco2.70268","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/bco2.70268","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T03:42:08Z","timestamp":1787715728000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/10.1002\/bco2.70268"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":28,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1002\/bco2.70268"],"URL":"https:\/\/doi.org\/10.1002\/bco2.70268","archive":["Portico"],"relation":{},"ISSN":["2688-4526","2688-4526"],"issn-type":[{"value":"2688-4526","type":"print"},{"value":"2688-4526","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"2026-06-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70268"}}