{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T02:56:26Z","timestamp":1773284186066,"version":"3.50.1"},"reference-count":34,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,11,2]],"date-time":"2016-11-02T00:00:00Z","timestamp":1478044800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004410","name":"T\u00fcrkiye Bilimsel ve Teknolojik Ara\u015ftirma Kurumu","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004410","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To assess the impact of approach on surgical outcomes in otherwise healthy obese patients undergoing partial nephrectomy for small renal masses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>\n                      Using our institutional partial nephrectomy database, we abstracted data on otherwise healthy (Charlson comorbidity score \u22641 and bilateral kidneys), obese patients (body mass index &gt;30 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ) with small renal masses (&lt;4 cm) treated between 2011 and 2015. The primary outcomes were intra\u2010operative transfusion, operating time, length of hospital stay (\n                      <jats:styled-content style=\"fixed-case\">LOS<\/jats:styled-content>\n                      ), and postoperative complications. The association between approach, open (\n                      <jats:styled-content style=\"fixed-case\">OPN<\/jats:styled-content>\n                      ) vs robot\u2010assisted partial nephrectomy (\n                      <jats:styled-content style=\"fixed-case\">RAPN<\/jats:styled-content>\n                      ), and outcomes was assessed by univariable and multivariable logistic regression analyses. Covariates included age, gender, obesity severity, tumour size and tumour complexity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 237 obese patients undergoing partial nephrectomy, 25% underwent\n                      <jats:styled-content style=\"fixed-case\">OPN<\/jats:styled-content>\n                      and 75% underwent\n                      <jats:styled-content style=\"fixed-case\">RAPN<\/jats:styled-content>\n                      . Apart from larger tumour size in the\n                      <jats:styled-content style=\"fixed-case\">OPN<\/jats:styled-content>\n                      group (2.8 vs 2.5 cm;\n                      <jats:italic>P<\/jats:italic>\n                      = 0.02), there was no significant difference between groups. The rate of intra\u2010operative blood transfusion (1.1 vs 10%;\n                      <jats:italic>P<\/jats:italic>\n                      = 0.01), the median operating time (180 vs 207 min;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.01) and the median ischaemia time (19.5 vs 27 min;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.01) were all greater for\n                      <jats:styled-content style=\"fixed-case\">OPN<\/jats:styled-content>\n                      . The\n                      <jats:styled-content style=\"fixed-case\">LOS<\/jats:styled-content>\n                      was significantly shorter for\n                      <jats:styled-content style=\"fixed-case\">RAPN<\/jats:styled-content>\n                      (3 vs 4 days;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.01). While the overall complication rate was higher for\n                      <jats:styled-content style=\"fixed-case\">OPN<\/jats:styled-content>\n                      (15.8 vs 31.7%;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.01), major complications were not significantly different (5.6 vs 1.7%;\n                      <jats:italic>P<\/jats:italic>\n                      = 0.20). On multivariable analyses,\n                      <jats:styled-content style=\"fixed-case\">OPN<\/jats:styled-content>\n                      independently predicted longer operating time, longer length of stay, and more overall complications.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      At a high\u2010volume centre, the robot\u2010assisted approach offers less blood transfusion, shorter operating time, faster recovery, and fewer peri\u2010operative complications compared with the open approach in obese patients undergoing partial nephrectomy for small renal masses. In this setting,\n                      <jats:styled-content style=\"fixed-case\">RAPN<\/jats:styled-content>\n                      may be a preferable treatment option.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.13675","type":"journal-article","created":{"date-parts":[[2016,10,11]],"date-time":"2016-10-11T16:25:39Z","timestamp":1476203139000},"page":"283-288","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Robot\u2010assisted approach improves surgical outcomes in obese patients undergoing partial nephrectomy"],"prefix":"10.1111","volume":"119","author":[{"given":"Ercan","family":"Malkoc","sequence":"first","affiliation":[{"name":"Department of Urology Cleveland Clinic Glickman Urological and Kidney Institute Cleveland OH USA"},{"name":"Urology Department Sultan Abdulhamid Education and Training Hospital University of Health Science Istanbul 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