{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T14:57:09Z","timestamp":1770994629388,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,4,16]],"date-time":"2018-04-16T00:00:00Z","timestamp":1523836800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To describe our surgical technique and to report perioperative, 3\u2010year oncological and functional outcomes of a single\u2010center series of purely off\u2010clamp robotic partial nephrectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective renal cancer institutional database was queried, and data of consecutive patients treated with purely off\u2010clamp robotic partial nephrectomy between 2010 and 2015 in a high\u2010volume center were collected. Perioperative complications, and 3\u2010year oncological and functional outcomes were assessed. Univariable and multivariable analyses were carried out to identify independent predictors of renal function deterioration.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Out of 308 patients treated, 41 (13.3%) experienced perioperative complications, 2.9% of which were Clavien grade\u00a0\u22653. The 3\u2010year local recurrence\u2010free survival and renal cell carcinoma\u2010specific survival rates were 99.5% and 97.9%, respectively. No patient with preoperative chronic kidney disease stage\u00a0\u22643B developed severe renal function deterioration (chronic kidney disease stage\u00a04) at 1\u2010year follow up. At multivariable analysis, preoperative estimated glomerular filtration rate (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.005) was the only independent predictor of a new\u2010onset chronic kidney disease stage\u00a0\u22653 in patients with preoperative chronic kidney disease stages\u00a01 or 2.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Off\u2010clamp robotic partial nephrectomy is a safe surgical approach in tertiary referral centers, with adequate oncological outcomes and negligible impact on renal function.<\/jats:p><\/jats:sec>","DOI":"10.1111\/iju.13580","type":"journal-article","created":{"date-parts":[[2018,4,17]],"date-time":"2018-04-17T01:52:33Z","timestamp":1523929953000},"page":"606-614","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":36,"title":["Purely off\u2010clamp robotic partial nephrectomy: Preliminary 3\u2010year oncological and functional outcomes"],"prefix":"10.1111","volume":"25","author":[{"given":"Giuseppe","family":"Simone","sequence":"first","affiliation":[{"name":"Department of Urology \u201cRegina Elena\u201d National Cancer Institute Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonardo","family":"Misuraca","sequence":"additional","affiliation":[{"name":"Department of Urology \u201cRegina Elena\u201d National Cancer Institute Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriele","family":"Tuderti","sequence":"additional","affiliation":[{"name":"Department of Urology \u201cRegina Elena\u201d National Cancer Institute Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Minisola","sequence":"additional","affiliation":[{"name":"Department of Urology \u201cRegina Elena\u201d National Cancer Institute Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariaconsiglia","family":"Ferriero","sequence":"additional","affiliation":[{"name":"Department of Urology \u201cRegina Elena\u201d National Cancer Institute Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Romeo","sequence":"additional","affiliation":[{"name":"Department of Urology \u201cRegina Elena\u201d National Cancer Institute Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuela","family":"Costantini","sequence":"additional","affiliation":[{"name":"Department of Urology \u201cRegina Elena\u201d National Cancer Institute Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samer F","family":"Al\u2010Rawashdah","sequence":"additional","affiliation":[{"name":"Urology Unit Department of Special Surgery Mutah University Karak Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salvatore","family":"Guaglianone","sequence":"additional","affiliation":[{"name":"Department of Urology \u201cRegina Elena\u201d National Cancer Institute Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michele","family":"Gallucci","sequence":"additional","affiliation":[{"name":"Department of Urology \u201cRegina Elena\u201d National Cancer Institute Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,4,16]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2015.01.005"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2009.07.004"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1569-9056(08)60490-X"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2015.04.020"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2011.07.068"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-130-6-199903160-00002"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2014.06.002"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2011.10782.x"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2011.12.068"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2005.10.020"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000124846.37299.5e"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2010.12.013"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(95)96306-5"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.4111\/kju.2007.48.7.671"},{"key":"e_1_2_7_17_1","first-page":"543","article-title":"Renal ischemia and function after partial nephrectomy: a collaborative review of the literature","volume":"59","author":"Volpe A","year":"2011","journal-title":"Eur. 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