{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T12:08:30Z","timestamp":1788005310164,"version":"build-2784847793"},"reference-count":29,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"vor","delay-in-days":28,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate the feasibility, safety, and short\u2010term oncological and functional outcomes of repeat robot\u2010assisted partial nephrectomy (RAPN) for ipsilateral local recurrence of renal cell carcinoma after partial nephrectomy (PN) and describe the relevant surgical strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively evaluated eight consecutive patients who underwent repeat RAPN between April 2019 and January 2026. Patient characteristics, perioperative outcomes, renal function, pathological findings, and adhesion severity were analyzed. Intraoperative adhesions were graded as minor or severe based on the surgeon's assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Eleven ipsilateral recurrent tumors were analyzed in eight patients. Repeat RAPN was successfully performed in all patients without conversion to open surgery or radical nephrectomy. The median operative time, warm ischemia time, and estimated blood loss were 157\u2009min, 15\u2009min, and 50\u2009mL, respectively. No major (Clavien\u2013Dindo grade \u2265\u2009III) complications occurred. All malignant tumors were pT1a with negative surgical margins. At the median follow\u2010up of 17.5\u2009months, no local recurrence or distant metastasis was observed. The median eGFR values at 1 and 3\u2009months were 57.1 and 55.7\u2009mL\/min\/1.73\u2009m\n                      <jats:sup>2<\/jats:sup>\n                      , respectively. Severe adhesions were more common among patients who did not receive anti\u2010adhesion agents during initial surgery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Repeat RAPN may be a feasible and safe salvage option for ipsilateral recurrence after PN, with acceptable early oncological and functional outcomes. Our findings suggest that anti\u2010adhesion agent use during the initial PN may be associated with reduced adhesion\u2010related difficulty during subsequent reoperations, although further validation is needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/iju.70581","type":"journal-article","created":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T12:06:34Z","timestamp":1785326794000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Feasibility and Safety of Repeat Robot\u2010Assisted Partial Nephrectomy for Ipsilateral Local Recurrence: A Case Series"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-5593-5527","authenticated-orcid":false,"given":"Nao","family":"Yukimatsu","sequence":"first","affiliation":[{"name":"Department of Urology, Graduate School of Medicine Osaka Metropolitan University  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeshi","family":"Yamasaki","sequence":"additional","affiliation":[{"name":"Department of Urology, Graduate School of Medicine Osaka Metropolitan University  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taisuke","family":"Matsue","sequence":"additional","affiliation":[{"name":"Department of Urology, Graduate School of Medicine Osaka Metropolitan University  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0363-9729","authenticated-orcid":false,"given":"Shoma","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of Urology, Graduate School of Medicine Osaka Metropolitan University  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taiyo","family":"Otoshi","sequence":"additional","affiliation":[{"name":"Department of Urology, Graduate School of Medicine Osaka Metropolitan University  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minoru","family":"Kato","sequence":"additional","affiliation":[{"name":"Department of Urology, Graduate School of Medicine Osaka Metropolitan University  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junji","family":"Uchida","sequence":"additional","affiliation":[{"name":"Department of Urology, Graduate School of Medicine Osaka Metropolitan University  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,29]]},"reference":[{"issue":"3","key":"e_1_2_12_2_1","first-page":"229","article-title":"Global Cancer Statistics 2022: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries","volume":"74","author":"Bray F.","year":"2024","journal-title":"CA: A Cancer Journal for Clinicians"},{"issue":"4","key":"e_1_2_12_3_1","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1016\/j.eururo.2022.03.006","article-title":"European Association of Urology Guidelines on Renal Cell Carcinoma: The 2022 Update","volume":"82","author":"Ljungberg B.","year":"2022","journal-title":"European Urology"},{"issue":"1","key":"e_1_2_12_4_1","doi-asserted-by":"crossref","first-page":"72","DOI":"10.4103\/0972-9941.147699","article-title":"Comparison of Surgical, Functional, and Oncological Outcomes of Open and Robot\u2010Assisted Partial Nephrectomy","volume":"11","author":"Boylu U.","year":"2015","journal-title":"Journal of Minimal Access Surgery"},{"issue":"12","key":"e_1_2_12_5_1","doi-asserted-by":"crossref","first-page":"1468","DOI":"10.1089\/end.2013.0197","article-title":"Renal Cell Recurrence for T1 Tumors After Laparoscopic Partial Nephrectomy","volume":"27","author":"Kreshover J. 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