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Renal cell carcinoma

Conference
EAU 2019
Trial
OpeRA
The benefit of robot-assisted partial nephrectomy over open partial nephrectomy still needs to be proven. Dr Soo Jung and colleagues (Seoul National University College of Medicine, South Korea) included patients with a renal score of at least 8, comparing robot-assisted partial nephrectomy (RAPN) (n=336) to open partial nephrectomy (OPN) (n=372) in complex renal tumours. Operating times were somewhat faster in the robot-assisted arm, suggesting that they were highly experienced surgeons. The authors saw significant improvements in post-operative pain and median length of hospital stay; however, there was no benefit with regard to the complication rate. Given that a few trials have reported a reduction of complication rates with RAPN [1], the value of RAPN still needs to be determined. This topic will also be investigated in a study by Prof. Arnulf Stenzl (University of T├╝bingen Medical School, Germany) and Prof. Marc-Oliver Grimm (Universit├Ątsklinikum Jena...


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