In recent years, Robotic Partial Nephrectomy (PMN) has prevailed as the method of choice for the removal of selected, peripheral renal tumors, 4 cm, where technically they are offered for partial removal or, necessarily in tumors that are located in a solitary kidney in order not to lead the patient to nephrectomy and dialysis.
However, even with the addition of the Da Vinci robotic system, partial nephrectomy remains a technically difficult operation for the surgeon.
How will the patient choose?
Numerous studies, mainly from the United States of America (USA), have the object of the correlation between the degree of experience of the surgeon in the PMN and the degree of experience of the hospital center in relation to the postoperative results, but also the postoperative complications.
The conclusions drawn from these studies are quite interesting.
“So it seems that the more experienced the robotic surgeon who will perform the PMN, the more the rates of postoperative complications are reduced, the length of stay in the hospital, and in addition the better oncological results are achieved.”
In addition, the experience of the hospital center where the operation will take place is an essential factor for the smooth postoperative course of the patient (specialized staff, proper cooperation of medical and nursing staff, appropriate logistical infrastructure).
Who is considered an experienced robotic surgeon?
The answer is also given here by studies conducted in US centers.
The results of the studies showed that an experienced robotic surgeon is one who performs at least 15-20 PMN per year.
The more experienced the robotic surgeon who will perform the PMN, the lower the rates of postoperative complications, the length of hospital stay, and the better the oncological results.
What is the experience at PMN at the Metropolitan Therapeutic Robotic Urology Center?
The Director of the Robotic Urology Center Mr. Vassilios Poulakis has carried out from 2011 to 2017 more than 450 PMN, with very high success rates based on international standards.
Besides, in the center of the Metropolitan Hospital robotic surgeries are performed that cover the whole range of urological diseases.
Consequently and based on international standards, Mr. Poulakis is considered one of the most experienced robotic surgeons at a pan-European level, having in his assets a total of> 5,000 robotic surgeries to date.
In addition, the Metropolitan Hospital ensures a high level of safety and care of the patient, with the availability of the most modern material infrastructure, but also the well-trained staff covering the high requirements of the patient’s postoperative follow-up.
In conclusion, we must emphasize that the maximum benefits that the patient who will undergo PMN will have come when the “tool” called the robotic system is in the hands of a well-trained and experienced surgeon, who is able to use all the benefits offered by the use of the robotic system for the benefit of the patient “, the doctor concludes.
Writes:
Mr. Vassilios Poulakis, Associate Professor, Director of the General Laparoscopic and Robotic Urology Clinic at the Metropolitan Hospital
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