Training Fellows in Robot-Assisted Partial Nephrectomy Under Expert Surgeon Supervision: Insights from a Single-Center Study.

The French journal of urology Pub Date : 2025-07-24 DOI:10.1016/j.fjurol.2025.102928

Erica Gallner, Franck Bruyère, Ali Bourgi

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Abstract

Background: Robot-assisted partial nephrectomy (RAPN) is a preferred technique for treating localized renal tumors due to its potential to preserve renal function. This study aimed to assess the impact of young surgeon's training on perioperative outcomes of RAPN.

Methods: This retrospective study described the outcomes of RAPN performed by surgical fellows under the supervision of experienced surgeons at a single center. A total of 298 RAPN procedures were analyzed, comparing 130 performed by fellows (Junior group) and 168 by expert surgeons (Senior group).

Results: While operative time (203 vs. 130 minutes) and warm ischemia time (17 vs. 15 minutes) were longer in Junior group, there were no significant differences in intraoperative blood loss, postoperative complications, or positive surgical margins between the two groups.

Conclusion: These results suggest that with proper supervision, fellows can safely perform RAPN with outcomes comparable to those of more experienced surgeons.

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在专家外科医生监督下的机器人辅助部分肾切除术培训研究员：来自单中心研究的见解。

背景：机器人辅助部分肾切除术（RAPN）是治疗局部肾肿瘤的首选技术，因为它具有保留肾功能的潜力。本研究旨在评估年轻外科医生的培训对RAPN围手术期预后的影响。方法：本回顾性研究描述了在单个中心由经验丰富的外科医生监督下的外科研究员进行RAPN的结果。共有298例RAPN手术进行了分析，比较了130例由研究员（初级组）和168例由专家外科医生（高级组）进行的手术。结果：青年组的手术时间（203 vs. 130分钟）和热缺血时间（17 vs. 15分钟）较青年组长，但两组在术中出血量、术后并发症、阳性切界等方面无显著差异。结论：这些结果表明，在适当的监督下，研究员可以安全地进行RAPN，其结果与经验丰富的外科医生相当。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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The French journal of urology

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