Surgical outcomes of robotic bilateral nephrectomy compared to open surgery in adult polycystic kidney disease

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ADPKD affects 4 to 7 million people globally and leads to end-stage renal disease in up to 75% of patients by age 70.
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Robotic bilateral nephrectomy (RNx) shows improved outcomes over open nephrectomy (ONx), including reduced blood loss and shorter hospital stays.
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Patients undergoing RNx had a median operative time of 311 minutes, while ONx patients had a median time of 279 minutes, with no significant difference.
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Post-operative complications were significantly lower in the RNx group (11.8%) compared to the ONx group (66.7%), indicating better safety.
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Robotic-assisted nephrectomy may enhance surgical feasibility and outcomes for patients with massively enlarged kidneys in ADPKD.

World Journal Of Urology

by Peris Castaneda, John Masterson, Aurash Naser-Tavakolian, Irene Kim, Reiad Najjar, Amit Gupta
May 5, 2025

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