TY - JOUR
T1 - Robotic-assisted partial nephrectomy
T2 - Surgical technique using a 3-arm approach and sliding-clip renorrhaphy
AU - Cabello, Jose M.
AU - Benway, Brian M.
AU - Bhayani, Sam B.
PY - 2009/3
Y1 - 2009/3
N2 - Introduction: For the treatment of renal tumors, minimally invasive nephron-sparing surgery has become increasingly performed due to proven efficiency and excellent functional and oncological outcomes. The introduction of robotics into urologic laparoscopic surgery has allowed surgeons to perform challenging procedures in a reliable and reproducible manner. We present our surgical technique for robotic assisted partial nephrectomy (RPN) using a 3-arm approach, including a sliding-clip renorrhaphy. Materials and Methods: Our RPN technique is presented which describes the trocar positioning, hilar dissection, tumor identification using intraoperative ultrasound for margin determination, selective vascular clamping, tumor resection, and reconstruction using a sliding-clip technique. Conclusion: RPN using a sliding-clip renorrhaphy is a valid and reproducible surgical technique that reduces the challenge of the procedure by taking advantage of the enhanced visualization and control afforded by the robot. The renorrhaphy described is performed under complete control of the console surgeon, and has demonstrated a reduction in the warm ischemia times in our series.
AB - Introduction: For the treatment of renal tumors, minimally invasive nephron-sparing surgery has become increasingly performed due to proven efficiency and excellent functional and oncological outcomes. The introduction of robotics into urologic laparoscopic surgery has allowed surgeons to perform challenging procedures in a reliable and reproducible manner. We present our surgical technique for robotic assisted partial nephrectomy (RPN) using a 3-arm approach, including a sliding-clip renorrhaphy. Materials and Methods: Our RPN technique is presented which describes the trocar positioning, hilar dissection, tumor identification using intraoperative ultrasound for margin determination, selective vascular clamping, tumor resection, and reconstruction using a sliding-clip technique. Conclusion: RPN using a sliding-clip renorrhaphy is a valid and reproducible surgical technique that reduces the challenge of the procedure by taking advantage of the enhanced visualization and control afforded by the robot. The renorrhaphy described is performed under complete control of the console surgeon, and has demonstrated a reduction in the warm ischemia times in our series.
KW - Kidney
KW - Minimally invasive
KW - Nephrectomy
KW - Robotics
KW - Surgical procedures
UR - http://www.scopus.com/inward/record.url?scp=76249119280&partnerID=8YFLogxK
U2 - 10.1590/S1677-55382009000200010
DO - 10.1590/S1677-55382009000200010
M3 - Article
C2 - 19409124
AN - SCOPUS:76249119280
SN - 1677-5538
VL - 35
SP - 199
EP - 204
JO - International Braz J Urol
JF - International Braz J Urol
IS - 2
ER -