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Int J Urol. 2013 Sep;20(9):848-59. doi: 10.1111/iju.12177. Epub 2013 May 2.

Robotic partial nephrectomy: current technique and outcomes.

Author information

  • 1Department of Urology, Tulane University School of Medicine, New Orleans, LA, USA.

Abstract

Over the past decade, management of the T1 renal mass has focused on nephron-sparing surgery. Robotic partial nephrectomy has played an increasing role in the technique of preserving renal function by decreasing warm ischemia time, as well as optimizing outcomes of hemorrhage and fistula. Robot-assisted partial nephrectomy is designed to provide a minimally-invasive nephron-sparing surgical option utilizing reconstructive capability, decreasing intracorporeal suturing time, technical feasibility and safety. Ultimately, its benefits are resulting in its dissemination across institutions. Articulated instrumentation and three-dimensional vision facilitate resection, collecting system reconstruction and renorrhaphy, leading to decreased warm ischemia time while preserving oncological outcomes. The aim of the present review was to present our surgical sequence and technique, as well as review the current status of robot-assisted partial nephrectomy.

© 2013 The Japanese Urological Association.

KEYWORDS:

laparoscopy; nephron-sparing surgery; partial nephrectomy; renal cell carcinoma; robotics

PMID:
23635467
[PubMed - indexed for MEDLINE]
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