Robot-assisted partial nephrectomy in contemporary practice
Open Access
- 1 January 2013
- journal article
- Published by Frontiers Media SA in Frontiers in Oncology
- Vol. 2, 213
- https://doi.org/10.3389/fonc.2012.00213
Abstract
Laparoscopic renal surgery is associated with reduced blood loss, shorter hospital stay, enhanced cosmesis, and more rapid convalescence relative to open renal surgery. Laparoscopic partial nephrectomy (LPN) is a minimally invasive, nephron-sparing alternative to laparoscopic radical nephrectomy (RN) for the management of small renal masses. While offering similar oncological outcomes to laparoscopic RN, the technical challenges and prolonged learning curve associated with LPN limit its wider dissemination. Robot-assisted partial nephrectomy (RAPN), although still an evolving procedure with no long-term data, has emerged as a viable alternative to LPN, with favorable preliminary outcomes. This article provides an overview of the role of RAPN in the management of renal cell carcinoma. The clinical indications and principles of surgical technique for this procedure are discussed. The oncological, renal functional, and perioperative outcomes of RAPN are also evaluated, as are complication rates.This publication has 51 references indexed in Scilit:
- Prospective multi-center study of oncologic outcomes of robot-assisted partial nephrectomy for pT1 renal cell carcinomaBMC Urology, 2012
- Description of a multicenter safety checklist for intraoperative hemorrhage control while clamped during robotic partial nephrectomyPatient Safety in Surgery, 2012
- Current status of robotic partial nephrectomy (RPN)BJU International, 2011
- Robotics Applied in Laparoscopic Kidney Surgery: The Yonsei University Experience of 127 CasesUrology, 2011
- Robotic Versus Laparoscopic Partial Nephrectomy: Single-surgeon Matched Cohort Study of 150 PatientsUrology, 2010
- Every Minute Counts When the Renal Hilum Is Clamped During Partial NephrectomyEuropean Urology, 2010
- Robot-assisted Partial Nephrectomy: A Large Single-institutional ExperienceUrology, 2010
- Robotic Partial Nephrectomy for Renal Tumors Larger Than 4cmEuropean Urology, 2010
- Robotic Partial Nephrectomy with Sliding-Clip Renorrhaphy: Technique and OutcomesEuropean Urology, 2009
- Robotic-assisted laparoscopic partial nephrectomy: Technique and initial clinical experience with daVinci robotic systemUrology, 2004