Da Vinci-Assisted Robotic Partial Nephrectomy: Technique and Results at a Mean of 15 Months of Follow-Up

摘要: Abstract Objective Laparoscopic partial nephrectomy is gaining acceptance as an alternative to open surgery for small renal tumours, although technical difficulty of intracorporeal suturing and concerns over warm ischemia time are limitations. Previous work has demonstrated that with the robotic system easier compared laparoscopy. We believe robot application we report our initial experience in 10 patients undergoing nephrectomy. Methods Ten exophytic masses underwent intraperitoneal Principles traditional were followed intraoperative ultrasound was used define resection margins. The artery clamped laparoscopic bulldog clamps indigo carmine administered intravenously detect entry into collecting system. Suture closure FLOSEAL hemostasis. Frozen sections obtained all patients. Results Seven men three women, mean age 59 yr, Mean tumour size 2cm. console 158min 21min, respectively. median hospital stay 1.5 d. Pathology revealed cell carcinoma eight, oncocytoma one, lipoma one. All margins negative. Follow-up ranged from 6 28 mo. Conclusions Robotic a viable or carefully selected tumours. advantages must be weighed against its cost. Further studies will determine if reduction procedure complexity warrants expense such technology.