Robot-assisted Laparoscopic Partial Nephrectomy (Report of 6 Cases)
10.3969/j.issn.1001-1420.2009.07.008
- VernacularTitle:机器人辅助腹腔镜保留肾单位肾部分切除术(附6例报告)
- Author:
XU AXIANG
1
;
ZHOU XIUBIN
;
GAO JIANGPING
;
WANG WEI
;
ZHU JIE
;
CUI LIANG
;
DONG JUN
;
CHEN WENZHEN
;
LU JINGSHAN
;
ZHANG XU
Author Information
1. 解放军总医院
- Keywords:
renal tumor;
Da Vinci robotic surgical system;
roboties;
laparoscopy;
partial nephrectomy
- From:
Journal of Clinical Urology
2009;24(7):504-507
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize our clinical experience of robot-assisted laparoscopic partial nephrectomy (RALPN), and to discuss its efficacy and safety. Methods:Between December 2007 and October 2008, 6 patients with small exophytie renal masses underwent intraperitoneal robotic partial nephrectomy utilizing the Da Vinci sur-gical system. The perioperative data were collected, and were compared with those performed the same operation in abroad and those performed laparoseopic partial nephrectomy(LPN) with the same team in internal. Results: All the operations were accomplished successfully except the one which required conversion to open nephron-sparing surgery (NSS) due to bleeding occured after the renal artery had been clamped. The mean lesion diameter was 3.2 (2.2-3.6)cm; the mean operative time (not including preoperative set-up time of the Da Vinci surgical system) was 130 (110-160) minutes; the mean warm ischemia time were 40(33-50)minutes; the mean estimated blood loss was 188 (100-380) ml. The patients were ambulant in the 7th postoperative days, and tubes were removaled in 3 days, and mean hospital stay was 9 (8-12)days. Renal function of all patients was in the normal range. Pathology revealed renal cell carcinoma in five, papillary renal cell carcinoma in one. All resection margins were negative. Follow-up ranged from 4 to t5 months, no local residual lesions, local recurrence, incision implantation and dis-tant metastasis were found in all patients. Conclusions.. Robot-assisted laparoscopic partial nephrectomy can be safe-ly performed in selected patients, and it is a feasible approach and a minimally invasive operation for small renal tumors.
