Robot-assisted laparoscopic enucleation of endogenic renal sinus tumors
10.3969/j.issn.1009-8291.2025.07.001
- VernacularTitle:机器人辅助下肾窦内肿瘤精准剜除术("大家泌尿网"观看手术视频)
- Author:
Fei GUO
1
;
Yongbo SU
;
Chao ZHANG
;
Chao ZHI
;
Guang'an XIAO
;
Bo YANG
Author Information
1. 海军军医大学第一附属医院泌尿外科,上海 200433
- Publication Type:Journal Article
- Keywords:
partial nephrectomy;
precise enucleation;
endogenic renal sinus tumor;
robot-assisted laparoscopy
- From:
Journal of Modern Urology
2025;30(7):551-555
- CountryChina
- Language:Chinese
-
Abstract:
Removal of endogenic renal sinus tumors which are located at the renal hilum,is recognized as one of the most challenging surgeries in urology due to the complex anatomical structure.With the help of the high-definition field of vision and flexible robotic arms of the Da Vinci robot system,our team have carried out precision intra-sinus tumor enucleation based on preoperative interactive qualitative and Interactive Quantitative Quality Assurance for 3D Imaging(IQQA-3D)accurate reconstruction technology,as well as the clinical anatomical characteristics of patients with renal sinus tumors.During operation,the renal pedicle is fully dissected,the perihilar fat is cleared,and the tumor capsule is exposed.Subsequently,the blood supply to the kidney is blocked,and the tumor is precisely excised along the tumor capsule.The vascular stumps are sutured point-to-point,and the wound is closed and locked.After the blood supply restores,regional arterial occlusion is performed if necessary to ensure the safety of the surgery and maximize the preservation of renal function.This article discusses the definition of tumor boundaries during robot-assisted endogenic sinus tumor enucleation,the use of intraoperative cooling techniques,and the improvement of surgical safety.
