Current status of robot-assisted partial nephrectomy

Rishma Gohil, Kamran Ahmed*, Gordon Kooiman, Mohammed Shamim Khan, Prokar Dasgupta, Ben Challacombe

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

11 Citations (Scopus)

Abstract

What's known on the subject? and What does the study add? 

The use of robotic assistance for the partial nephrectomy procedure has emerged as an alternative that may help some of the technical challenges of laparoscopic partial nephrectomy. The main concerns in laparoscopic partial nephrectomy relates to a steeper learning curve, prolonged warm ischaemia times and the potential for postoperative haemorrhage.

The article delineates the dynamics of patient preparation, the surgical team, surgical technique & post-operative care to conclude that robotic-assisted partial nephrectomy is a viable alternative to both open and laparoscopic techniques.

Partial nephrectomy has shown both improved overall patient survival and more effective preservation of renal function, when compared with radical nephrectomy. Robot-assisted partial nephrectomy has several potential advantages over the laparoscopic approach. Robotic assistance allows urologists to perform this complex reconstructive procedure more quickly, with improved precision and dexterity, tremor elimination and improved visualization. The present article aims to delineate the dynamics of patient preparation and surgical team, surgical technique and postoperative care. The oncological outcomes and disease-free survival of partial nephrectomy have been found to be equivalent to open partial nephrectomy [1-4].

Original languageEnglish
Pages (from-to)1602-1606
Number of pages5
JournalBJU International
Volume110
Issue number11
Early online date11 May 2012
DOIs
Publication statusPublished - Dec 2012

Keywords

  • robotic surgery
  • urology
  • nephrectomy
  • LAPAROSCOPIC PARTIAL NEPHRECTOMY
  • RENAL-CELL CARCINOMA
  • MULTIINSTITUTIONAL ANALYSIS
  • RADICAL NEPHRECTOMY
  • SURGICAL TECHNIQUE
  • LEARNING-CURVE
  • FOLLOW-UP
  • TUMORS
  • EXPERIENCE
  • OUTCOMES

Fingerprint

Dive into the research topics of 'Current status of robot-assisted partial nephrectomy'. Together they form a unique fingerprint.

Cite this