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Robotic Partial Nephrectomy: Advanced Techniques and Use of Intraoperative Imaging

  • Sameer Chopra
  • Alfredo Maria Bove
  • Inderbir S. GillEmail author
Chapter

Abstract

Amongst nephron-sparing surgical options for treatment of renal cell carcinoma, partial nephrectomy (PN) is the standard of care. Two recently emerging phenomena in the field of PN surgery are driven by robotic surgery: (a) increased utilization of PN in the field and (b) recent technical innovations in the technical aspects of PN surgery. In this chapter, we discuss advanced techniques for PN surgery, such as tumor-specific super-selective clamping PN and minimal-margin zero-ischemia PN, as well as use of intraoperative imaging modalities, such as laparoscopic Doppler ultrasound and vascular fluorescence imaging with indigo-cyanine dye, that are used to propagate these advanced PN techniques.

Keywords

Robotic Nephrectomy Robotics Ischemia Minimal-margins 

Abbreviations

CT

Computed tomography

GFR

Glomerular filtration rate

JP

Jackson-Pratt

PN

Partial nephrectomy

RAPN

Robotic-assisted partial nephrectomy

Supplementary material

Video 7.1

Super-selective clamping robotic partial nephrectomy: This video demonstrates the surgical technique for robotic super-selective clamping during a partial nephrectomy (MP4 433573 kb)

Video 7.2

Zero-ischemia minimal margin robotic partial nephrectomy: This video demonstrates the surgical technique for robotic zero-ischemia, minimal margin technique for robotic partial nephrectomy (MP4 512529 kb)

Video 7.3

Intraoperative imaging to facilitate advanced techniques for robotic partial nephrectomy: This video demonstrates the use of intraoperative imaging modalities to assist in the facilitation of advanced surgical techniques for robotic partial nephrectomy (MP4 115376 kb)

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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  • Sameer Chopra
    • 1
  • Alfredo Maria Bove
    • 1
  • Inderbir S. Gill
    • 1
    Email author
  1. 1.Catherine & Joseph Aresty Department of UrologyKeck School of Medicine, University of Southern CaliforniaLos AngelesUSA

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