Robotic Partial Nephrectomy
Currently, most kidney masses are identified incidentally with a smaller size due to the widespread usage of radiologic imaging modalities in the world. Although radical nephrectomy is the gold standard surgical approach in the management of renal masses, partial nephrectomy has proved to have similar oncological outcomes with the advantage of preserving residual kidney function. Minimally invasive surgical approaches including laparoscopic and robot-assisted laparoscopic approaches are increasingly being applied in the surgical treatment of kidney masses. Compared to laparoscopic approach, robotic surgery has the advantages of three-dimensional optical magnification, dexterity in motion, and the ability to perform tremor-free and delicate movements with three independent robotic arms in addition to the camera arm for the console surgeon. Current literature on robotic partial nephrectomy suggests that this approach is safe and feasible in the management of renal masses. In this chapter, an overview of the literature on this subject is summarized, and the surgical technique applied is presented including preoperative planning, setup, and postoperative care.
KeywordsRobotic partial nephrectomy Kidney cancer Minimally invasive surgery
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