Advertisement

Robotic Nephrectomy for Complex Tumors

Chapter

Abstract

Robotic surgery has been applied for increasingly complex procedures. Nephrectomy has traditionally been considered a less complicated procedure in the hands of experienced laparoscopic surgeons, with many feeling that robotic technology is not necessary for this operation. Changes occurring in the field of urology will likely make robotic nephrectomy an important procedure. Partial nephrectomy is gaining acceptance in the urologic community as a preferable treatment for renal tumors such that radical nephrectomy for small renal masses will likely become a rarity. This evolution means that radical nephrectomy will be a procedure applied only to larger and more complex tumors that would not be amenable to partial nephrectomy even with open surgery. Still, some of these can be treated laparoscopically, but robotic surgery provides an additional level of precision and control for such complex tumors. Furthermore, as surgeons gain experience and expertise in robotic surgery, techniques have been developed to allow robotic nephrectomy for tumors traditionally felt impossible to treat laparoscopically. Examples of such situations, both those benefitting from robotic instrumentation due to the complexity of the renal tumor and situations not previously able to be performed laparoscopically, are reviewed in this chapter.

Keywords

Renal Vein Robotic Surgery Renal Tumor Partial Nephrectomy Radical Nephrectomy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Clayman RV, Kavoussi LR, Soper NJ, et al. Laparoscopic nephrectomy: initial case report. J Urol. 1991;146:278–82.PubMedGoogle Scholar
  2. 2.
    Khurshid GA, Abid H, Rameela C, et al. Current status of robot-assisted surgery in urology—a multi-national survey of 297 urologic surgeons. Can J Urol. 2009;16(4):4736–41.Google Scholar
  3. 3.
    Marzano E, Ntourakis D, Addeo P, et al. Robotic resection of duodenal adenoma. Int J Med Robot. 2011;7(1):66–70.PubMedCrossRefGoogle Scholar
  4. 4.
    Dangle PP, Moore S, Abaza R. Robotic nephroureterectomy with partial duodenectomy for invasive ureteral tumor. JSLS. 2010;14(3):442–6.PubMedCrossRefGoogle Scholar
  5. 5.
    Sudan R, Puri V, Sudan D. Robotically assisted biliary pancreatic diversion with a duodenal switch: a new technique. Surg Endosc. 2007;21(5):729–33.PubMedCrossRefGoogle Scholar
  6. 6.
    Abaza R, Lowe G. Feasibility and Adequacy of Robot-Assisted Lymphadenectomy for Renal Cell Carcinoma. J Endourol. 2011;25(7):1155–9.PubMedCrossRefGoogle Scholar
  7. 7.
    Hsu TSH, Jeffery RB, Chon C, et al. Laparoscopic radical nephrectomy incorporating intraoperative ultrasonography for renal cell carcinoma with renal vein tumour thrombus. Urology. 2003;61:1246–8.PubMedCrossRefGoogle Scholar
  8. 8.
    Savage SJ, Gill IS. Laparoscopic radical nephrectomy for renal cell carcinoma in a patient with level I renal vein tumour thrombus. J Urol. 2000;163:1243–5.PubMedCrossRefGoogle Scholar
  9. 9.
    Kapoor A, Nguan C, Al-Shaiji TF, et al. Laparoscopic management of advanced renal cell carcinoma with level I renal vein thrombus. Urology. 2006;68(3):514–7.PubMedCrossRefGoogle Scholar
  10. 10.
    Desai MM, Gill IS, Ramani AP, et al. Laparoscopic radical nephrectomy for cancer with level I renal vein involvement. J Urol. 2003;169(2):487–91.PubMedCrossRefGoogle Scholar
  11. 11.
    Steinnerd LE, Vardi IY, Bhayani SB. Laparoscopic radical nephrectomy for renal carcinoma with known level I renal vein tumor thrombus. Urology. 2007;69(4):662–5.PubMedCrossRefGoogle Scholar
  12. 12.
    Guzzo TJ, Schaeffer EM, McNeil BK, et al. Laparoscopic Radical Nephrectomy for Patients with Pathologic T3b Renal-Cell Carcinoma: The Johns Hopkins Experience. J Endourol. 2009;23:63–8.PubMedCrossRefGoogle Scholar
  13. 13.
    Hammond L, Powell TM, Schwartz BF. Pure laparoscopic radical nephrectomy for stage T3b renal-cell carcinoma: more than 2-year follow-up. J Endourol. 2007;21:408–10.PubMedCrossRefGoogle Scholar
  14. 14.
    Abaza R. Initial series of robotic radical nephrectomy with vena caval tumor thrombectomy. Eur Urol. 2011;59(4):652–6.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Robotic Urologic Surgery, Department of UrologyOhio State’s Center for Advanced Robotic Surgery, The Ohio State University Wexner Medical Center & James Cancer HospitalColumbusUSA

Personalised recommendations