Robot-Assisted Laparoscopic Radical Nephrectomy and Nephroureterectomy

  • Ben R. McHone
  • Ronald S. Boris
  • Peter A. PintoEmail author


Significant advances have been made in the field of minimally invasive urologic surgery since the use of laparoscopy was initially described. Minimally invasive surgery was originally considered the realm of laparoscopic surgeons, often with additional subspecialty training. The development of robotic surgery broadened the field of urologic surgeons capable of using minimally invasive techniques for radical prostatectomy.


Adrenal Vein Camera Port Renal Hilum Umbilical Port Cytoreductive 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.



The authors would like to thank Dr. Daniel Eun with his assistance in completing this chapter.


  1. 1.
    Flanigan RC, Mickisch G, Sylvester R, et al. Cytoreductive nephrectomy in patients with metastatic renal cancer: a combined analysis. J Urol. 2004;171:1071–1076.PubMedCrossRefGoogle Scholar
  2. 2.
    Karellas ME, Jang TL, Kagiwada MA, et al. Advanced-stage renal cell carcinoma treated by radical nephrectomy and adjacent organ or structure resection. Br J Urol. 2008;103:160–164.Google Scholar
  3. 3.
    Thomas MA, Rha KH, Ong AM, et al. Optical access trocar injuries in urological laparoscopic surgery. J Urol. 2003;170:61–63.PubMedCrossRefGoogle Scholar
  4. 4.
    O’Malley RL, Godoy G, Kanofsky JA, et al. The necessity of adrenalectomy at the time of radical nephrectomy: a systematic review. J Urol. 2009;181:2009–2017.PubMedCrossRefGoogle Scholar
  5. 5.
    Blom JHM, van Poppel H, Marechal JM, et al. Radical nephrectomy with and without lymph-node dissection: final results of European organization for research and treatment of cancer (EORTC) randomized phase 3 trial 30881. Eur Urol. 2009;55:28–34.PubMedCrossRefGoogle Scholar
  6. 6.
    Canfield SE, Kamat AM, Sanchez-Ortiz RF, et al. Renal cell carcinoma with nodal metastases in the absence of distant metastatic disease (clinical stage txn1-2M0): the impact of aggressive surgical resection on patient outcome. J Urol. 2006;175:864–869.PubMedCrossRefGoogle Scholar
  7. 7.
    Pantuck AJ, Zisman A, Dorey F, et al. Renal cell carcinoma with retroperitoneal lymph nodes: role of lymph node dissection. J Urol. 2003;169:2076–2083.PubMedCrossRefGoogle Scholar
  8. 8.
    Blute ML, Leibovich BC, Cheville JC, et al. A protocol for performing extended lymph node dissection using primary tumor pathological features for patients treated withradical nephrectomy for clear cell renal cell carcinoma. J Urol. 2004;172:465–469.PubMedCrossRefGoogle Scholar
  9. 9.
    Bachmann A, Ruszat R, Forster T, et al. Retroperitoneoscopic pyeloplasty for ureteropelvic junction obstruction (UPJO): solving the technical difficulties. J Urol. 2006;49:264–272.Google Scholar
  10. 10.
    Rassweiler JJ, Seemann O, Frede T, et al. Retroperitoneoscopy: experience with 200 cases. J Urol. 1998;160:1265–1269.PubMedCrossRefGoogle Scholar
  11. 11.
    McAllister M, Bhayani SB, Ong A, et al. Vena cava transection during retroperitoneoscopic nephrectomy: report of the complication and review of the literature. J Urol. 2004;172:183–185.PubMedCrossRefGoogle Scholar
  12. 12.
    Matin SF, Gill IS. Modified Pfannenstiel incision for intact specimen extraction after retroperitoneoscopic renal surgery. Urology. 2003;61:830–832.PubMedCrossRefGoogle Scholar
  13. 13.
    Hu JC, Silletti JP, Williams SB. Initial experience with robot-assisted minimally invasive nephroureterectomy. J Endourol. 2008;22:699–704.PubMedCrossRefGoogle Scholar
  14. 14.
    Nanigian DK, Smith W, Ellison LM. Robot-assisted laparoscopic nephroureterectomy. J Endourol. 2006;20:463–466.PubMedCrossRefGoogle Scholar
  15. 15.
    Eun D, Bhandari A, Boris R, et al. Concurrent upper and lower urinary tract robotic surgery: strategies for success. Br J Urol. 2007;100:1121–1125.Google Scholar
  16. 16.
    Murphy D, Challacombe B, Olsburgh J, et al. Ablative and reconstructive robotic-assisted laparoscopic renal surgery. Int J Clin Pract. 2008;62:1703–1708.PubMedCrossRefGoogle Scholar
  17. 17.
    Park SY, Jeong W, Ham WS, et al. Initial experience of robotic nephroureterectomy: a hybrid-port technique. Br J Urol. 2009;104:1718–1721.Google Scholar
  18. 18.
    Rose K, Khan S, Godbole H, et al. Robotic assisted retroperitoneoscopic nephroureterectomy – first experience and the hybrid port technique. Int J Clin Pract. 2006;60:12–14.PubMedCrossRefGoogle Scholar
  19. 19.
    Kondo T, Nakazawa H, Ito F, et al. Impact of the extent of regional lymphadenectomy on the survival of patients with urothelial carcinoma of the upper urinary tract. J Urol. 2007;178:1212–1217.PubMedCrossRefGoogle Scholar
  20. 20.
    Roscigno M, Shariat SF, Margulis V, et al. Impact of lymph node dissection on cancer specific survival in patients with upper tract urothelial carcinoma treated with radical nephroureterectomy. J Urol. 2009;181: 2482–2489.PubMedCrossRefGoogle Scholar
  21. 21.
    Busby JE, Brown GA, Matin SF. Comparing lymphadenectomy during radical nephroureterectomy: open versus laparoscopic. Urology. 2008;71:413–416.PubMedCrossRefGoogle Scholar

Copyright information

© Springer London 2011

Authors and Affiliations

  • Ben R. McHone
    • 1
  • Ronald S. Boris
    • 1
  • Peter A. Pinto
    • 1
    Email author
  1. 1.Urologic Oncology Branch, National Cancer Institute, National Institutes of HealthBethesdaUSA

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