Robotic-assisted partial nephrectomy: Has it come of age?

Surgical resection is the gold standard for the treatment of renal cell carcinoma, and partial nephrectomy (PN) is the treatment of choice for tumors smaller than 4 cm in size. A laparoscopic PN is a viable alternative to a traditional open PN, demonstrating good oncologic and functional outcomes. A...

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Main Authors: Manish N Patel, Mahendra Bhandari, Mani Menon, Craig G Rogers
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2009-01-01
Series:Indian Journal of Urology
Subjects:
Online Access:http://www.indianjurol.com/article.asp?issn=0970-1591;year=2009;volume=25;issue=4;spage=523;epage=528;aulast=Patel
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author Manish N Patel
Mahendra Bhandari
Mani Menon
Craig G Rogers
author_facet Manish N Patel
Mahendra Bhandari
Mani Menon
Craig G Rogers
author_sort Manish N Patel
collection DOAJ
description Surgical resection is the gold standard for the treatment of renal cell carcinoma, and partial nephrectomy (PN) is the treatment of choice for tumors smaller than 4 cm in size. A laparoscopic PN is a viable alternative to a traditional open PN, demonstrating good oncologic and functional outcomes. A laparoscopic PN is a challenging procedure, particularly performing intracorporeal suturing under the time constraints of warm ischemia. The introduction of the da Vinci surgical system (Intuitive Surgical Inc., Sunnyvale, CA) with wristed instruments and magnified, 3-dimensional vision may facilitate the technical challenges of a minimally invasive PN. The technique of robotic partial nephrectomy (RPN) is still evolving and a number of institutions have recently reported their results. In this article, we present a review of the literature and our technique for robotic PN using a transperitoneal approach.
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spelling doaj.art-91025c11b30544cc8181fe2ff3c3be342022-12-22T01:17:55ZengWolters Kluwer Medknow PublicationsIndian Journal of Urology0970-15911998-38242009-01-0125452352810.4103/0970-1591.57929Robotic-assisted partial nephrectomy: Has it come of age?Manish N PatelMahendra BhandariMani MenonCraig G RogersSurgical resection is the gold standard for the treatment of renal cell carcinoma, and partial nephrectomy (PN) is the treatment of choice for tumors smaller than 4 cm in size. A laparoscopic PN is a viable alternative to a traditional open PN, demonstrating good oncologic and functional outcomes. A laparoscopic PN is a challenging procedure, particularly performing intracorporeal suturing under the time constraints of warm ischemia. The introduction of the da Vinci surgical system (Intuitive Surgical Inc., Sunnyvale, CA) with wristed instruments and magnified, 3-dimensional vision may facilitate the technical challenges of a minimally invasive PN. The technique of robotic partial nephrectomy (RPN) is still evolving and a number of institutions have recently reported their results. In this article, we present a review of the literature and our technique for robotic PN using a transperitoneal approach.http://www.indianjurol.com/article.asp?issn=0970-1591;year=2009;volume=25;issue=4;spage=523;epage=528;aulast=PatelKidney cancerpartial nephrectomyrobotics
spellingShingle Manish N Patel
Mahendra Bhandari
Mani Menon
Craig G Rogers
Robotic-assisted partial nephrectomy: Has it come of age?
Indian Journal of Urology
Kidney cancer
partial nephrectomy
robotics
title Robotic-assisted partial nephrectomy: Has it come of age?
title_full Robotic-assisted partial nephrectomy: Has it come of age?
title_fullStr Robotic-assisted partial nephrectomy: Has it come of age?
title_full_unstemmed Robotic-assisted partial nephrectomy: Has it come of age?
title_short Robotic-assisted partial nephrectomy: Has it come of age?
title_sort robotic assisted partial nephrectomy has it come of age
topic Kidney cancer
partial nephrectomy
robotics
url http://www.indianjurol.com/article.asp?issn=0970-1591;year=2009;volume=25;issue=4;spage=523;epage=528;aulast=Patel
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AT mahendrabhandari roboticassistedpartialnephrectomyhasitcomeofage
AT manimenon roboticassistedpartialnephrectomyhasitcomeofage
AT craiggrogers roboticassistedpartialnephrectomyhasitcomeofage