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Robotic Partial Nephrectomy for Complex Renal Tumors: Surgical Technique

Rogers, Craig G ; Singh, Amar ; Blatt, Adam M ; Linehan, W. Marston ; Pinto, Peter A

European Urology, March 2008, Vol.53(3), pp.514-523 [Periódico revisado por pares]

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  • Título:
    Robotic Partial Nephrectomy for Complex Renal Tumors: Surgical Technique
  • Autor: Rogers, Craig G ; Singh, Amar ; Blatt, Adam M ; Linehan, W. Marston ; Pinto, Peter A
  • Assuntos: Kidney Cancer ; Laparoscopy ; Partial Nephrectomy ; Robotics ; Technique ; Kidney Cancer ; Laparoscopy ; Partial Nephrectomy ; Robotics ; Technique ; Medicine
  • É parte de: European Urology, March 2008, Vol.53(3), pp.514-523
  • Descrição: Laparoscopic partial nephrectomy requires advanced training to accomplish tumor resection and renal reconstruction while minimizing warm ischemia times. Complex renal tumors add an additional challenge to a minimally invasive approach to nephron-sparing surgery. We describe our technique, illustrated with video, of robotic partial nephrectomy for complex renal tumors, including hilar, endophytic, and multiple tumors. Robotic assistance was used to resect 14 tumors in eight patients (mean age: 50.3 yr; range: 30–68 yr). Three patients had hereditary kidney cancer. All patients had complex tumor features, including hilar tumors (n=5), endophytic tumors (n=4), and/or multiple tumors (n=3). Robotic partial nephrectomy procedures were performed successfully without complications. Hilar clamping was used with a mean warm ischemia time of 31min (range: 24–45min). Mean blood loss was 230ml (range: 100–450ml). Histopathology confirmed clear-cell renal...
  • Idioma: Inglês

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