[Nephrectomy, donor nephrectomy, and partial kidney resection: indications for robot-assisted renal surgery].
Laparoscopic renal surgery in experienced hands is an alternative to open surgery, although the technical difficulty of, for example, intracorporeal suturing and concerns over warm ischemia time for partial nephrectomy are limitations. Previous work has demonstrated that suturing with the robotic da Vinci system is easier compared with laparoscopy. The purpose of this report was to evaluate the feasibility of robot-assisted da Vinci renal surgery. In our study, the learning curve, complication rate, and operative time were short and the intraoperative technical movements were intuitive with the da Vinci Surgical System. In our opinion, robot-assisted surgery will allow urologists to perform complex procedures with great precision, confidence, and excellent results in renal surgery.
Hubert
J
J
Klinik für Urologie, CHU de Nancy-Brabois, Allee du Morvan, 54511, Vandoeuvre les Nancy, Frankreich.
Siemer
S
S
D000328:Adult; D002292:Carcinoma, Renal Cell / Q000473:pathology / Q000601:surgery*; D004867:Equipment Design; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology / Q000601:surgery*; D016030:Kidney Transplantation / Q000295:instrumentation*; D010535:Laparoscopy / Q000379:methods*; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D009392:Nephrectomy / Q000295:instrumentation*; D010043:Outcome and Process Assessment, Health Care; D025321:Surgery, Computer-Assisted / Q000295:instrumentation*; D013525:Surgical Instruments; D014513:Ureter / Q000473:pathology / Q000601:surgery; D052096:Warm Ischemia