title: Preoperative fiducial coil placement facilitates robot-assisted laparoscopic excision of retroperitoneal small solitary metastasis of kidney cancer.
abstract: Image-guided fiducial markers are being used in surgery, especially in spine and breast surgery, and radiotherapy, allowing localization of tumor sites precisely. We report a case of fiducial coil use in a man undergoing a robot-assisted laparoscopic resection of a metastatic nodule under the ipsilateral diaphragm after robot-assisted partial nephrectomy performed 2 years ago for a left upper pole renal tumor. The fiducial coil facilitated the localization of the lesion, which would otherwise have been challenging because of its small size and location. In addition, the fiducial coil was helpful to avoid cutting into the lesion directly.
authors.affiliation: Department of Urology, University of Rochester Medical Center, Rochester, NY.
authors.forename: Vineet
authors.initials: V
authors.lastname: Agrawal
authors.affiliation: Department of Radiology, University of Rochester Medical Center, Rochester, NY.
authors.forename: Ashwani
authors.initials: A
authors.lastname: Sharma
authors.affiliation: Department of Urology, University of Rochester Medical Center, Rochester, NY. Electronic address: guan_wu@urmc.rochester.edu.
authors.forename: Guan
authors.initials: G
authors.lastname: Wu
mesh_terms: D006801:Humans; D007668:Kidney / Q000601:surgery; D007680:Kidney Neoplasms / Q000473:pathology / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009362:Neoplasm Metastasis; D009392:Nephrectomy / Q000379:methods; D012186:Retroperitoneal Neoplasms / Q000601:surgery; D065287:Robotic Surgical Procedures; D012371:Robotics