Outcomes of robotic radical and partial nephrectomy

TY - CHAP

T1 - Outcomes of robotic radical and partial nephrectomy

AU - Porter, James R.

AU - Han, Justin

AU - Stifelman, Michael D.

N1 - Publisher Copyright: © Springer-Verlag London Limited 2012.

PY - 2012/1/1

Y1 - 2012/1/1

N2 - In the past 20 years, the traditional approach of open partial or radical nephrectomy has been supplanted by minimally invasive techniques incorporating laparoscopic technology with or without the assistance of a robot. When new ­technologies emerge, their efficacy must be proven by comparison to the accepted standard. Laparoscopic approaches for nephrectomy have withstood the test of time and have proven themselves to be equally as effective and arguably superior to the open approach. The emergence of robotically assisted surgery has advanced laparoscopic technology one step further by providing a magnified, three-dimensional (3-D) view with reduced tremor and articulating robotic instruments that offer a greater range of motion compared to traditional laparoscopic instruments. Though these advances may allow for more precise dissection and greater ease of intracorporeal suturing, the translation to improved outcomes for patients requiring renal surgery remains to be demonstrated. Herein, we review the current literature evaluating outcomes of robotic radical and partial nephrectomy, with a specific focus on comparison to conventional laparoscopic techniques. We will also present our techniques of robotic partial nephrectomy, both the transperitoneal and retroperitoneal approaches, based on our previous laparoscopic experience and the growing skill set with the robotic surgical platform.

AB - In the past 20 years, the traditional approach of open partial or radical nephrectomy has been supplanted by minimally invasive techniques incorporating laparoscopic technology with or without the assistance of a robot. When new ­technologies emerge, their efficacy must be proven by comparison to the accepted standard. Laparoscopic approaches for nephrectomy have withstood the test of time and have proven themselves to be equally as effective and arguably superior to the open approach. The emergence of robotically assisted surgery has advanced laparoscopic technology one step further by providing a magnified, three-dimensional (3-D) view with reduced tremor and articulating robotic instruments that offer a greater range of motion compared to traditional laparoscopic instruments. Though these advances may allow for more precise dissection and greater ease of intracorporeal suturing, the translation to improved outcomes for patients requiring renal surgery remains to be demonstrated. Herein, we review the current literature evaluating outcomes of robotic radical and partial nephrectomy, with a specific focus on comparison to conventional laparoscopic techniques. We will also present our techniques of robotic partial nephrectomy, both the transperitoneal and retroperitoneal approaches, based on our previous laparoscopic experience and the growing skill set with the robotic surgical platform.

KW - Nephroureterectomy

KW - Partial nephrectomy

KW - Radical nephrectomy

KW - Robotic nephrectomy

UR - https://www.scopus.com/pages/publications/84956751359

U2 - 10.1007/978-1-84882-800-1_29

DO - 10.1007/978-1-84882-800-1_29

M3 - Chapter

SN - 9781848827998

SP - 303

EP - 321

BT - Robotic Urologic Surgery, Second Edition

PB - Springer-Verlag London Ltd

ER -