Robot assisted heminephrectomy for duplicated renal collecting system: technique and outcomes

被引：9

作者：

Akca, Oktay ^{[1
]}

Kaouk, Jihad H. ^{[1
]}

Zargar, Homayoun ^{[1
]}

Brandao, Luis F. ^{[1
]}

Haber, Georges-Pascal ^{[1
]}

Autorino, Riccardo ^{[1
]}

Stein, Robert J. ^{[1
]}

机构：

[1] Cleveland Clin, Glickman Urol & Kidney Inst, Ctr Laparoscop & Robot Surg, Cleveland, OH 44195 USA

来源：

INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY | 2015年 / 11卷 / 02期

关键词：

robotic hemi-nephrectomy; robotic partial nephrectomy; duplicated system; benign indication; technique; ADULT PATIENTS; PARTIAL NEPHRECTOMY;

D O I：

10.1002/rcs.1607

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

BackgroundThe aim of this study was to describe experience with robotic assisted hemi-nephrectomy (RAHN) for the management of duplicated renal collecting system. MethodsThe authors' institutional database was queried to identify patients who underwent RAHN from 2007 to 2013 for the management of a duplicated system. Patient demographics, indications and surgical outcomes were reviewed and analyzed. ResultsFive patients were identified with a duplicated system of which all had a history of pain and recurrent infection. Three patients underwent hemi-nephrectomy for a poorly functioning lower pole and two for an abnormal upper pole moiety. All operations were completed successfully using a robotic approach. There were only two minor (Clavien grade 1-2) complications. ConclusionsRAHN is a viable option for the surgical treatment of an atrophic, chronically infected duplicated system. The unique features of robotic technology offer enhanced dexterity and vision facilitating the management of complex vascular and ureteral anatomy. Copyright (c) 2014 John Wiley & Sons, Ltd.

引用

页码：126 / 129

页数：4

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