Initial experience with robot-assisted retroperitoneal partial nephrectomy for suspected renal cell carcinoma

被引：0
作者：
Emtage J.B. [1 ]
Buethe D.D. [1 ]
Russell C.M. [1 ]
Sexton W.J. [1 ]
机构：
[1] Department of Genitourinary Oncology Program, Moffitt Cancer Center, 12902 Magnolia Drive, Tampa, 33612-9416, FL
来源：
Journal of Robotic Surgery | 2014年 / 8卷 / 4期
关键词：
Kidney cancer; Minimally invasive; Renal cell carcinoma; Retroperitoneal; Robotic;
D O I：
10.1007/s11701-014-0470-3
中图分类号：
学科分类号：
摘要：
Nephron-sparing surgery is the accepted standard of care for the small renal mass, and minimally invasive techniques have increasingly gained recognition. Robotic-assisted transperitoneal partial nephrectomy (RATPN) has been well described but there are few reports assessing the retroperitoneal approach. Therefore, we present our initial experience with robotic-assisted retroperitoneal partial nephrectomy (RARPN). We identified 14 patients from a single-surgeon IRB-approved database who underwent RARPN for suspected renal cell carcinoma. Our results showed a mean pathologic tumor size of 2.6 cm (SD = 0.9) and a median R.E.N.A.L. nephrometry score of 8. Mean estimated blood loss was 178 cc (SD = 182) and mean warm ischemia time was 28.9 min (SD = 8.9). There were no intra-operative or post-operative complications and mean length of stay was 2.9 days (SD = 1.6). At an average of 4-month follow-up, the mean decrease in renal function was 7.3 %. RARPN is an effective alternative to RATPN and can be safely and successfully applied to selected patients with tumors amenable to nephron preservation. © 2014, Springer-Verlag London.
引用
收藏
页码：305 / 311
页数：6
相关论文
共 33 条
[1]  
Campbell S.C., Novick A.C., Belldegrun A., Blute M.L., Chow G.K., Derweesh I.H., Faraday M.M., Kaouk J.H., Leveillee R.J., Matin S.F., Russo P., Uzzo R.G., Guideline for management of the clinical T1 renal mass, J Urol, 182, 4, pp. 1271-1279, (2009)
[2]  
Van Poppel H., Da Pozzo L., Albrecht W., Matveev V., Bono A., Borkowski A., Marechal J.M., Klotz L., Skinner E., Keane T., Claessens I., Sylvester R., A prospective randomized EORTC intergroup phase 3 study comparing the complications of elective nephron-sparing surgery and radical nephrectomy for low-stage renal cell carcinoma, Eur Urol, 51, 6, pp. 1606-1615, (2007)
[3]  
Roos F.C., Brenner W., Muller M., Schubert C., Jager W.J., Thuroff J.W., Hampel C., Oncologic long-term outcome of elective nephron-sparing surgery versus radical nephrectomy in patients with renal cell carcinoma stage pT1b or greater in a matched-pair cohort, Urology, 77, 4, pp. 803-808, (2011)
[4]  
Licht M.R., Novick A.C., Nephron sparing surgery for renal cell carcinoma, J Urol, 149, 1, pp. 1-7, (1993)
[5]  
Winfield H.N., Donovan J.F., Godet A.S., Clayman R.V., Laparoscopic partial nephrectomy: initial case report for benign disease, J Endourol (Endourological Society), 7, 6, pp. 521-526, (1993)
[6]  
Tifelman M.D., Caruso R.P., Nieder A.M., Taneja S.S., Robot-assisted laparoscopic partial nephrectomy, JSLS, 9, 1, pp. 83-86, (2005)
[7]  
Bayazit Y., Aridogan I.A., Tansug Z., Unsal I., Erken U., Morbidity of flank incision in 100 renal donors, Int Urol Nephrol, 32, 4, pp. 709-711, (2001)
[8]  
Khalifeh A., Autorino R., Eyraud R., Samarasekera D., Laydner H., Panumatrassamee K., Stein R.J., Kaouk J.H., Three-year oncologic and renal functional outcomes after robot-assisted partial nephrectomy, Eur Urol, (2013)
[9]  
Weizer A.Z., Palella G.V., Montgomery J.S., Miller D.C., Hafez K.S., Robot-assisted retroperitoneal partial nephrectomy: technique and perioperative results, J Endourol (Endourological Society), 25, 4, pp. 553-557, (2011)
[10]  
Feliciano J., Stifelman M., Robotic retroperitoneal partial nephrectomy: a four-arm approach, JSLS, 16, 2, pp. 208-211, (2012)
1234