Robot-assisted laparoscopic partial nephrectomy

Sung Yul Park, Hyung Joon Kim, Joo Wan Seo, Kang Su Cho, Won Sik Ham, Koon Ho Rha

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Purpose: Laparoscopic partial nephrectomy is a treatment option for small renal masses. However, such time-consuming techniques such as tumor excision, hemostasis and mitracoporeal suturing are still challenging procedures even for experienced laparoscopists. Incorporation of a robotic system would facilitate tumor excision, hemostasis and intracoporeal suturing. Herein, we review our technique and the short term outcomes for robot-assisted laparoscopic partial nephrectomy (RLPN). Materials and Methods: Eleven patients underwent RLPN for small renal masses. RLPN were performed with the da Vinci® robot system (Intuitive Surgical, Sunnyvale, USA) with three robot arms. In 7 cases, the renal hilum was clamped. Tumor excision and intracorporeal suturing were performed entirely with the robotic system. The specimen was extracted through the extended umbilical port incision. Results: The mean tumor diameter was 2.5±1.5cm. The mean operative time was 179.5±49.4 minutes and the mean estimated blood loss was 354.5±440.7ml. The mean warm ischemia. time was 30.4±5.9 minutes for 7 patients. There were no major, complications. The surgical pathology showed clear cell type renal cell carcinoma in 7, papillary type renal cell carcinoma in 1, angiomyolipoma in 2 and lipoma in 1. There were no positive surgical margins. The mean hospital stay was 4.2±1.3 days. No recurrence had been observed after 3 to 18 months of follow-up. Conclusions: We were able to verify the feasibility and safety of using a RLPN in the management of small renal masses. Longer follow-up data and larger prospective studies care necessary to confirm these results.

Original languageEnglish
Pages (from-to)387-391
Number of pages5
JournalKorean Journal of Urology
Volume49
Issue number5
DOIs
Publication statusPublished - 2008 May 1

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Nephrectomy
Kidney
Robotics
Hemostasis
Renal Cell Carcinoma
Neoplasms
Angiomyolipoma
Umbilicus
Warm Ischemia
Surgical Pathology
Lipoma
Operative Time
Length of Stay
Prospective Studies
Safety
Recurrence
Therapeutics

All Science Journal Classification (ASJC) codes

  • Urology

Cite this

Park, S. Y., Kim, H. J., Seo, J. W., Cho, K. S., Ham, W. S., & Rha, K. H. (2008). Robot-assisted laparoscopic partial nephrectomy. Korean Journal of Urology, 49(5), 387-391. https://doi.org/10.4111/kju.2008.49.5.387
Park, Sung Yul ; Kim, Hyung Joon ; Seo, Joo Wan ; Cho, Kang Su ; Ham, Won Sik ; Rha, Koon Ho. / Robot-assisted laparoscopic partial nephrectomy. In: Korean Journal of Urology. 2008 ; Vol. 49, No. 5. pp. 387-391.
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Park, SY, Kim, HJ, Seo, JW, Cho, KS, Ham, WS & Rha, KH 2008, 'Robot-assisted laparoscopic partial nephrectomy', Korean Journal of Urology, vol. 49, no. 5, pp. 387-391. https://doi.org/10.4111/kju.2008.49.5.387

Robot-assisted laparoscopic partial nephrectomy. / Park, Sung Yul; Kim, Hyung Joon; Seo, Joo Wan; Cho, Kang Su; Ham, Won Sik; Rha, Koon Ho.

In: Korean Journal of Urology, Vol. 49, No. 5, 01.05.2008, p. 387-391.

Research output: Contribution to journalArticle

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T1 - Robot-assisted laparoscopic partial nephrectomy

AU - Park, Sung Yul

AU - Kim, Hyung Joon

AU - Seo, Joo Wan

AU - Cho, Kang Su

AU - Ham, Won Sik

AU - Rha, Koon Ho

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N2 - Purpose: Laparoscopic partial nephrectomy is a treatment option for small renal masses. However, such time-consuming techniques such as tumor excision, hemostasis and mitracoporeal suturing are still challenging procedures even for experienced laparoscopists. Incorporation of a robotic system would facilitate tumor excision, hemostasis and intracoporeal suturing. Herein, we review our technique and the short term outcomes for robot-assisted laparoscopic partial nephrectomy (RLPN). Materials and Methods: Eleven patients underwent RLPN for small renal masses. RLPN were performed with the da Vinci® robot system (Intuitive Surgical, Sunnyvale, USA) with three robot arms. In 7 cases, the renal hilum was clamped. Tumor excision and intracorporeal suturing were performed entirely with the robotic system. The specimen was extracted through the extended umbilical port incision. Results: The mean tumor diameter was 2.5±1.5cm. The mean operative time was 179.5±49.4 minutes and the mean estimated blood loss was 354.5±440.7ml. The mean warm ischemia. time was 30.4±5.9 minutes for 7 patients. There were no major, complications. The surgical pathology showed clear cell type renal cell carcinoma in 7, papillary type renal cell carcinoma in 1, angiomyolipoma in 2 and lipoma in 1. There were no positive surgical margins. The mean hospital stay was 4.2±1.3 days. No recurrence had been observed after 3 to 18 months of follow-up. Conclusions: We were able to verify the feasibility and safety of using a RLPN in the management of small renal masses. Longer follow-up data and larger prospective studies care necessary to confirm these results.

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