Feasibility of robotic radical nephrectomy—initial results of single-institution pilot study

Klingler, Douglas W.; Hemstreet, George P.; Balaji, K.C.

doi:10.1016/j.urology.2004.12.020

Cited by 81 publications

(57 citation statements)

References 15 publications

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“…Klingler et al [7] first established feasibility of RRN in a pilot study of 5 patients. Mean operative time, intraoperative blood loss, and hospital stay were 321 min, 150 ml, and 3 days, respectively.…”

Section: Discussionmentioning

confidence: 99%

Outcomes following Robotic Radical Nephrectomy: A Single-Center Experience

Dogra

Abrol²,

Singh³

et al. 2012

Urol Int

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Objectives: Advancement in technology has led to a decrease in invasiveness for surgical management of malignant renal neoplasms. Laparoscopic radical nephrectomy is an established treatment for renal tumors. Since the introduction of robotic surgery in the realm of urology, many procedures have been done robotically. We evaluated the feasibility, safety, and oncological outcomes of robotic radical nephrectomy (RRN). Methods: We retrospectively reviewed the records of patients who underwent RRN for renal tumors at our institute from September 2007 to March 2011. Patients with standard indications for a radical nephrectomy were offered a robot-assisted procedure. Intraoperative parameters (operative time, blood loss, transfusion of blood products), postoperative parameters and complications were recorded. Results: Twenty-three patients who underwent RRN were included. Mean operative time was 132.7 min and mean blood loss 270 ml. The majority of patients were able to tolerate liquid diet, were free from drain, and were fit for discharge by postoperative day (POD) 1, POD 2 and POD 3, respectively. After the mean follow-up of 29.4 months, no patient had residual tumor, local recurrence or metastasis. Conclusion: We conclude that RRN is a feasible and safe procedure with good oncological outcome on short-term follow-up.

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Section: Discussionmentioning

confidence: 99%

Outcomes following Robotic Radical Nephrectomy: A Single-Center Experience

Dogra

Abrol²,

Singh³

et al. 2012

Urol Int

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“…There have been initial series in application of robot for radical nephrectomy [18,19]. We had to convert one case of robotic radical nephrectomy to laparoscopy due to renal vein bleeding.…”

Section: Urologicalmentioning

confidence: 99%

Robotic Oncological Surgery: Our Initial Experience of 164 Cases

Puntambekar

Agarwal

Joshi

et al. 2011

Indian J Surg Oncol

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Minimal access surgery is an accepted modality for benign surgery. Despite the advantages of laparoscopy, its acceptance in oncology is slow. Robotic surgery is an emerging field with rapid acceptance because of the 3-dimensional image, dexterity of instruments and autonomy of camera control. We report here our experience of using the Da Vinci robot for various oncological procedures. We performed 164 oncological surgeries from November 2009 to June 2011. The surgeries performed included thoracic, colorectal, hepatobiliary, gynaecological and urological system. We could complete 163 cases robotically. We share our initial experience of robotic surgery in oncology with comparison with other series.

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“…Since the first laparoscopic nephrectomy in 1991 Therapeutic Advances in Urology 2 (3) [Clayman et al 1991], the use of a minimally invasive approach has become the preferred treatment modality for most nephrectomy cases. The safety and efficacy of RRN have been described by several groups [Hemal and Kumar, 2009;Rogers et al 2008a;Nazemi et al 2006;Klingler et al 2005].…”

Section: Robotic Nephrectomymentioning

confidence: 99%

Computer-assisted robotic renal surgery

Petros

Rogers

2010

Therapeutic Advances in Urology

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Computer-assisted robotic renal surgery (CARRS) is a minimally invasive surgical treatment option for renal tumors. We review the literature regarding techniques and outcomes and the potential advantages of CARRS. We retrospectively reviewed the literature regarding techniques and outcomes of CARRS, with specific analysis on robotic radical nephrectomy (RRN) and robotic partial nephrectomy (RPN). Multiple papers on RRN and RPN were found where the techniques were performed with either a transperitoneal or a retroperitoneal approach. Preliminary outcomes with RRN and RPN were at least comparable to those of a laparoscopic approach, with some parameters of RPN improved over the laparoscopic approach (warm ischemia time, length of hospital stay and estimated blood loss). CARRS is an emerging field with preliminary outcomes at least comparable to the laparoscopic approach. Large prospective, randomized trials are needed to assess the benefit of CARRS compared with current methods.

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Feasibility of robotic radical nephrectomy—initial results of single-institution pilot study

Cited by 81 publications

References 15 publications

Outcomes following Robotic Radical Nephrectomy: A Single-Center Experience

Outcomes following Robotic Radical Nephrectomy: A Single-Center Experience

Robotic Oncological Surgery: Our Initial Experience of 164 Cases

Computer-assisted robotic renal surgery

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