Robot-assisted Laparoendoscopic Single-site Surgery: Partial Nephrectomy for Renal Malignancy

Han, Woong Kyu; Kim, Dong Suk; Jeon, Hwang Gyun; Jeong, Wooju; Oh, Cheol Kyu; Choi, Kyung Hwa; Lorenzo, Enrique Ian S.; Rha, Koon Ho

doi:10.1016/j.urology.2010.06.067

Cited by 51 publications

(29 citation statements)

References 15 publications

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“…Han and coworkers 9 have described their technique of RLESS partial nephrectomy for malignancy. Fourteen cases were reported using a homemade single port access device.…”

Section: Discussionmentioning

confidence: 99%

Single Institution Experience with Robot-Assisted Laparoendoscopic Single-Site Renal Procedures

Khanna

Stein

White

et al. 2012

Journal of Endourology

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“…Han and coworkers 9 have described their technique of RLESS partial nephrectomy for malignancy. Fourteen cases were reported using a homemade single port access device.…”

Section: Discussionmentioning

confidence: 99%

Single Institution Experience with Robot-Assisted Laparoendoscopic Single-Site Renal Procedures

Khanna

Stein

White

et al. 2012

Journal of Endourology

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“…There have been also a few reports of transumbilical LESS-PN [4][5][6][7]. Intracorporeal suturing in LESS is more difficult than that in conventional laparoscopic surgery because of instrument clashing and limited range of motion; therefore, hemostasis of the resected site using an effective device is extremely important for LESS-PN.…”

Section: Discussionmentioning

confidence: 99%

“…Recently, LESS has also been used in urological procedures such as nephrectomy, adrenalectomy [2], and prostatectomy [3]. LESS partial nephrectomy (LESS-PN) has been performed by some experienced laparoscopic surgeons [4][5][6][7], and they reported that LESS-PN was technically feasible, albeit more challenging than conventional laparoscopic partial nephrectomy (LPN) and that proper case selection was essential.…”

Section: Introductionmentioning

confidence: 99%

Transumbilical laparoendoscopic single-site partial nephrectomy using a microwave tissue coagulator

et al. 2012

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Transumbilical single-port laparoscopy has emerged as a method to further enhance cosmetic benefits and reduce morbidity. We present an initial experience with transumbilical laparoendoscopic single-site partial nephrectomy (LESS-PN). A 36-year-old woman visited our hospital for the treatment of a left exophytic renal cell carcinoma, 17 mm in diameter, located at the lower pole. We decided to use transumbilical LESS-PN to treat this case. A multichannel port was placed through the center of the umbilicus, and the tumor was exposed using bent laparoscopic instruments. The tumor was then removed after microwave tissue coagulation. All procedures were performed without renal artery occlusion, and only slight bleeding occurred. Transumbilical LESS-PN using a microwave tissue coagulator was performed with an excellent cosmetic outcome and no complications. To the best of our knowledge, this is the first report of LESS-PN using a microwave tissue coagulator.

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“…Andere Ansätze berichten über die bereits für die konventionelle Laparoskopie etablierten Single-port-Operationen mit dem da Vinci®-System, die bei exophytischen Tumoren im Bezug auf die R0-Rate die gleichen guten Ergebnisse zeigen wie die Multiportchirurgie [24,25]. Ebenso ist ein retroperitonealer Multiportzugang möglich, der eine reduzierte Morbidität zeigt bei onkologisch unverändert gutem Ergebnis [26].…”

Section: Introductionunclassified

Partielle Nephrektomie – pro robotisch assistierte laparoskopische Operation

Nestler

Roos

2012

Urologe

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An ever increasing use of imaging in medicine during recent years has resulted in accidental detection of an increasing number of asymptomatic small renal masses. To prevent secondary cardiovascular morbidity through loss of renal function, nephron-sparing surgery is performed for most of these masses. Minimally invasive surgery is a way to prevent postoperative complications, such aspneumonia and pain by avoiding wide incisions and by earlier mobilization of the patient. Since 2004 robotic-assisted laparoscopic nephron-sparing surgery has become a feasible alternative. It shows good functional results, less blood loss and shorter warm ischemia time compared to conventional laparoscopy. The complications can be assigned to Clavien scale grades I and II and can be treated conservatively in most cases. New surgical techniques reduce the number of tumors that cannot be operated on robotically because of size and location of the tumor. Robotic-assisted laparoscopic nephron-sparing surgery is a safe and useful alternative to conventional laparoscopy and open surgery for small renal masses.

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Robot-assisted Laparoendoscopic Single-site Surgery: Partial Nephrectomy for Renal Malignancy

Cited by 51 publications

References 15 publications

Single Institution Experience with Robot-Assisted Laparoendoscopic Single-Site Renal Procedures

Single Institution Experience with Robot-Assisted Laparoendoscopic Single-Site Renal Procedures

Transumbilical laparoendoscopic single-site partial nephrectomy using a microwave tissue coagulator

Partielle Nephrektomie – pro robotisch assistierte laparoskopische Operation

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