Departamento de Urología y Centro de Cirugía Robótica, Clínica Indisa, Santiago, Chile.
Facultad de Medicina, Universidad Andrés Bello, Santiago, Chile; Facultad de Medicina, Universidad de Chile, Santiago, Chile.
To report our initial experience with robotic partial nephrectomy (RPN) in a series of 25 consecutively-operated patients.
A series of 25 consecutive patients who underwent RPN from April 2010 to February 2011 were studied. We used the da Vinci S HD robotic system with transperitoneal approach. Total renal hilum control was used 22 cases and 3 patients underwent selective renal parenchymal compression with an ad-hoc device.
Mean age was 55.8 years (26-77) with a male/female ratio of 2:1. Mean operative time was 117.6minutes (54-205) and the warm ischemia time was 20.2minutes (9-34). Mean estimated blood loss was 440ml (20-2000) and the mean tumor size was 3.25cm (1-5.3). Five patients (20%) had complications, the most frequent being intraoperative bleeding (Clavien II). There was no conversion to open or laparoscopic surgery. Mean hospital stay was 3.5 days (1-7). The pathological study revealed renal cell carcinoma in 19 cases and benign lesions in 6 patients. There were no positive surgical margins and no mortality.
Our preliminary results show that RPN is a feasible surgical approach in small-sized renal tumors.
Article in English, Spanish.
Written by:
Castillo OA, Rodríguez-Carlin A, López-Fontana G, Vidal-Mora I, Gómez I R. Are you the author?
Reference: Actas Urol Esp. 2011 Aug 8. Epub ahead of print.
doi: 10.1016/j.acuro.2011.06.00
PubMed Abstract
PMID: 21831484
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