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Robot-assisted laparoendoscopic single-site partial nephrectomy with the novel da vinci single-site platform: initial
Christos Komninos1, Patrick Tuliao2, Dae Keun Kim2
1Department of Urology and Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea. ; Department of Urology, General Hospital of Nikaia 'St. Panteleimon', Athens, Greece.
Korean Journal of Urology
|June 24, 2014
Summary
This study reports initial cases of robotic laparoendoscopic single-site (R-LESS) partial nephrectomy (PN). While feasible, the novel Da Vinci R-LESS platform has limitations requiring careful patient selection and further improvements.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Robotic surgery offers potential benefits in partial nephrectomy (PN).
- The Da Vinci R-LESS platform represents a novel approach to single-site robotic surgery.
Purpose of the Study:
- To present initial clinical outcomes of robotic laparoendoscopic single-site (R-LESS) partial nephrectomy (PN).
- To evaluate the feasibility and identify challenges of the novel Da Vinci R-LESS platform for PN.
Main Methods:
- Three patients underwent R-LESS PN using the Da Vinci platform.
- Perioperative and postoperative outcomes were collected, and intraoperative difficulties were documented.
Main Results:
- Procedures ranged from 100-110 minutes with 50-500 mL blood loss; no transfusions were needed.
- All tumors were resected with clear margins; one case required conversion to multiport surgery.
- Limitations included lack of EndoWrist articulation, external collisions, and limited workspace.
Conclusions:
- R-LESS PN with the Da Vinci platform is feasible but requires careful patient selection.
- Further technological advancements are necessary to address the identified limitations and optimize the procedure.
