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Retroperitoneal robotic renal surgery: technique and early results
Manish N Patel1, Sanjeev A Kaul1, Rajesh Laungani1
1Vattikuti Urology Institute, Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, MI, 48202, USA.
Journal of Robotic Surgery
|September 16, 2016
Summary
This study introduces a robotic retroperitoneal approach for kidney surgery, demonstrating its safety and feasibility in human patients. The technique offers a viable alternative for various renal procedures, including partial and radical nephrectomies.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- The transperitoneal approach is common for robotic renal surgery.
- Alternative approaches are sought to optimize patient outcomes and surgical access.
Purpose of the Study:
- To describe and evaluate a robotic retroperitoneal approach for renal surgery.
- To assess the safety and feasibility of this technique in human patients.
Main Methods:
- The retroperitoneal approach was developed and optimized in porcine and cadaveric models.
- The technique was applied to ten human patients undergoing various robotic renal procedures.
Main Results:
- Successful retroperitoneal access was achieved in all ten human patients.
- Procedures included partial nephrectomy, radical nephrectomy, simple nephrectomy, pyeloplasty, and cryoablation.
- Mean console time was 166 minutes, with mean blood loss of 82 ml and average hospital stay of 2.6 days.
Conclusions:
- The retroperitoneal approach is a safe and feasible alternative for robotic renal surgery.
- This technique is applicable to a range of procedures including nephrectomies and pyeloplasty.
