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Single Port Donor Nephrectomy
Published on: March 12, 2011
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Retroperitoneal single-site robot-assisted partial nephrectomy using Lapsingle Vision advanced access platform:
Hyung Ho Lee1, Young Eun Yoon2, Young Sig Kim3
1Department of Urology, Center for Urologic Cancer, National Cancer Center, Gyeonggi-do, Republic of Korea.
Translational Andrology and Urology
|May 19, 2020
Summary
Retroperitoneal single-site robot-assisted partial nephrectomy is a new approach for small renal masses. While feasible for posterior/lateral tumors, challenges exist for upper pole masses.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Robot-assisted partial nephrectomy is the standard for small renal masses.
- Robot-assisted single-site surgery is a recent advancement.
- Retroperitoneal approaches for single-site robotic surgery are less reported.
Observation:
- This study reports an initial case series of retroperitoneal single-site robot-assisted partial nephrectomy using the da Vinci Xi system.
- Three patients with incidentally found renal masses underwent the procedure.
- Data collected included operation duration, blood loss, warm ischemia time, eGFR change, and complications.
Findings:
- Two cases of clear cell renal cell carcinoma and one of chromophobe renal cell carcinoma were diagnosed.
- The initial two cases were completed successfully with minimal bleeding and warm ischemia time under 25 minutes.
- The third case required conversion to multiport due to limited space and difficulty with an upper pole mass.
Implications:
- Retroperitoneal single-site robot-assisted partial nephrectomy shows feasibility for posterior or lateral renal masses.
- Further research with more cases is necessary to establish the safety and efficacy of this technique.
- This approach may offer a minimally invasive option for select renal tumors.
