Publicação
Robotic-assisted partial nephrectomy: surgical technique using a 3-arm approach and sliding-clip renorrhaphy
| Resumo: | INTRODUCTION: For the treatment of renal tumors, minimally invasive nephron-sparing surgery has become increasingly performed due to proven efficiency and excellent functional and oncological outcomes. The introduction of robotics into urologic laparoscopic surgery has allowed surgeons to perform challenging procedures in a reliable and reproducible manner. We present our surgical technique for robotic assisted partial nephrectomy (RPN) using a 3-arm approach, including a sliding-clip renorrhaphy. MATERIAL AND METHODS: Our RPN technique is presented which describes the trocar positioning, hilar dissection, tumor identification using intraoperative ultrasound for margin determination, selective vascular clamping, tumor resection, and reconstruction using a sliding-clip technique. CONCLUSION: RPN using a sliding-clip renorrhaphy is a valid and reproducible surgical technique that reduces the challenge of the procedure by taking advantage of the enhanced visualization and control afforded by the robot. The renorrhaphy described is performed under complete control of the console surgeon, and has demonstrated a reduction in the warm ischemia times in our series. |
|---|---|
| Autores principais: | Cabello,Jose M. |
| Outros Autores: | Benway,Brian M.; Bhayani,Sam B. |
| Assunto: | kidney nephrectomy surgical procedures minimally invasive robotics |
| Ano: | 2009 |
| País: | Brasil |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | IBICT |
| Idioma: | inglês |
| Origem: | Oasisbr |
| _version_ | 1871506383336112128 |
|---|---|
| author | Cabello,Jose M. |
| author2 | Benway,Brian M. Bhayani,Sam B. |
| author2_role | author author |
| author_facet | Cabello,Jose M. Benway,Brian M. Bhayani,Sam B. |
| author_role | author |
| country_str | BR |
| creators_json_txt | [{\"Person.name\":\"Cabello,Jose M.\"},{\"Person.name\":\"Benway,Brian M.\"},{\"Person.name\":\"Bhayani,Sam B.\"}] |
| datacite.creators.creator.creatorName.fl_str_mv | Cabello,Jose M. Benway,Brian M. Bhayani,Sam B. |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | kidney nephrectomy surgical procedures minimally invasive robotics |
| datacite.titles.title.fl_str_mv | Robotic-assisted partial nephrectomy: surgical technique using a 3-arm approach and sliding-clip renorrhaphy |
| dc.creator.none.fl_str_mv | Cabello,Jose M. Benway,Brian M. Bhayani,Sam B. |
| dc.format.none.fl_str_mv | text/html |
| dc.identifier.none.fl_str_mv | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382009000200010 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | Sociedade Brasileira de Urologia |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.source.none.fl_str_mv | International braz j urol v.35 n.2 2009 reponame:International Braz J Urol (Online) instname:Sociedade Brasileira de Urologia (SBU) instacron:SBU |
| dc.subject.none.fl_str_mv | kidney nephrectomy surgical procedures minimally invasive robotics |
| dc.title.fl_str_mv | Robotic-assisted partial nephrectomy: surgical technique using a 3-arm approach and sliding-clip renorrhaphy |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | INTRODUCTION: For the treatment of renal tumors, minimally invasive nephron-sparing surgery has become increasingly performed due to proven efficiency and excellent functional and oncological outcomes. The introduction of robotics into urologic laparoscopic surgery has allowed surgeons to perform challenging procedures in a reliable and reproducible manner. We present our surgical technique for robotic assisted partial nephrectomy (RPN) using a 3-arm approach, including a sliding-clip renorrhaphy. MATERIAL AND METHODS: Our RPN technique is presented which describes the trocar positioning, hilar dissection, tumor identification using intraoperative ultrasound for margin determination, selective vascular clamping, tumor resection, and reconstruction using a sliding-clip technique. CONCLUSION: RPN using a sliding-clip renorrhaphy is a valid and reproducible surgical technique that reduces the challenge of the procedure by taking advantage of the enhanced visualization and control afforded by the robot. The renorrhaphy described is performed under complete control of the console surgeon, and has demonstrated a reduction in the warm ischemia times in our series. |
| dirty | 0 |
| eu_rights_str_mv | openAccess |
| format | article |
| id | oasisbr_dfd05b33cd251d8abc2ce2bbcf9c2c54 |
| identifier.url.fl_str_mv | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382009000200010 |
| inst_facet_str | urn:organizationAcronym:oasisbr{{{_:::_}}}IBICT |
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| institution | IBICT |
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| language | eng |
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| oai_identifier_str | oai:scielo:S1677-55382009000200010 |
| organization_str_mv | urn:organizationAcronym:oasisbr |
| person_str_mv | Cabello,Jose M. Benway,Brian M. Bhayani,Sam B. |
| publishDate | 2009 |
| publisher.none.fl_str_mv | Sociedade Brasileira de Urologia |
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| spelling | Robotic-assisted partial nephrectomy: surgical technique using a 3-arm approach and sliding-clip renorrhaphyCabello,Jose M.Benway,Brian M.Bhayani,Sam B.kidneynephrectomysurgical proceduresminimally invasiveroboticsopen accesshttp://purl.org/coar/access_right/c_abf2http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382009000200010URLhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382009000200010URLHasVersion2009-04-01INTRODUCTION: For the treatment of renal tumors, minimally invasive nephron-sparing surgery has become increasingly performed due to proven efficiency and excellent functional and oncological outcomes. The introduction of robotics into urologic laparoscopic surgery has allowed surgeons to perform challenging procedures in a reliable and reproducible manner. We present our surgical technique for robotic assisted partial nephrectomy (RPN) using a 3-arm approach, including a sliding-clip renorrhaphy. MATERIAL AND METHODS: Our RPN technique is presented which describes the trocar positioning, hilar dissection, tumor identification using intraoperative ultrasound for margin determination, selective vascular clamping, tumor resection, and reconstruction using a sliding-clip technique. CONCLUSION: RPN using a sliding-clip renorrhaphy is a valid and reproducible surgical technique that reduces the challenge of the procedure by taking advantage of the enhanced visualization and control afforded by the robot. The renorrhaphy described is performed under complete control of the console surgeon, and has demonstrated a reduction in the warm ischemia times in our series.engtext/htmlSociedade Brasileira de UrologiaInternational braz j urol v.35 n.2 2009reponame:International Braz J Urol (Online)instname:Sociedade Brasileira de Urologia (SBU)instacron:SBUjournal articlehttp://purl.org/coar/resource_type/c_6501literatureVoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85 |
| spellingShingle | Robotic-assisted partial nephrectomy: surgical technique using a 3-arm approach and sliding-clip renorrhaphy Cabello,Jose M. kidney nephrectomy surgical procedures minimally invasive robotics |
| status | SINGLETON |
| status_str | VoR |
| subject.fl_str_mv | kidney nephrectomy surgical procedures minimally invasive robotics |
| title | Robotic-assisted partial nephrectomy: surgical technique using a 3-arm approach and sliding-clip renorrhaphy |
| title_full | Robotic-assisted partial nephrectomy: surgical technique using a 3-arm approach and sliding-clip renorrhaphy |
| title_fullStr | Robotic-assisted partial nephrectomy: surgical technique using a 3-arm approach and sliding-clip renorrhaphy |
| title_full_unstemmed | Robotic-assisted partial nephrectomy: surgical technique using a 3-arm approach and sliding-clip renorrhaphy |
| title_short | Robotic-assisted partial nephrectomy: surgical technique using a 3-arm approach and sliding-clip renorrhaphy |
| title_sort | Robotic-assisted partial nephrectomy: surgical technique using a 3-arm approach and sliding-clip renorrhaphy |
| topic | kidney nephrectomy surgical procedures minimally invasive robotics |
| topic_facet | kidney nephrectomy surgical procedures minimally invasive robotics |
| url | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382009000200010 |
| visible | 1 |
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