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Adult Robotic-Assisted Partial Nephrectomy for Renal Cell Carcinoma

  • Ronald S. Boris
  • Peter A. PintoEmail author
Chapter
Part of the Current Clinical Urology book series (CCU)

Abstract

The introduction of robotic surgery has revolutionized the treatment of urologic malignancy. Initially established for radical prostatectomy, robotic techniques are now being applied in the management of renal cancer. The feasibility and safety of robotic-assisted partial nephrectomy (RAPN) has been demonstrated in several small, single-institution studies [1–10]. Recently this technique has been applied successfully in patients with hilar, endophytic, and multiple renal masses [8–10]. Features of the da Vinci Surgical System (Intuitive Surgical Corp., Sunnyvale, California, USA) include 3D vision, articulating instruments, and motion scaling to reduce tremor. These amenities may allow the surgeon the ability to replicate established “open” maneuvers and allow for complex tumor extirpation and renal reconstruction which is challenging in a pure laparoscopic manner.

Keywords

Nephron-sparing surgery Robotics Kidney cancer Minimally invasive surgery Techniques 

Supplementary material

Robotic Assisted Partial Nephrectomy (69.1 MB)

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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Urologic Oncology BranchNational Cancer InstituteBethesdaUSA

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