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Robotic Laparoendoscopic Single-Site Radical Nephrectomy

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Book cover Atlas of Laparoscopic and Robotic Single Site Surgery

Part of the book series: Current Clinical Urology ((CCU))

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Abstract

The application of laparoscopy to renal surgery has revolutionized the way localized renal cell carcinoma is treated by urologic surgeons. Open approaches such as flank and thoracoabdominal incisions are associated with greater pain, morbidity, and a longer convalescence for patients. Laparoscopic radical nephrectomy has now become the gold standard since Dr. Clayman described the first case in 1991. However, the procedure still involves multiple small incisions for laparoscopic ports, as well as a larger incision for specimen extraction. Laparoendoscopic single-site surgery (LESS) eliminates the need for this and has been associated with better cosmesis and lower postoperative pain. However, the procedure can be technically challenging given the need to cross instruments to achieve triangulation during the dissection. The application of robotic surgery to LESS has overcome some of these constraints, making the surgery easier to perform. However, because the current robotic platform is not specifically designed for LESS, issues with instrument clashing and reduced operative space remain. The application of new LESS-specific robotic platforms has been developed and may eliminate some of these issues going forward.

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Authors and Affiliations

  1. Urology, Surrey Memorial Hospital, 207-13710 94a Ave., Surrey, BC, V3V 1N1, Canada

    Dinesh Samarasekera BSc, MD, FRCSC

  2. Cleveland Clinic Lerner College of Medicine, Zagarek Pollock Chair in Robotic Surgery, Center for Robotic and Image guided Surgery, Glickman Urologic Institute, Cleveland, OH, USA

    Jihad H. Kaouk MD, FACS (Professor of Surgery)

Authors
  1. Dinesh Samarasekera BSc, MD, FRCSC
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  2. Jihad H. Kaouk MD, FACS
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Corresponding author

Correspondence to Dinesh Samarasekera BSc, MD, FRCSC .

Editor information

Editors and Affiliations

  1. Professor of Surgery, Department of Urology Cleveland Clinic Lerner, College of Medicine, Zagarek Pollock Chair in Robotic Surgery, Center for Robotic and Image guided Surgery, Glickman Urologic Institute, Cleveland, Ohio, USA

    Jihad H. Kaouk

  2. Associate Professor of Surgery, Department of Urology, Center for Robotic and Image Guided Surgery, Glickman Urological and Kidney Institute Cleveland Clinic, Cleveland, Ohio, USA

    Robert J. Stein

  3. Associate Staff, Department of Urology, Center for Robotic and Image Guided Surgery, Glickman Urological Institute Cleveland Clinic, Cleveland, Ohio, USA

    Georges-Pascal Haber

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Samarasekera, D., Kaouk, J.H. (2017). Robotic Laparoendoscopic Single-Site Radical Nephrectomy. In: Kaouk, J., Stein, R., Haber, GP. (eds) Atlas of Laparoscopic and Robotic Single Site Surgery. Current Clinical Urology. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-3575-8_20

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  • DOI: https://doi.org/10.1007/978-1-4939-3575-8_20

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  • Publisher Name: Humana Press, New York, NY

  • Print ISBN: 978-1-4939-3573-4

  • Online ISBN: 978-1-4939-3575-8

  • eBook Packages: MedicineMedicine (R0)

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