Laparoscopy came into existence in Urology the first time when Kelling introduced a cystoscope into the abdomen of a living dog via a trocar placed through the abdominal wall in 1901.1 Since that time, laparoscopic surgical techniques have been honed to allow urologic surgeons to perform the entire gamut of urologic procedures in a minimally invasive manner. With new advances in robotic technologies, the surgical repertoire has grown to include an ever-expanding array of complex extirpative and reconstructive procedures. While partial nephrectomy and, to a lesser extent, laparoscopic partial nephrectomy have been accepted as the gold standard for the treatment of small incidentally found solid renal tumors, there is only limited literature available about the role of robotic-assisted laparoscopic partial nephrectomy (RALPN).2–9 This is an emerging procedure, which has yet to find its role in the mainstream of urologic practice; however, it does offer several clear and intriguing advantages over current technology when placed in the correct hands.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Kelling G. Die Tamponade der Bauchhohle mit Luft zur Stillung lebensgefahrlicher Intestinalblutungen. Munch Med Wochenschr. 1901;48:1535–1538
Rogers CG, Singh A, Blatt AM, et al Robotic partial nephrectomy for complex renal tumors: surgical technique. Eur Urol. 2008;53:514
Kaul S, Laungani R, Sarle R, et al da Vinci-assisted robotic partial nephrectomy: technique and results at a mean of 15 months of follow-up. Eur Urol. 2007;51:186
Gettman MT, Blute ML, Chow GK, et al Robotic-assisted laparoscopic partial nephrectomy: technique and initial clinical experience with DaVinci robotic system. Urology. 2004;64:914
Deane LA, Lee HJ, Box GN, et al Robotic versus standard laparoscopic partial/wedge nephrectomy: a comparison of intraoperative and perioperative results from a single institution. J Endourol. 2008;22:947
Aron M, Koenig P, Kaouk JH, et al Robotic and laparoscopic partial nephrectomy: a matched-pair comparison from a high-volume centre. BJU Int. 2008;102:86
Phillips CK, Taneja SS, Stifelman MD. Robot-assisted laparoscopic partial nephrectomy: the NYU technique. J Endourol. 2005;19:441
Caruso RP, Phillips CK, Kau E, et al Robot assisted laparoscopic partial nephrectomy: initial experience. J Urol. 2006;176:36
Bhayani SB, Das N. Robotic assisted laparoscopic partial nephrectomy for suspected renal cell carcinoma: retrospective review of surgical outcomes of 35 cases. BMC Surg. 2008;8:16
La Vecchia C, Negri E, Levi F. Increasing incidence of renal cell cancer. JAMA. 1999;282:2120
Katner HP, Baynham SA. Increasing incidence of renal cell cancer. JAMA. 1999;282:2119
Chow WH, Devesa SS, Warren JL, et al Rising incidence of renal cell cancer in the United States. JAMA. 1999;281:1628
Mathew A, Devesa SS, Fraumeni JF Jr, et al Global increases in kidney cancer incidence, 1973–1992 Eur J Cancer Prev. 2002;11:171
Abaza R, Picard J. A novel technique for laparoscopic or robotic partial nephrectomy: feasibility study. J Endourol. 2008;22:1715
Herr HW. Partial nephrectomy for unilateral renal carcinoma and a normal contralateral kidney: 10-year followup. J Urol. 1999;161:33
Fergany AF, Hafez KS, Novick AC. Long-term results of nephron sparing surgery for localized renal cell carcinoma: 10-year followup. J Urol. 2000;163:442
Leibovich BC, Blute ML, Cheville JC, et al Nephron sparing surgery for appropriately selected renal cell carcinoma between 4 and 7 cm results in outcome similar to radical nephrectomy. J Urol. 2004;171:1066
Patard JJ, Shvarts O, Lam JS, et al Safety and efficacy of partial nephrectomy for all T1 tumors based on an international multicenter experience. J Urol. 2004;171:2181
Lau WK, Blute ML, VWeaver AL, et al Matched comparison of radical nephrectomy vs nephron-sparing surgery in patients with unilateral renal cell carcinoma and a normal contralateral kidney. Mayo Clin Proc. 2000;75:1236
Lee CT, Katz J, Shi W, et al Surgical management of renal tumors 4 cm. or less in a contemporary cohort. J Urol. 2000;163:730
Frank I, Blute ML, Cheville JC, et al Solid renal tumors: an analysis of pathological features related to tumor size. J Urol. 2003;170:2217
Fujii Y, Komai Y, Saito K, et al Incidence of benign pathologic lesions at partial nephrectomy for presumed RCC renal masses: Japanese dual-center experience with 176 consecutive patients. Urology. 2008;72:598
Kutikov A, Fossett LK, Ramchandani P, et al Incidence of benign pathologic findings at partial nephrectomy for solitary renal mass presumed to be renal cell carcinoma on preoperative imaging. Urology. 2006;68:737
Badani KK, Kaul S, Menon M. Evolution of robotic radical prostatectomy: assessment after 2766 procedures. Cancer. 2007;110:1951
Azevedo OC, Azevedo JL, Sorbello AA, et al Evaluation of tests performed to confirm the position of the Veress needle for creation of pneumoperitoneum in selected patients: a prospective clinical trial. Acta Cir Bras. 2006;21:385
Azevedo JL, Guindalini RS, Sorbello AA, et al Evaluation of the positioning of the tip of the Veress needle during creation of closed pneumoperitoneum in pigs. Acta Cir Bras. 2006;21:26
Bemelman WA, Dunker MS, Busch OR, et al Efficacy of establishment of pneumoperitoneum with the Veress needle, Hasson trocar, and modified blunt trocar (TrocDoc): a randomized study. J Laparoendosc Adv Surg Tech A. 2000;10:325
Phelan MW, Perry KT, Gore J, et al Laparoscopic partial nephrectomy and minimally invasive nephron-sparing surgery. Curr Urol Rep. 2003;4:13
Berger A, Crouzet S, Canes D, et al Minimally invasive nephron-sparing surgery. Curr Opin Urol. 2008;18:462
Gill IS, Kavoussi LR, Lane BR, et al Comparison of 1,800 laparoscopic and open partial nephrectomies for single renal tumors. J Urol. 2007;178:41
Nguyen MM, Gill IS. Halving ischemia time during laparoscopic partial nephrectomy. J Urol. 2008;179:627
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2010 Springer-Verlag London
About this chapter
Cite this chapter
Irwin, B.H., Aron, M., Gill, I. (2010). Robotic-Assisted Laparoscopic Partial Nephrectomy. In: Dasgupta, P., Fitzpatrick, J., Kirby, R., Gill, I.S. (eds) New Technologies in Urology. New Techniques in Surgery Series, vol 7. Springer, London. https://doi.org/10.1007/978-1-84882-178-1_4
Download citation
DOI: https://doi.org/10.1007/978-1-84882-178-1_4
Publisher Name: Springer, London
Print ISBN: 978-1-84882-177-4
Online ISBN: 978-1-84882-178-1
eBook Packages: MedicineMedicine (R0)