Abstract
Amongst nephron-sparing surgical options for treatment of renal cell carcinoma, partial nephrectomy (PN) is the standard of care. Two recently emerging phenomena in the field of PN surgery are driven by robotic surgery: (a) increased utilization of PN in the field and (b) recent technical innovations in the technical aspects of PN surgery. In this chapter, we discuss advanced techniques for PN surgery, such as tumor-specific super-selective clamping PN and minimal-margin zero-ischemia PN, as well as use of intraoperative imaging modalities, such as laparoscopic Doppler ultrasound and vascular fluorescence imaging with indigo-cyanine dye, that are used to propagate these advanced PN techniques.
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
Abbreviations
- CT:
-
Computed tomography
- GFR:
-
Glomerular filtration rate
- JP:
-
Jackson-Pratt
- PN:
-
Partial nephrectomy
- RAPN:
-
Robotic-assisted partial nephrectomy
References
Marconi L, Dabestani S, Lam TB, Hofmann F, Stewart F, Norrie J, et al. Systematic review and meta-analysis of diagnostic accuracy of percutaneous renal tumour biopsy. Eur Urol. 2016;69(4):660–73.
Bjurlin MA, Walter D, Taksler GB, Huang WC, Wysock JS, Sivarajan G, et al. National trends in the utilization of partial nephrectomy before and after the establishment of AUA guidelines for the management of renal masses. Urology. 2013;82(6):1283–9.
Hafez KS, Novick AC, Butler BP. Management of small solitary unilateral renal cell carcinomas: impact of central versus peripheral tumor location. J Urol. 1998;159(4):1156–60.
Gratzke C, Seitz M, Bayrle F, Schlenker B, Bastian PJ, Haseke N, et al. Quality of life and perioperative outcomes after retroperitoneoscopic radical nephrectomy (RN), open RN and nephron-sparing surgery in patients with renal cell carcinoma. BJU Int. 2009;104(4):470–5.
D’Armiento M, Damiano R, Feleppa B, Perdona S, Oriani G, De Sio M. Elective conservative surgery for renal carcinoma versus radical nephrectomy: a prospective study. Br J Urol. 1997;79(1):15–9.
Van Poppel H, Da Pozzo L, Albrecht W, Matveev V, Bono A, Borkowski A, et al. A prospective randomized EORTC intergroup phase 3 study comparing the complications of elective nephron-sparing surgery and radical nephrectomy for low-stage renal cell carcinoma. Eur Urol. 2007;51(6):1606–15.
Lane BR, Campbell SC, Gill IS. 10-year oncologic outcomes after laparoscopic and open partial nephrectomy. J Urol. 2013;190(1):44–9.
Go AS, Chertow GM, Fan D, McCulloch CE, Hsu CY. Chronic kidney disease and the risks of death, cardiovascular events, and hospitalization. N Engl J Med. 2004;351(13):1296–305.
Volpe A, Blute ML, Ficarra V, Gill IS, Kutikov A, Porpiglia F, et al. Renal ischemia and function after partial nephrectomy: a collaborative review of the literature. Eur Urol. 2015;68(1):61–74.
Hung AJ, Tsai S, Gill IS. Does eliminating global renal ischemia during partial nephrectomy improve functional outcomes? Curr Opin Urol. 2013;23(2):112–7.
Klatte T, Ficarra V, Gratzke C, Kaouk J, Kutikov A, Macchi V, et al. A literature review of renal surgical anatomy and surgical strategies for partial nephrectomy. Eur Urol. 2015;68(6):980–92.
Desai MM, de Castro Abreu AL, Leslie S, Cai J, Huang EY, Lewandowski PM, et al. Robotic partial nephrectomy with superselective versus main artery clamping: a retrospective comparison. Eur Urol. 2014;66(4):713–9.
Hung AJ, Cai J, Simmons MN, Gill IS. “Trifecta” in partial nephrectomy. J Urol. 2013;189(1):36–42.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Electronic Supplementary Material
Below is the link to the electronic supplementary material.
Super-selective clamping robotic partial nephrectomy: This video demonstrates the surgical technique for robotic super-selective clamping during a partial nephrectomy (MP4 433573 kb)
Zero-ischemia minimal margin robotic partial nephrectomy: This video demonstrates the surgical technique for robotic zero-ischemia, minimal margin technique for robotic partial nephrectomy (MP4 512529 kb)
Intraoperative imaging to facilitate advanced techniques for robotic partial nephrectomy: This video demonstrates the use of intraoperative imaging modalities to assist in the facilitation of advanced surgical techniques for robotic partial nephrectomy (MP4 115376 kb)
Rights and permissions
Copyright information
© 2017 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Chopra, S., Bove, A.M., Gill, I.S. (2017). Robotic Partial Nephrectomy: Advanced Techniques and Use of Intraoperative Imaging. In: Su, LM. (eds) Atlas of Robotic Urologic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-45060-5_7
Download citation
DOI: https://doi.org/10.1007/978-3-319-45060-5_7
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-45058-2
Online ISBN: 978-3-319-45060-5
eBook Packages: MedicineMedicine (R0)