UroToday (KC) 29-Nov-07
From Kidney Cancer Resource
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Robotic Partial Nephrectomy for Complex Renal Tumors: Surgical Technique
Beyond the Abstract - Robotic Partial Nephrectomy for Complex Renal Tumors: Surgical Technique
BERKELEY, CA (UroToday.com) - This study assessed robotic partial Nephrectomy for patients with complex kidney tumors, which were defined as hilar, completely endophytic, or multiple Tumours. A total of 14 Tumours were resected from 8 patients.
Despite the complex nature of these kidney tumors and a mean Tumour size of 3.6 cm, reasonable warm ischemia times were achieved using the robotic approach (mean 31 minutes) with negative surgical margins in all patients.
The first author of the study is Dr. Craig Rogers, currently the Director of Robotic Kidney Surgery at the Vattikuti Urology Institute, Henry Ford Hospital, who worked with Dr's. Peter Pinto and W. Marston Linehan in optimizing this approach during his urologic oncology fellowship at the National Cancer Institute.
"At the National Cancer Institute, we had a unique population of patients with complex kidney tumors who were in need of a nephron sparing approach. Previous studies on robotic partial Nephrectomy described patients with smaller, more exophytic Tumours.
This study provides evidence that a robotic approach is also feasible in patients with more complex Tumours. A robotic approach can facilitate the technical challenges of Laparoscopic partial Nephrectomy, potentially allowing select patients to receive a minimally-invasive and nephron-sparing surgery who might otherwise receive open surgery or total Nephrectomy."
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