With the increasing use of robotics, many centres have reported their early experiences using it for nephron-sparing surgery.Objective: to review published literature comparing robotic partial nephrectomy (RPN) with laparoscopic partial nephrectomy (LPN).Evidence acquisition: an online systematic review of the literature according to Cochrane guidelines was conducted from 2000 to 2012 including studies comparing RPN and LPN. (soton.ac.uk)
Today, many laparoscopic nephrectomies are done with robotic assistance . (healthline.com)
Purpose: We reviewed our first 30 hand assisted laparoscopic partial nephrectomies and compared the results of 8 centrally located vs 22 peripherally located tumors. (uky.edu)
Conclusions: Hand assisted laparoscopic partial nephrectomy is safe with excellent immediate cancer control. (uky.edu)
Laparoscopy1
Additionally, greater than 95% of our radical nephrectomies in 2014 were performed using laparoscopy, sparing our patients a larger painful incision through the ribs and potentially weeks or months of recovery. (bidmc.org)
Robotic2
Robotic partial nephrectomy utilizes an operating telescope and thin, specialized instruments placed in the abdomen through 3-4 "keyhole" incisions, each 1cm. (bidmc.org)
Robotic partial nephrectomy controls cancer equally as well as the traditional open procedure. (bidmc.org)
Renal cell1
Nephrectomy for renal cell carcinoma is rapidly being modified to allow partial removal of the kidney. (wikipedia.org)
Kidney7
Partial nephrectomy is the removal of part of the kidney, usually because of a tumor, while sparing the remainder from damage or removal. (bidmc.org)
citation needed] A total nephrectomy is the removal of at least the entire kidney, whereas a 'radical nephrectomy' also includes at least some perinephric fat, possibly including Gerota's fascia, and usually also the ipsilateral adrenal gland. (wikipedia.org)
This is the first time a healthy kidney has been removed via this method, though it has been done in the past for nephrectomies carried out due to pathology. (wikipedia.org)
Contex: centres worldwide have been performing partial nephrectomies laparoscopically for greater than a decade. (soton.ac.uk)
Surgery2
During the surgery, the first partial nephrectomy and renal reconstruction had no complications, allowing Kolon to continue and successfully perform the second contralateral partial nephrectomy and renorrhaphy under the same general anesthesia. (chop.edu)
Such alternatives include renal embolization for those who are poor candidates for surgery, or partial nephrectomy if possible. (wikipedia.org)
She began a planned 12-week course of chemotherapy to be followed by partial versus total nephrectomies. (chop.edu)
Tumors2
With this experience, surgeons have naturally started to push the envelope for partial nephrectomy to more complex cT1a tumors, and larger masses (cT1b and T2 tumors). (iospress.com)
Is Robotic-assisted Partial Nephrectomy an Efficacious and Safe Procedure for Removal of Stage T1 Renal Tumors? (asmepress.com)
Surgical4
[ 4 ] Previous deterrents to partial nephrectomy, including proximity to the collecting system, endophytic tumor location, concern for tumor multifocality, and desire for a 1 cm surgical margin, have been addressed. (medscape.com)
Local tumour bed recurrence was defined as a detection of a new enhancing lesion very specifically at the surgical resection defect as well as in the same region as the partial nephrectomy site (e.g. recurrence in lower pole if PN was performed for lower pole). (uk.com)
The quest for trifecta comprising warm ischemia time less than 25 minutes, negative surgical margins and no perioperative complications seems to be better accomplished by robotic partial nephrectomy, which is likely to become the new standard for minimally invasive partial nephrectomy. (asmepress.com)
Due to its minimally invasive nature, laparoscopic nephrectomy is becoming a popular option. (gleneagles.com.sg)
Laparoscopic nephrectomy (LN) was first performed by Clayman et al in 1991 and has since become a standard therapy for various renal lesions. (medscape.com)
In general, the indications for an extraperitoneal laparoscopic nephrectomy are similar to those for the intraperitoneal approach. (medscape.com)
Using a retroperitoneal approach has certain advantages over a traditional laparoscopic nephrectomy, which include prompt access to the great vessels and renal vasculature without requiring medial mobilization of solid viscus or bowel. (medscape.com)
Retroperitoneal laparoscopic nephrectomy (RLN) is regularly performed for both benign and malignant lesions. (medscape.com)
Retroperitoneal laparoscopic nephrectomy is also routinely performed for benign renal lesions. (medscape.com)
Tumor1
Local tumor bed recurrence following partial nephrectomy in patients with small renal masses. (uk.com)
Robotic assisted4
With a relatively favorable learning curve (25 cases), dissemination of robotic assisted technology and has led to increased use of partial nephrectomy, from 8.6% in 2000 to 27% in 2011 [ 7 ]. (iospress.com)
The increase of partial nephrectomies performed was attributable to robotic assisted surgery that increased by 15%, with a concomitant decrease of open surgery by 33% [ 7 ]. (iospress.com)
A total of 40 patients were included in the study who underwent robotic-assisted partial nephrectomy for renal tumours less than 7 cm in size. (asmepress.com)
As the technique of RAPN (robotic-assisted partial nephrectomy) continues to develop and mature, intraoperative & perioperative outcomes continue to be reported [4]. (asmepress.com)
This is especially true in contemporary practice as experience in partial nephrectomy grows, primarily driven by the rise of robotic minimally-invasive surgery. (iospress.com)
Although open partial nephrectomy is an efficacious procedure, a minimally invasive approach might be more attractive to patients [3]. (asmepress.com)
Underwent1
A total of 2,271 patients' charts were reviewed who underwent partial nephrectomies over a period of 14 years between 2000 and 2014. (uk.com)
Kidneys3
Another option might be to do partial nephrectomies on both kidneys. (cancer.org)
Unless you need both kidneys to be removed, a nephrectomy to remove part or the whole of one kidney can boost your kidney health in the long-term. (gleneagles.com.sg)
In this interesting retrospective study, the authors looked at the incidence of local tumour bed recurrence after partial nephrectomy (PN), the factors associated with that, and the management. (uk.com)
Nephrectomies can be done using either one of the following two methods. (gleneagles.com.sg)
Detection1
examining a large cohort of Medicare beneficiaries, increase rates of computed tomography (CT) imaging was associated with a higher risk of nephrectomy, presumably from incidental detection of renal masses, with little change in morality [ 4 ]. (iospress.com)
Surgery2
The complication rate of open partial nephrectomy is 9%, the most bothersome adverse events being prolonged urinary fistula and delayed hemorrhage, which rarely require surgery. (medscape.com)
Such alternatives include renal embolization for those who are poor candidates for surgery, or partial nephrectomy if possible. (wikipedia.org)
Approach1
In addition, this approach helps control and efficiently drain any urinary leakage immediately after renal reconstructive procedures (eg, pyeloplasty , anatrophic nephrolithotomy with infundibuloplasty, partial nephrectomy ). (medscape.com)