Robot-assisted retroperitoneal laparoscopic partial nephrectomy for renal cell carcinoma (report of 21 cases)
Huang Shuang
Lv Xiangj un
Zhang Xu
Abstract：Objective:To investigate the safety and feasibility of robot-assisted retroperitoneal laparoscopic par-tial nephrectomy (RARPN).Methods:A retrospective study on 21 RARPNs,from 2014 June to 2014 Dec,was per-formed in our hospital.The median age of these patients was 57.2 years old (47-71 years old),and the body mass index (BMI)was 22.6 kg/m2 (20.3-28.1 kg/m2 ).The left renal tumors were seen in 9 cases,and right in 12 cases. The median maximum tumor diameter was 3.7 cm (2.5-4.4 cm).The complications,estimated blood loss,warm ischemia time,operative time and positive margins were assessed.Results:All 21 cases were subjected to RARPNs successfully,and no cases were converted to open surgery.The operative time was 65 min (50-80 min),and esti-mated blood loss was 90 mL (70-1 50 mL).There was no blood transfusion.Median warm ischemia time was 1 6 min (10-23 min).Postoperative drainage time was 3 days (2-4 days).Pathologically postoperation,all cases were diag-nosed as having clear cell carcinoma,including 18 cases of Furhman grade Ⅱ,and 3 cases of grade Ⅱ-Ⅲ.No posi-tive margins were seem.No serious intraoperative,and postoperative complications occurred.During a short-term follow-up period (1 to 10 months),there were no death and disease progression.Conclusions:The RARPNis safe and feasible,and provides an alternative minimally invasive method for resection of renal cell carcinoma.
Keywords：robotic surgeryrenal cell carcinomaretroperitoneal approachpartial nephrectomy
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 129-132 )