Robot-assisted laparoscopic partial nephrectomy for hilar tumors (Report of 65 cases)
Luo Guangda
Wang Xinning
Liu Shengzhen
Zu Qiang
Lu Jingshan
Zhang Lei
Zhang Xu
Dong Jun
Abstract：Objective:To discuss the treatment and clinical experience of robot-assisted laparoscopic partial ne-phrectomy for renal hilar tumors.Methods:The clinical data of 740 cases receiving robot-assisted laparoscopic par-tial nephrectomy (RALPN)by 301st General Hospital from 2013 to 2016 were retrospectively reviewed.There were 65 cases of renal hilar tumors,including left and right hilar tumors of 39 and 26 (1.5∶1),respectively.The tumors were located on the front lip in 36 cases and the rear lip in 23 cases,and there were 6 cases of complete en-dophytic renal tumors.Results:All operations were completed successfully.The mean operative time was 137 (range:60-270)min,estimated blood loss was 64 (10-1 500)mL,warm ischemic time was 24.3 (10-118)min, and postoperative tube removal time was 3 (1-21)days.Pathologically,there were 51 cases of clear cell renal cell carcinoma (Furman nuclear grade Ⅰ-Ⅲ level),3 cases of papillary renal cell carcinoma,7 cases of angioleiomyoli-poma,2 cases of cystic renal cell carcinoma,1 case of oncocytoma,and 1 case of renal adenocarcinoma.Surgical margins were negative for malignancy in all cases.During a follow-up period of 1 to 9 6 months,there were no me-tastasis,deaths,recurrence,and leakage,etc.Conclusions:Robot-assisted laparoscopic partial nephrectomy for renal hilar tumor is a safe and effective operation.
Keywords：robotic surgery systempartial nephrectomyrenal hilar tumor
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 24-27 )