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Retroperitoneal single-site robot-assisted partial nephrectomy using Lapsingle Vision advanced access platform: initial three case reports

Authors
 Hyung Ho Lee  ;  Young Eun Yoon  ;  Young Sig Kim  ;  Joon Chae Na  ;  Koon Ho Rha  ;  Woong Kyu Han  ;  Dae Keun Kim 
Citation
 TRANSLATIONAL ANDROLOGY AND UROLOGY, Vol.9(2) : 758-765, 2020-04 
Journal Title
 TRANSLATIONAL ANDROLOGY AND UROLOGY 
Issue Date
2020-04
Keywords
Kidney cancer ; nephrectomy ; retroperitoneal ; robotics ; single site case reports
Abstract
Robot-assisted partial nephrectomy is currently the standard for treatment of small renal mass. Recently, robot-assisted single site surgery has been introduced. However, there have been few reports of retroperitoneal approaches. Herein, we report initial case series of retroperitoneal single-site robot-assisted partial nephrectomy using the da Vinci Xi surgical system using the Lapsingle Vision advanced access platform. Three patients have undergone retroperitoneal single-site robot-assisted partial nephrectomy due to incidental finding of renal mass. Operation duration, estimated blood loss, warm ischemia time, estimated glomerular filtration rate (eGFR) change, and complication were evaluated. Renal cell carcinoma of the two clear cell type and one chromophobe was diagnosed based on the pathological examination. Initial two cases were successfully completed with minimal bleeding and warm ischemic time within 25 minutes. The last 3rd case has been converted to multiport operation due to limited retroperitoneal space and difficulty in managing upper pole renal mass. Retroperitoneal single-site robot-assisted partial nephrectomy is a feasible treatment modality for treatment of posterior or lateral renal masses. Additional cases are needed to confirm the safety and efficacy of this technique.
Files in This Item:
T202001838.pdf Download
DOI
10.21037/tau.2020.01.14
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Rha, Koon Ho(나군호) ORCID logo https://orcid.org/0000-0001-8588-7584
Na, Joon Chae(나준채) ORCID logo https://orcid.org/0000-0003-4449-8472
Lee, Hyung Ho(이형호)
Han, Woong Kyu(한웅규) ORCID logo https://orcid.org/0000-0002-2527-4046
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/179108
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