Abstract：Objective: To summarize single surgeon's experience of robot-assisted laparoscopic partial nephrectomy, and to discuss its efficacy and advantage. Methods: Between Feb. 2014 and June 2016, 85 cases of renal tumor receiving robot-assisted laparoscopic partial nephrectomy were retrospectively analyzed Results: All the operations were accomplished successfully without conversion to open surgery. The volume of the mass was 1.0 cm×2.0 cm-9.0 cm×10.0 cm. The operative time (not including preoperative set-up time of da Vinci Si surgical system) was 65-128 min. The warm ischemia time was 9-33 min. The estimated blood loss was 10-450 mL. The lying time in bed was 3-5 days. The drainage tubes were removed in 4-5 days. The hospital stay was 5-10 days. Pathologicaly, there were 70 cases of clear renal cellcarcinoma, 7 cases of angioleiomyolipoma, 4 cases of papillary renal cell carcinoma, 2 cases of chromophobic adenoma, one case of oncocytoma and one case of solitary fibrous tumor. No resection margin positive case was found. One case received the interventional embolization because of postoperative hemorrhage. Neither local recurrence nor metastasis was observed during a follow-up period of 3-16 months. Renal function of all patients was in the normal range. Conclusions: Robot-assisted laparoscopic partial nephrectomy has the benefits of peculiar features such as more accurate operation and more clear vision. It is a prior choice in the case of the complex renal tumor.
杨俊，管维，胡嘏，王志华，胡志全，王少刚. 机器人时代肾部分切除术手术适应证的优化选择(附单术者85例报告)[J]. 微创泌尿外科杂志, 2017, 6(1): 19-23.
Yang Jun , Guan Wei , Hu Jia , Wang Zhihua , Hu Zhiquan , Wang Shaogang. The prior choice for partial nephrectomy in the robotic surgery era: single-surgeon's experience of 85 cases. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2017, 6(1): 19-23.
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