Abstract：Objective: To summarize our clinical experience of robotic radical nephrectomy (RRN), and to discuss its efficacy and safety. Methods: A retrospective chart review was perfomed, and consecutive RRNs using da Vinci S surgical system were done through transperitoneal access in our center. Results: The procedures were completed and no complication and transfusion occurred in all patients. The mean operative time, intraoperative blood loss, orally allowed time, drain removal time and hospital stay were 164.4±40.0 min (range 80-270), 134.2±132.8 mL (range 20-700), 2.8±0.7 day (range 1-4), 3.2±1.4 day (range 1-7) and 6.7±2.6 day (range 4-17), respectively. The final pathologic examination revealed conventional clear cell carcinoma in 48 patients, chromophobecell renal carcinoma in 2 patients, papillary renal cell carcinoma in 1 patient and cystic nephroma in 1 patient, respectively. The mean tumor size was 3.9±1.8 cm (range 1-8.2). During a follow-up period of 1 to 12 months. no local residual lesions, 1ocal recurrence, incision implantation and distant metastasis were found in all patients. Conclusions: We conclude that RRN is a feasible and safe procedure.
[1]Klingler DW, Hemstreet GP, Balaji KC. Feasibility of robotic radical nephrectomy--initial results of single-institution pilot study. Urology, 2005,65(6):1086-1089. [2]Rogers C, Laungani R, Krane LS, et al. Robotic nephrectomy for the treatment of benign and malignant disease. BJU Int, 2008,102(6):1660-1665. [3]Dogra PN, Abrol N, Singh P, et al. Outcomes following robotic radical nephrectomy: A single-center experience. Urol Int, 2012,89(1):78-82. [4]Clayman RV, Kavoussi LR, Soper NJ, et al. Laparoscopic nephrectomy. N Engl J Med, 1991,324(19):1370-1371. [5]Abbou CC, Hoznek A, Salomon L, et al. Remote laparoscopic radical prostatectomy carried out with a robot. Report of a case. Prog Urol, 2000,10(4):520-523. [6]Kaul S, Menon M. Robotics in laparoscopic urology. Minim Invasive Ther Allied Technol, 2005,14(4):62-70. [7]Murphy D, Challacombe B, Olsburgh J, et al. Ablative and reconstructive robotic-assisted laparoscopic renal surgery. Int J ClinPract, 2008,62(11):1703-1708. [8]Hemal AK, Menon M. Robotics in urology. Curr Opin Urol, 2004,14(2):89-93. [9]Nazemi T, Galich A, Sterrett S, et al. Radical nephrectomy performed by open, laparoscopy with or without hand-assistance or robotic methods by the same surgeon produces comparable perioperative results. Int Braz J Urol, 2006,32(1):15-22.
