Department of Urology, Tulane University School of Medicine, New Orleans, LA, USA.
Int J Urol. 2013 Sep;20(9):848-59. doi: 10.1111/iju.12177. Epub 2013 May 2.
Over the past decade, management of the T1 renal mass has focused on nephron-sparing surgery. Robotic partial nephrectomy has played an increasing role in the technique of preserving renal function by decreasing warm ischemia time, as well as optimizing outcomes of hemorrhage and fistula. Robot-assisted partial nephrectomy is designed to provide a minimally-invasive nephron-sparing surgical option utilizing reconstructive capability, decreasing intracorporeal suturing time, technical feasibility and safety. Ultimately, its benefits are resulting in its dissemination across institutions. Articulated instrumentation and three-dimensional vision facilitate resection, collecting system reconstruction and renorrhaphy, leading to decreased warm ischemia time while preserving oncological outcomes. The aim of the present review was to present our surgical sequence and technique, as well as review the current status of robot-assisted partial nephrectomy.
在过去的十年中，T1 期肾肿瘤的治疗重点集中在保留肾单位手术上。机器人辅助部分肾切除术通过减少热缺血时间，以及优化出血和瘘管的结果，在保留肾功能的技术中发挥了越来越大的作用。机器人辅助部分肾切除术旨在提供一种微创保留肾单位的手术选择，利用重建能力，减少腔内缝合时间，提高技术可行性和安全性。最终，其益处在于在机构间的传播。铰接器械和三维视觉有助于切除、收集系统重建和肾缝合，从而减少热缺血时间，同时保持肿瘤学结果。本综述的目的是介绍我们的手术顺序和技术，并回顾机器人辅助部分肾切除术的现状。
