Hemal Sij, Sobhani Sina
USC Norris Comprehensive Cancer Center, Institute of Urology, Keck School of Medicine of University of Southern California, Los Angeles, CA, USA.
Urol Case Rep. 2025 Mar 3;60:103002. doi: 10.1016/j.eucr.2025.103002. eCollection 2025 May.
This video explores the technique of robot-assisted partial nephrectomy using the Da-Vinci Single-Port robot via SARA in a 56-year-old male with history of diverticulitis found to have a 2.5 cm renal mass upon workup for abdominal pain. Retroperitoneal access was obtained at the McBurney point for port placement. Surgical steps: 1) retroperitoneal access at McBurney's point 2) renal hilum dissection 3) renal tumor identification 4) intraoperative ultrasound 5) hilar clamping 6) renal tumor excision using enucleoresection technique 7) Deep renorrhaphy 8) Early unclamping and cortical renorrhaphy. Surgery was successful without any complications with a warm ischemia time of 14 minutes.
本视频探讨了在一名56岁男性患者中，通过单一切口机器人辅助（SARA）技术，使用达芬奇单孔机器人进行机器人辅助部分肾切除术的过程。该患者有憩室炎病史，因腹痛接受检查时发现有一个2.5厘米的肾肿块。在麦氏点获得腹膜后入路以放置端口。手术步骤：1）在麦氏点进行腹膜后入路；2）肾门解剖；3）肾肿瘤识别；4）术中超声检查；5）肾门阻断；6）使用剜除术技术切除肾肿瘤；7）深部肾缝合术；8）早期解除阻断及皮质肾缝合术。手术成功，无任何并发症，热缺血时间为14分钟。
