Robotic retroperitoneal approach - A new technique for the upper urinary tract and adrenal gland - Abstract

BACKGROUND: The retroperitoneal approach is generally avoided because of the reduced working space, the difficulties in robot positioning and the risk of arms conflict.

A new robotic retroperitoneal approach is presented that can be applied for upper urinary tract pathology and adrenal pathology.

METHODS: Between November 2009 and November 2011, 34 out of 114 robotic procedures were performed by the retroperitoneal approach using a triangle shaped trocar placement and the robotic cart positioned at the patient's head.

RESULTS: All of the 34 retroperitoneal procedures were performed using this type of approach, with no conflict between the robotic arms and no conversions. The average operating time was 50 min for simple nephrectomies and 180 min for partial nephrectomies. The blood loss was not relevant.

CONCLUSION: This approach enables excellent mobility for the robotic arms, generating no conflict and providing good maneuvering space for the bedside assistant.

Written by:
Crisan N, Neiculescu C, Matei DV, Coman I.   Are you the author?
Clinical Municipal Hospital, Department of Urology, Cluj-Napoca, 'Iuliu Hatieganu' University of Medicine and Pharmacy, Cluj-Napoca, Romania.

Reference: Int J Med Robot. 2013 Aug 27. Epub ahead of print.
doi: 10.1002/rcs.1523


PubMed Abstract
PMID: 24038746

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