Robot Assisted Retroperitoneal Laparoscopic Partial Nephrectomy

Yıl 2020, Cilt: 12 Sayı: 1, 62 - 66, 30.01.2020

Mahmut Taha Ölçücü , Kayhan Yılmaz Mutlu Ateş

Öz

Partial nephrectomy is performed in clinically low stages of renal masses. In recent years, laparoscopic methods have

become widespread in addition to open technique. Laparoscopic methods are based on two approaches depending

on the condition of the masses: transperitoneal and retroperitoneal. Robot assisted laparoscopic approaches

have entered the medical world in parallel to developing technology. Robot-assisted laparoscopic retroperitoneal

approach can be performed safely in cT1b clinical stage and especially in posterior masses.

Anahtar Kelimeler

Partial nephrectomy, renal mass, retroperitoneal aprroach, robotic surgery

Robot Yardımlı Laparoskopik Retroperitoneal Parsiyel Nefrektomi

Öz

Böbrek kitlelerinin klinik olarak düşük evrelerinde parsiyel nefrektomi yapılmaktadır. Son yıllarda açık tekniğin yanı

sıra laparoskopik yöntemlerin de yaygınlaştığı görülmektedir. Laparoskopik yöntemler kitlelerin durumuna göre

transperitoneal ve retroperitoneal olmak üzere iki yaklaşımla olmaktadır. Gelişen teknolojiye paralel olarak robot

yardımlı laparoskopik yaklaşımlar tıp dünyasına girmiştir. Robot yardımlı laparoskopik retroperitoneal yaklaşım cT1b

klinik evreli ve özellikle posterior yerleşimli kitlelerde güvenle yapılabilmektedir.

Anahtar Kelimeler

Parsiyel Nefrektomi, Retroperitoneal Yaklaşım, Robot yardımlı laparoskopi

Kaynakça

• 1. Ljungberg B, Bensalah K, Canfield S, Dabestani S, Hofmann F, Hora M, Kuczyk MA, Lam T, Marconi L, Merseburger AS, Mulders P, Powles T, Staehler M, Volpe A, Bex A. EAU guidelines on renal cell carcinoma: 2014 update. Eur Urol 2015;67:913-924.
• 2. Pavan N, Derweesh IH, Mir CM, Novara G, Hampton LJ, Ferro M, Perdona S, Parekh DJ, Porpiglia F, Autorino R. Outcomes of Laparoscopic and Robotic Partial Nephrectomy for Large (>4 Cm) Kidney Tumors: Systematic Review and Meta-Analysis. Ann Surg Oncol 2017;24:2420-2428.
• 3. Gill IS, Delworth MG, Munch LC. Laparoscopic retroperitoneal partial nephrectomy. J Urol 1994;152:1539-1542.
• 4. Gettman MT, Blute ML, Chow GK, Neururer R, Bartsch G, Peschel R. Robotic-assisted laparoscopic partial nephrectomy: technique and initial clinical experience with DaVinci robotic system. Urology 2004;64:914-918.
• 5. Patel MN, Kaul SA, Laungani R, Eun D, Bhandari M, Menon M, Rogers CG. Retroperitoneal robotic renal surgery: technique and early results. J Robot Surg 2009;3:1.
• 6. Paulucci DJ, Beksac AT, Porter J, Abaza R, Eun DD, Bhandari A, Hemal AK, Badani KK. A Multi-Institutional Propensity Score Matched Comparison of Transperitoneal and Retroperitoneal Partial Nephrectomy for cT1 Posterior Tumors. J Laparoendosc Adv Surg Tech A 2019;29:29-34.
• 7. Patel M, Porter J. Robotic retroperitoneal partial nephrectomy. World J Urol 2013;31:1377-1382.
• 8. Pyo P, Chen A, Grasso M. Retroperitoneal laparoscopic partial nephrectomy: surgical experience and outcomes. J Urol 2008;180:1279-1283.
• 9. Maurice MJ, Kaouk JH, Ramirez D, Bhayani SB, Allaf ME, Rogers CG, Stifelman MD. Robotic Partial Nephrectomy for Posterior Tumors Through a Retroperitoneal Approach Offers Decreased Length of Stay Compared with the Transperitoneal Approach: A Propensity-Matched Analysis. J Endourol 2017;31:158-162.
• 10. Kim HY, Choe HS, Lee DS, Yoo JM, Lee SJ. Extending the indication for robot-assisted retroperitoneal partial nephrectomy to antero-lateral renal tumors. Int J Med Robot 2017;13.
• 11. Hu JC, Treat E, Filson CP, McLaren I, Xiong S, Stepanian S, Hafez KS, Weizer AZ, Porter J. Technique and outcomes of robot-assisted retroperitoneoscopic partial nephrectomy: a multicenter study. Eur Urol 2014;66:542-549.
• 12. Arora S, Heulitt G, Menon M, Jeong W, Ahlawat RK, Capitanio U, Moon DA, Maes KK, Rawal S, Mottrie A, Bhandari M, Rogers CG, Porter JR. Retroperitoneal vs Transperitoneal Robot-assisted Partial Nephrectomy: Comparison in a Multi-institutional Setting. Urology 2018;120:131-137.
• 13. Choo SH, Lee SY, Sung HH, Jeon HG, Jeong BC, Jeon SS, Lee HM, Choi HY, Seo SI. Transperitoneal versus retroperitoneal robotic partial nephrectomy: matched-pair comparisons by nephrometry scores. World J Urol 2014;32:1523-1529.
• 14. Laviana AA, Tan HJ, Hu JC, Weizer AZ, Chang SS, Barocas DA. Retroperitoneal versus transperitoneal robotic-assisted laparoscopic partial nephrectomy: a matched-pair, bicenter analysis with cost comparison using time-driven activity-based costing. Curr Opin Urol 2018;28:108-114.
• 15. Stroup SP, Hamilton ZA, Marshall MT, Lee HJ, Berquist SW, Hassan AS, Beksac AT, Field CA, Bloch A, Wan F, McDonald ML, Patel ND, L’Esperance JO, Derweesh IH. Comparison of retroperitoneal and transperitoneal robotic partial nephrectomy for Pentafecta perioperative and renal functional outcomes. World J Urol 2017;35:1721-1728.
• 16. Buffi NM, Saita A, Lughezzani G, Porter J, Dell’Oglio P, Amparore D, Fiori C, Denaeyer G, Porpiglia F, Mottrie A, Group ESW. Robot-assisted Partial Nephrectomy for Complex (PADUA Score >/=10) Tumors: Techniques and Results from a Multicenter Experience at Four High-volume Centers. Eur Urol 2019.