Robot assisted heminephrectomy for duplicated renal collecting system: Technique and outcomes

Oktay Akca; Jihad H. Kaouk; Homayoun Zargar; Luis F. Brandao; Georges Pascal Haber; Riccardo Autorino; Robert J. Stein

doi:10.1002/rcs.1607

Robot assisted heminephrectomy for duplicated renal collecting system: Technique and outcomes

Oktay Akca, Jihad H. Kaouk, Homayoun Zargar, Luis F. Brandao, Georges Pascal Haber, Riccardo Autorino, Robert J. Stein

Research output: Contribution to journal › Article › peer-review

10 Citations (Scopus)

Abstract

Background: The aim of this study was to describe experience with robotic assisted hemi-nephrectomy (RAHN) for the management of duplicated renal collecting system. Methods: The authors' institutional database was queried to identify patients who underwent RAHN from 2007 to 2013 for the management of a duplicated system. Patient demographics, indications and surgical outcomes were reviewed and analyzed. Results: Five patients were identified with a duplicated system of which all had a history of pain and recurrent infection. Three patients underwent hemi-nephrectomy for a poorly functioning lower pole and two for an abnormal upper pole moiety. All operations were completed successfully using a robotic approach. There were only two minor (Clavien grade 1-2) complications. Conclusions: RAHN is a viable option for the surgical treatment of an atrophic, chronically infected duplicated system. The unique features of robotic technology offer enhanced dexterity and vision facilitating the management of complex vascular and ureteral anatomy.

Original language	English
Pages (from-to)	126-129
Number of pages	4
Journal	International Journal of Medical Robotics and Computer Assisted Surgery
Volume	11
Issue number	2
DOIs	https://doi.org/10.1002/rcs.1607
Publication status	Published - 1 Jun 2015
Externally published	Yes

Keywords

Benign indication
Duplicated system
Robotic hemi-nephrectomy
Robotic partial nephrectomy
Technique

Access to Document

10.1002/rcs.1607

Cite this

@article{0cf3e3f72356416489438503fe6ed01b,

title = "Robot assisted heminephrectomy for duplicated renal collecting system: Technique and outcomes",

abstract = "Background: The aim of this study was to describe experience with robotic assisted hemi-nephrectomy (RAHN) for the management of duplicated renal collecting system. Methods: The authors' institutional database was queried to identify patients who underwent RAHN from 2007 to 2013 for the management of a duplicated system. Patient demographics, indications and surgical outcomes were reviewed and analyzed. Results: Five patients were identified with a duplicated system of which all had a history of pain and recurrent infection. Three patients underwent hemi-nephrectomy for a poorly functioning lower pole and two for an abnormal upper pole moiety. All operations were completed successfully using a robotic approach. There were only two minor (Clavien grade 1-2) complications. Conclusions: RAHN is a viable option for the surgical treatment of an atrophic, chronically infected duplicated system. The unique features of robotic technology offer enhanced dexterity and vision facilitating the management of complex vascular and ureteral anatomy.",

keywords = "Benign indication, Duplicated system, Robotic hemi-nephrectomy, Robotic partial nephrectomy, Technique",

author = "Oktay Akca and Kaouk, {Jihad H.} and Homayoun Zargar and Brandao, {Luis F.} and Haber, {Georges Pascal} and Riccardo Autorino and Stein, {Robert J.}",

note = "Publisher Copyright: {\textcopyright} 2014 John Wiley & Sons, Ltd..",

year = "2015",

month = jun,

day = "1",

doi = "10.1002/rcs.1607",

language = "English",

volume = "11",

pages = "126--129",

journal = "International Journal of Medical Robotics and Computer Assisted Surgery",

issn = "1478-5951",

publisher = "John Wiley and Sons Ltd",

number = "2",

}

TY - JOUR

T1 - Robot assisted heminephrectomy for duplicated renal collecting system

T2 - Technique and outcomes

AU - Akca, Oktay

AU - Kaouk, Jihad H.

AU - Zargar, Homayoun

AU - Brandao, Luis F.

AU - Haber, Georges Pascal

AU - Autorino, Riccardo

AU - Stein, Robert J.

PY - 2015/6/1

Y1 - 2015/6/1

N2 - Background: The aim of this study was to describe experience with robotic assisted hemi-nephrectomy (RAHN) for the management of duplicated renal collecting system. Methods: The authors' institutional database was queried to identify patients who underwent RAHN from 2007 to 2013 for the management of a duplicated system. Patient demographics, indications and surgical outcomes were reviewed and analyzed. Results: Five patients were identified with a duplicated system of which all had a history of pain and recurrent infection. Three patients underwent hemi-nephrectomy for a poorly functioning lower pole and two for an abnormal upper pole moiety. All operations were completed successfully using a robotic approach. There were only two minor (Clavien grade 1-2) complications. Conclusions: RAHN is a viable option for the surgical treatment of an atrophic, chronically infected duplicated system. The unique features of robotic technology offer enhanced dexterity and vision facilitating the management of complex vascular and ureteral anatomy.

AB - Background: The aim of this study was to describe experience with robotic assisted hemi-nephrectomy (RAHN) for the management of duplicated renal collecting system. Methods: The authors' institutional database was queried to identify patients who underwent RAHN from 2007 to 2013 for the management of a duplicated system. Patient demographics, indications and surgical outcomes were reviewed and analyzed. Results: Five patients were identified with a duplicated system of which all had a history of pain and recurrent infection. Three patients underwent hemi-nephrectomy for a poorly functioning lower pole and two for an abnormal upper pole moiety. All operations were completed successfully using a robotic approach. There were only two minor (Clavien grade 1-2) complications. Conclusions: RAHN is a viable option for the surgical treatment of an atrophic, chronically infected duplicated system. The unique features of robotic technology offer enhanced dexterity and vision facilitating the management of complex vascular and ureteral anatomy.

KW - Benign indication

KW - Duplicated system

KW - Robotic hemi-nephrectomy

KW - Robotic partial nephrectomy

KW - Technique

UR - http://www.scopus.com/inward/record.url?scp=84930146425&partnerID=8YFLogxK

U2 - 10.1002/rcs.1607

DO - 10.1002/rcs.1607

M3 - Article

C2 - 25181680

AN - SCOPUS:84930146425

SN - 1478-5951

VL - 11

SP - 126

EP - 129

JO - International Journal of Medical Robotics and Computer Assisted Surgery

JF - International Journal of Medical Robotics and Computer Assisted Surgery

IS - 2

ER -

Robot assisted heminephrectomy for duplicated renal collecting system: Technique and outcomes

Abstract

Keywords

Access to Document

Other files and links

Fingerprint

Cite this