Robot Assisted Laparoscopic Partial Nephrectomy: A Viable and Safe Option in Children

Lee, Richard S.; Sethi, Amanjot S.; Passerotti, Carlo C.; Retik, Alan B.; Borer, Joseph G.; Nguyen, Hiep T.; Peters, Craig A.

doi:10.1016/j.juro.2008.10.073

Cited by 89 publications

(47 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…We began performing laparoscopic heminephrectomy in 2005, and surgical time was good compared to open surgery at that time. Our surgical time is similar to that of other series (Table 3), and is better than when using robot-assisted surgery [18].…”

Section: Discussionsupporting

confidence: 85%

Heminephroureterectomy for duplex kidney: Laparoscopy versus open surgery

García‐Aparicio

Krauel

Tarrado

et al. 2010

Journal of Pediatric Urology

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 85%

Heminephroureterectomy for duplex kidney: Laparoscopy versus open surgery

García‐Aparicio

Krauel

Tarrado

et al. 2010

Journal of Pediatric Urology

View full text Add to dashboard Cite

“…Partial nephrectomy can be used in the management of renal duplication anomalies, such as a nonfunctioning upper (or lower) pole segment with ureterocele or ectopic ureter, cystic malformation of the upper pole kidney, and a nonfunctioning refluxing lower pole kidney. 46 Surgical management consists of identification of the upper and lower pole vessels and ureter. Children with a duplication anomaly will have a clear vascular and anatomic plane between the upper and lower pole kidney.…”

Section: Partial Nephrectomy (Heminephroureterectomy)mentioning

confidence: 99%

Pediatric Laparoscopic and Robot-Assisted Laparoscopic Surgery: Technical Considerations

Tomaszewski

Casella

Turner

et al. 2012

Journal of Endourology

View full text Add to dashboard Cite

Laparoscopy has become an effective modality for the treatment of many pediatric urologic conditions that need both extirpative and reconstructive techniques. Laparoscopic procedures for urologic diseases in children, such as pyeloplasty, orchiopexy, nephrectomy, and bladder augmentation, have proven to be safe and effective with outcomes comparable to those of open techniques. Given the steep learning curve and technical difficulty of laparoscopic surgery, robot-assisted laparoscopic surgery (RAS) is increasingly being adopted in pediatric patients worldwide. Anything that can be performed laparoscopically in adults can be extended into pediatric practice with minor technical refinements. We review the role of laparoscopic and RAS in pediatric urology and provide technical considerations necessary to perform minimally invasive surgery successfully.

show abstract

“…[11] Because children with a duplication anomaly present with a clear vascular and anatomic plane between the upper and lower pole of the kidney, robotic-assisted HNU (RAHNU) is a good choice for these children.…”

Section: Heminephroureterectomy (Nephron-sparing Surgery)mentioning

confidence: 99%

“…In two patients, the procedure was converted to an open operation. Recently, Lee et al [11] reported on the safety and feasibility of RAHNU in children. In their series, RAHNU was completed successfully in nine cases with a mean operative time of 275 minutes, and an estimated blood loss of 49 mL.…”

Section: Heminephroureterectomy (Nephron-sparing Surgery)mentioning

confidence: 99%

Robotic-assisted laparoscopic surgery in pediatric urology: an update

Kojima¹,

Khurgin²,

Casale³

2012

Turkish Journal of Urology

View full text Add to dashboard Cite

Laparoscopic procedures for urological diseases in children, such as nephrectomy, pyeloplasty and orchiopexy, have proven to be safe and effective with outcomes comparable to open procedures. The main drawback has been the relatively steep learning curve for this procedure that is associated with technical difficulties such as suturing and anastomosis. More recently, robotic-assisted laparoscopic surgery (RAS) has gained enormous popularity in adult urology and is increasingly being adopted around the world; however, few pediatric urology series have been reported. RAS has several advantages over conventional laparoscopic surgery, mainly the simplification and precision of exposure and suturing. The robotic arms move in real time with an increased degree of freedom and a magnified, 3-dimensional view. These features render RAS ideal for complex reconstructive surgery in a pediatric urological population. This review discusses the role of RAS in pediatric urology, provides technical aspects of RAS and offers a critical summary of current knowledge on its indications and outcomes. Almost all operations that are classically performed as open or conventional laparoscopic reconstructive surgeries for children with urological anomalies could be replaced by RAS and this procedure may be established as an alternative minimally invasive surgery in the future.Key words: Laparoscopy; minimally invasive surgery; pediatrics; robotics; urinary tract reconstruction; urology. ÖZETÇocuklarda nefrektomi, piyeloplasti ve orşiopeksi gibi ürolojik hastalıklar için laparoskopik prosedürlerin, açık prosedürlerle kıyaslanabilir sonuçlar ile birlikte, güvenli ve etkili olduğu kanıtlanmıştır. Bu prosedür-lerin, sütür atma ve anastamoz gibi teknik zorluklarla ilişkili göreceli dik öğrenme eğrisi olması başlıca dezavantaj olmaktadır. Son zamanlarda, robot yardımlı laparoskopik cerrahi (RAS) erişkin ürolojisinde olağanüstü bir popülerlik kazanmıştır ve bütün dünyada giderek artan bir şekilde kabul görmektedir; buna karşın, bir kaç pediatrik üroloji serisi yayınlanmıştır. RAS konvansiyonel laparoskopik cerrahiye kıyasla bir kaç avantaja sahiptir; bunların başlıcaları pozlama ve sütur atmanın kolaylığı ve hassasiyetidir. Robot kollar artmış bir serbestlik derecesinde ve büyütülmüş 3 boyutlu bir bakış açısıyla gerçek zamanlı olarak hareket etmektedir. Bu özellikler RAS'ı pediatrik ürolojik populasyonda kompleks rekonstrüktif cerrahi için ideal yapmaktadır. Bu derleme pediatrik ürolojide RAS'ın rolünü tartışmakta, RAS'ın teknik yönlerini bildirmekte ve endikasyonları ve sonuçları hakkında güncel bilgilerin eleştirel bir özetini sunmaktadır. Ürolojik anomalisi olan çocuklar için açık veya konvansiyonel laparoskopik rekonstrüktif cerrahi şeklinde klasik olarak yapılan hemen hemen tüm operasyonların yerine RAS yapılabilir ve bu prosedür gelecekte alternatif bir minimal invaziv cerrahi olarak yerleşebilir.

show abstract

Robot Assisted Laparoscopic Partial Nephrectomy: A Viable and Safe Option in Children

Cited by 89 publications

References 12 publications

Heminephroureterectomy for duplex kidney: Laparoscopy versus open surgery

Heminephroureterectomy for duplex kidney: Laparoscopy versus open surgery

Pediatric Laparoscopic and Robot-Assisted Laparoscopic Surgery: Technical Considerations

Robotic-assisted laparoscopic surgery in pediatric urology: an update

Contact Info

Product

Resources

About