Use of near infrared fluorescence during robot-assisted laparoscopic partial nephrectomy

Cornejo-Dávila, V.; Nazmy, Michael; Kella, Naveen; Palmeros-Rodríguez, M.A.; Morales-Montor, J.G.; Pacheco-Gahbler, Carlos

doi:10.1016/j.acuroe.2016.02.009

Cited by 3 publications

(2 citation statements)

References 16 publications

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“…25 Further improvements to current robotics that may be seen include hydraulic manipulators with built-in sensors to improve tool precision, and Firefly® technology (Firefly Technology, Winchester, UK) to better guide tumour resection in a partial nephrectomy. 26,27 New robotic procedures are also likely to be implemented in the future. In an effort towards complete tumour removal without incision and scattering, novel procedures may include a robotic en bloc resection for nonmuscle invasive transitional cell carcinoma, as well as a robotic radical prostatectomy with a perineal approach.…”

Section: Roboticsmentioning

confidence: 99%

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Urological technology: where will we be in 20 years’ time?

Bernstein

2018

Therapeutic Advances in Urology

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Since prehistoric times, our understanding of urology has rapidly expanded. Whilst primitive urologists began by using urine as a therapeutic substance, modern urologists may find themselves removing a kidney remotely by driving a robotic arm, with seven degrees of movement, while using image overlay-augmented reality. This review provides an insight into the potential status of urological technology in 20 years' time, assessed through an analysis of developments in imaging, diagnostics, robotics and further technologies. A particular emphasis is given to the promising fields of minimally invasive techniques, nanotechnology and tissue engineering, which likely hold the key to a new era for urology.

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Section: Roboticsmentioning

confidence: 99%

Section: Roboticsmentioning

confidence: 99%

Urological technology: where will we be in 20 years’ time?

Bernstein

2018

Therapeutic Advances in Urology

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Cirugía laparoscópica en urología: breve reseña histórica y estado actual del arte

Campero

Guzmán

Kerkebe

et al. 2018

Revista Médica Clínica Las Condes

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Percutaneous hook wire assistance during laparoscopic excision of an intrarenal mass

Kouriefs

Georgiades

Michaelides

et al. 2019

annals

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Completely endophytic renal tumours pose challenges in laparoscopic nephron-sparing tumour excisions, with the use of intraoperative imaging techniques (e.g. ultrasound) being crucial when managing such tumours. The use of a percutaneous hookwire for tumour localisations are in use in several other surgical fields, such as breast surgery. An asymptomatic 52-year-old man presented with an incidental small right sided solid 33-mm interpolar renal mass identified on computed tomography. A guided insertion of a percutaneous localisation wire was carried out prior to a laparoscopic partial nephrectomy to assist in intraoperative tumour landmark/margins identification. Operative time was 210 minutes with zero ischaemia time, with an estimated blood loss of 200 ml. No perioperative complications were observed and the patient was discharged two days postoperatively. Histology revealed the mass to be a Fuhrman grade 2 clear-cell carcinoma with a 2-mm clear surgical margin. The patient remained free of recurrence at 16 months of follow-up. We have reported our first experience of wire localisation prior to laparoscopic partial nephrectomy for an intrarenal mass, which to our knowledge could be the first of its kind in renal surgery. Percutaneous wire localisation of endophytic renal tumours is potentially safe and effective and can allow nephron-sparing surgery where laparoscopic ultrasound is not available. Longer-term and further evidence should be encouraged.

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Use of near infrared fluorescence during robot-assisted laparoscopic partial nephrectomy

Cited by 3 publications

References 16 publications

Urological technology: where will we be in 20 years’ time?

Urological technology: where will we be in 20 years’ time?

Cirugía laparoscópica en urología: breve reseña histórica y estado actual del arte

Percutaneous hook wire assistance during laparoscopic excision of an intrarenal mass

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