[91] Challenging case: Robot-assisted right-sided partial nephrectomy for a large central renal mass – Is it feasible?

Objective: To demonstrate robot-assisted right-sided partial nephrectomy for a large central renal mass. Based on current available oncological and quality of life (QoL) outcomes, localised renal masses are better managed by nephron-sparing surgery [partial nephrectomy (PN)] rather than radical neph...

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Autores principales:	Samer Schakaki, Hermann van Ahlen
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2018
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/c29cf301e850492f94172ff1a88f89e9
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spelling	oai:doaj.org-article:c29cf301e850492f94172ff1a88f89e92021-12-02T10:12:19Z[91] Challenging case: Robot-assisted right-sided partial nephrectomy for a large central renal mass – Is it feasible?2090-598X10.1016/j.aju.2018.10.045https://doaj.org/article/c29cf301e850492f94172ff1a88f89e92018-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X18301396https://doaj.org/toc/2090-598XObjective: To demonstrate robot-assisted right-sided partial nephrectomy for a large central renal mass. Based on current available oncological and quality of life (QoL) outcomes, localised renal masses are better managed by nephron-sparing surgery [partial nephrectomy (PN)] rather than radical nephrectomy (RN), but central tumours are very challenging for surgeons. From our standpoint, robot-assisted surgery is not only a minimally invasive method, but the only choice for performing a very complicated operation that we usually cannot do laparoscopically or conventionally. Methods: A 77-year-old woman with bilateral renal masses. She underwent a robot-assisted PN on the left side 4 weeks ago. The mass on the right side is central and ∼8 cm big. Results: We performed a right-sided robot-assisted PN. The ischaemia time was 15 min. The operation duration was 85 min without significant blood loss. The patient was discharged on the fourth postoperative day. The pathology report described a clear renal cell carcinoma (RCC) pT1b GII R0. Conclusion: Robot-assisted PN for RCC for large and centrally located real masses can be done by minimally invasive intervention. It is a challenging but safe and feasible option in carefully selected patients.Samer SchakakiHermann van AhlenTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss , Pp S42- (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Samer Schakaki Hermann van Ahlen [91] Challenging case: Robot-assisted right-sided partial nephrectomy for a large central renal mass – Is it feasible?
description	Objective: To demonstrate robot-assisted right-sided partial nephrectomy for a large central renal mass. Based on current available oncological and quality of life (QoL) outcomes, localised renal masses are better managed by nephron-sparing surgery [partial nephrectomy (PN)] rather than radical nephrectomy (RN), but central tumours are very challenging for surgeons. From our standpoint, robot-assisted surgery is not only a minimally invasive method, but the only choice for performing a very complicated operation that we usually cannot do laparoscopically or conventionally. Methods: A 77-year-old woman with bilateral renal masses. She underwent a robot-assisted PN on the left side 4 weeks ago. The mass on the right side is central and ∼8 cm big. Results: We performed a right-sided robot-assisted PN. The ischaemia time was 15 min. The operation duration was 85 min without significant blood loss. The patient was discharged on the fourth postoperative day. The pathology report described a clear renal cell carcinoma (RCC) pT1b GII R0. Conclusion: Robot-assisted PN for RCC for large and centrally located real masses can be done by minimally invasive intervention. It is a challenging but safe and feasible option in carefully selected patients.
format	article
author	Samer Schakaki Hermann van Ahlen
author_facet	Samer Schakaki Hermann van Ahlen
author_sort	Samer Schakaki
title	[91] Challenging case: Robot-assisted right-sided partial nephrectomy for a large central renal mass – Is it feasible?
title_short	[91] Challenging case: Robot-assisted right-sided partial nephrectomy for a large central renal mass – Is it feasible?
title_full	[91] Challenging case: Robot-assisted right-sided partial nephrectomy for a large central renal mass – Is it feasible?
title_fullStr	[91] Challenging case: Robot-assisted right-sided partial nephrectomy for a large central renal mass – Is it feasible?
title_full_unstemmed	[91] Challenging case: Robot-assisted right-sided partial nephrectomy for a large central renal mass – Is it feasible?
title_sort	[91] challenging case: robot-assisted right-sided partial nephrectomy for a large central renal mass – is it feasible?
publisher	Taylor & Francis Group
publishDate	2018
url	https://doaj.org/article/c29cf301e850492f94172ff1a88f89e9
work_keys_str_mv	AT samerschakaki 91challengingcaserobotassistedrightsidedpartialnephrectomyforalargecentralrenalmassisitfeasible AT hermannvanahlen 91challengingcaserobotassistedrightsidedpartialnephrectomyforalargecentralrenalmassisitfeasible
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[91] Challenging case: Robot-assisted right-sided partial nephrectomy for a large central renal mass – Is it feasible?

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