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Robotic Partial Nephrectomy with the Da Vinci Xi

Purpose. The surgical expertise to perform robotic partial nephrectomy is heavily dependent on technology. The Da Vinci Xi (XI) is the latest robotic surgical platform with significant advancements compared to its predecessor. We describe our operative technique and experience with the XI system for...

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Autores principales: Kallingal, George J. S., Swain, Sanjaya, Darwiche, Fadi, Punnen, Sanoj, Manoharan, Murugesan, Gonzalgo, Mark L., Parekh, Dipen J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4762997/
https://www.ncbi.nlm.nih.gov/pubmed/26977144
http://dx.doi.org/10.1155/2016/9675095
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author Kallingal, George J. S.
Swain, Sanjaya
Darwiche, Fadi
Punnen, Sanoj
Manoharan, Murugesan
Gonzalgo, Mark L.
Parekh, Dipen J.
author_facet Kallingal, George J. S.
Swain, Sanjaya
Darwiche, Fadi
Punnen, Sanoj
Manoharan, Murugesan
Gonzalgo, Mark L.
Parekh, Dipen J.
author_sort Kallingal, George J. S.
collection PubMed
description Purpose. The surgical expertise to perform robotic partial nephrectomy is heavily dependent on technology. The Da Vinci Xi (XI) is the latest robotic surgical platform with significant advancements compared to its predecessor. We describe our operative technique and experience with the XI system for robotic partial nephrectomy (RPN). Materials and Methods. Patients with clinical T1 renal masses were offered RPN with the XI. We used laser targeting, autopositioning, and a novel “in-line” port placement to perform RPN. Results. 15 patients underwent RPN with the XI. There were no intraoperative complications and no operative conversions. Mean console time was 101.3 minutes (range 44–176 minutes). Mean ischemia time was 17.5 minutes and estimated blood loss was 120 mLs. 12 of 15 patients had renal cell carcinoma. Two patients had oncocytoma and one had benign cystic disease. All patients had negative surgical margins and pathologic T1 disease. Two postoperative complications were encountered, including one patient who developed a pseudoaneurysm and one readmitted for presumed urinary tract infection. Conclusions. RPN with the XI system can be safely performed. Combining our surgical technique with the technological advancements on the XI offers patients acceptable pathologic and perioperative outcomes.
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spelling pubmed-47629972016-03-14 Robotic Partial Nephrectomy with the Da Vinci Xi Kallingal, George J. S. Swain, Sanjaya Darwiche, Fadi Punnen, Sanoj Manoharan, Murugesan Gonzalgo, Mark L. Parekh, Dipen J. Adv Urol Clinical Study Purpose. The surgical expertise to perform robotic partial nephrectomy is heavily dependent on technology. The Da Vinci Xi (XI) is the latest robotic surgical platform with significant advancements compared to its predecessor. We describe our operative technique and experience with the XI system for robotic partial nephrectomy (RPN). Materials and Methods. Patients with clinical T1 renal masses were offered RPN with the XI. We used laser targeting, autopositioning, and a novel “in-line” port placement to perform RPN. Results. 15 patients underwent RPN with the XI. There were no intraoperative complications and no operative conversions. Mean console time was 101.3 minutes (range 44–176 minutes). Mean ischemia time was 17.5 minutes and estimated blood loss was 120 mLs. 12 of 15 patients had renal cell carcinoma. Two patients had oncocytoma and one had benign cystic disease. All patients had negative surgical margins and pathologic T1 disease. Two postoperative complications were encountered, including one patient who developed a pseudoaneurysm and one readmitted for presumed urinary tract infection. Conclusions. RPN with the XI system can be safely performed. Combining our surgical technique with the technological advancements on the XI offers patients acceptable pathologic and perioperative outcomes. Hindawi Publishing Corporation 2016 2016-02-09 /pmc/articles/PMC4762997/ /pubmed/26977144 http://dx.doi.org/10.1155/2016/9675095 Text en Copyright © 2016 George J. S. Kallingal et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Kallingal, George J. S.
Swain, Sanjaya
Darwiche, Fadi
Punnen, Sanoj
Manoharan, Murugesan
Gonzalgo, Mark L.
Parekh, Dipen J.
Robotic Partial Nephrectomy with the Da Vinci Xi
title Robotic Partial Nephrectomy with the Da Vinci Xi
title_full Robotic Partial Nephrectomy with the Da Vinci Xi
title_fullStr Robotic Partial Nephrectomy with the Da Vinci Xi
title_full_unstemmed Robotic Partial Nephrectomy with the Da Vinci Xi
title_short Robotic Partial Nephrectomy with the Da Vinci Xi
title_sort robotic partial nephrectomy with the da vinci xi
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4762997/
https://www.ncbi.nlm.nih.gov/pubmed/26977144
http://dx.doi.org/10.1155/2016/9675095
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