Minimizing Ports During Robotic Partial Nephrectomy

dc.contributor.authorArgun, Omer Burak
dc.contributor.authorMourmouris, Panagiotis
dc.contributor.authorTufek, Ilter
dc.contributor.authorObek, Can
dc.contributor.authorTuna, Mustafa Bilal
dc.contributor.authorKeskin, Selcuk
dc.contributor.authorKural, Ali Riza
dc.date.accessioned2023-02-21T12:33:52Z
dc.date.available2023-02-21T12:33:52Z
dc.date.issued2016-01-01
dc.description.abstractBackground and Objective: Robotic upper urinary tract surgery is in most of the cases performed utilizing a standard 5 port configuration. Fewer ports can potentially produce a less invasive operation. Taking in consideration the above we report a novel technique for robot assisted laparoscopic partial nephrectomy utilizing fewer ports and we test its feasibility and safety profile. Methods: Data on 11 robot-assisted laparoscopic partial nephrectomies performed by using our technique from February 2015 through June 2015 were retrospectively analyzed. The robotic platform used was DaVinci Xi (Intuitive Surgical, Inc., Sunnyvale, California, USA) with a 3-arm setup. The AirSeal system (SurgiQuest, Milford, Connecticut, USA) was used as a port allowing simultaneous introduction of 2 instruments for the bedside surgeon, obviating the need for an additional (fourth) robotic arm. A long suction-and-irrigation device and atraumatic grasping forceps were used. Both instruments were introduced through the trocar of the AirSeal system, making simultaneous introduction and use possible. We preferred the long suction-and-irrigation device, because it minimizes collision of the instruments. Results: Mean age and BMI of the patients were 55 +/- 14.6 y and 29.18 +/- 6.85, respectively. Seven tumors were on the right side and 4 were on the left. The mean size of the tumors was 32.45 mm (+/- 11.31). Surgical time was 132.2 minutes (+/- 37.17), with an estimated blood loss and ischemia time of 103.63 mL (+/- 65.92) and 16.72 minutes (+/- 9.52), respectively. One patient had postoperative bleeding that was resolved without transfusion. The median hospitalization period was 3.9 d (+/- 0.53). Loss of intra-abdominal pressure was not observed, and pressure was stable at 10 mm Hg. Conclusion: The AirSeal System and its valveless trocar eliminated the need for an additional port placement in our series. The technique is feasible, safe, and reproducible
dc.description.abstracttherefore, it may be implemented in selected cases of robot-assisted partial nephrectomies.
dc.description.issue2
dc.description.issueAPR-JUN
dc.description.volume20
dc.identifier.doi10.4293/JSLS.2016.00019
dc.identifier.urihttps://hdl.handle.net/11443/1605
dc.identifier.urihttp://dx.doi.org/10.4293/JSLS.2016.00019
dc.identifier.wosWOS:000385043400005
dc.publisherSOC LAPAROENDOSCOPIC SURGEONS
dc.relation.ispartofJSLS-JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS
dc.subjectPort placement
dc.subjectRenal cancer
dc.subjectRobotic partial nephrectomy
dc.titleMinimizing Ports During Robotic Partial Nephrectomy
dc.typeArticle

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