Int J Med Robot - Robot assisted heminephrectomy for duplicated renal collecting system: technique and outcomes.

Tópicos

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Resumo

CKGROUND: The aim of this study was to describe experience with robotic assisted hemi-nephrectomy (RAHN) for the management of duplicated renal collecting system.METHODS: The authors' institutional database was queried to identify patients who underwent RAHN from 2007 to 2013 for the management of a duplicated system. Patient demographics, indications and surgical outcomes were reviewed and analyzed.RESULTS: Five patients were identified with a duplicated system of which all had a history of pain and recurrent infection. Three patients underwent hemi-nephrectomy for a poorly functioning lower pole and two for an abnormal upper pole moiety. All operations were completed successfully using a robotic approach. There were only two minor (Clavien grade 1-2) complications.CONCLUSIONS: RAHN is a viable option for the surgical treatment of an atrophic, chronically infected duplicated system. The unique features of robotic technology offer enhanced dexterity and vision facilitating the management of complex vascular and ureteral anatomy.

Resumo Limpo

ckground aim studi describ experi robot assist heminephrectomi rahn manag duplic renal collect systemmethod author institut databas queri identifi patient underw rahn manag duplic system patient demograph indic surgic outcom review analyzedresult five patient identifi duplic system histori pain recurr infect three patient underw heminephrectomi poor function lower pole two abnorm upper pole moieti oper complet success use robot approach two minor clavien grade complicationsconclus rahn viabl option surgic treatment atroph chronic infect duplic system uniqu featur robot technolog offer enhanc dexter vision facilit manag complex vascular ureter anatomi

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