ROBOT ASSITED LAPAROSCOPIC NEPHRECTOMY AND KIDNEY RESECTION: FIRST EXPERIENCE (Methodic communication)

Abstract

During the period since June 2010 till May 2011 employees of general surgery and urological clinics of Pavlov State Medical University of St.Petersburg and Almazov Federal Heart, Blood and Endocrinology Centre performed 17 robot-assisted laparoscopic nephrectomies and 4 robot-assisted laparoscopic kidney resections with robot-surgical complex «da Vinci» (Intuitive Surgical, USA). Age of patients varied from 47 to 78 years, among them 10 women (47,6%), 11 men (52,4%). Renal adenocarcinoma is histologically verified at all patients. One patient with accompanied cholelithiasis was executed combined surgical intervention – dextral nephrectomy and cholecystectomy. Sizes of tumors varied from 3 to 8 cm. In three cases with tumor sizes less then 4 cm located subcapsular, organ-preserving fractional nephrectomy was performed. One patient had solitary kidney (nephrectomy 5 years ago concerning cancer). Robot-assisted surgeries at kidney tumors have a number of advantages in comparison with laparoscopic operations: ergonomically favorable surgeons position, 3D picture on operative field, 7 movement degrees of blade of an instrument, natural arm tremor liquidation. Such surgeries allows to expect better postoperative effects.