Robotic retroperitoneal approach ‐ a new technique for the upper urinary tract and adrenal gland. Issue 4 (27th August 2013)

• Record Type: Journal Article
• Authors: Crisan, Nicolae; Neiculescu, Calin; Matei, Deliu Victor; Coman, Ioan
• Is Part Of: International journal of medical robotics and computer assisted surgery. Volume 9:Issue 4(2013)
• Page Start: 492
• Page End: 496
• Publication Date: 2013-08-27
• Subjects: Robotics in medicine -- Periodicals; Surgery -- Technological innovations -- Periodicals; Imaging systems in medicine -- Periodicals; 617.90285
• DOI: 10.1002/rcs.1523
• Languages: English
• ISSNs: 1478-5951

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <sec id="rcs1523-sec-0001" sec-type="section"> <title>Background</title> <p>The retroperitoneal approach is generally avoided because of the reduced working space, the difficulties in robot positioning and the risk of arms conflict. A new robotic retroperitoneal approach is presented that can be applied for upper urinary tract pathology and adrenal pathology.</p> </sec> <sec id="rcs1523-sec-0002" sec-type="section"> <title>Methods</title> <p>Between November 2009 and November 2011, 34 out of 114 robotic procedures were performed by the retroperitoneal approach using a triangle shaped trocar placement and the robotic cart positioned at the patient's head.</p> </sec> <sec id="rcs1523-sec-0003" sec-type="section"> <title>Results</title> <p>All of the 34 retroperitoneal procedures were performed using this type of approach, with no conflict between the robotic arms and no conversions. The average operating time was 50 min for simple nephrectomies and 180 min for partial nephrectomies. The blood loss was not relevant.</p> </sec> <sec id="rcs1523-sec-0004" sec-type="section"> <title>Conclusion</title> <p>This approach enables excellent mobility for the robotic arms, generating no conflict and providing good maneuvering space for the bedside assistant. Copyright © 2013 John Wiley &amp; Sons, Ltd.</p> </sec> </abstract>