Robotic surgery for renal cancer / Sanchia S. Goonewardene, Raj Persad, David Albala, editors.

Format:

Book

Contributor:

Goonewardene, Sanchia.

Persad, Raj.

Albala, David M.

Series:

Management of urology.

Management of urology

Language:

English

Subjects (All):

Kidneys--Cancer--Surgery.

Kidneys.

Surgical robots.

Physical Description:

1 online resource (256 p.).

Place of Publication:

Cham : Springer, 2022.

Summary:

This latest book in the Management of Urology Series provides insight into how to appropriately manage patients undergoing pelvic robotic urological surgery for renal cancer. Extensive guidance is provided on how to perform a range of procedures including the retroperitoneal renal approach along with information on how to utilize the latest robots effectively. Cases are also presented on how to best manage complications associated with partial nephrectomy. Each chapter also contains learning objectives to assist the reader in extrapolating the key information covered. Robotic Surgery for Renal Cancer is an up-to-date overview of the latest techniques utilized in this field along with potential management strategies for these patients, making it a critical resource for urologists, oncologists, and specialist nurses.

Contents:

Intro

Preface

Acknowledgements

Contents

About the Editors

Abbreviations

1 Suturing Techniques in Robot-Asssisted Partial Nephrectomy (RAPN)

1.1 Introduction

1.2 Classic Renorrhaphy

1.3 Single Versus Double Layer

1.4 Running Versus Interrupted Suture

1.5 Barbed Versus Nonbarbed Suture

1.6 Hemostatic Agents

1.7 Selective Suturing-Sutureless Technique

1.8 Conclusion

References

2 Resection Techniques Robotic-Assisted Partial Nephrectomy

3 Clamping Techniques for Partial Nephrectomy

3.1 Introduction

3.2 Warm-Ischemia Resection

3.3 Off-Clamp Resection

3.4 Early Unclamping

3.5 Superselective Clamping

3.6 Cold Ischemia

3.7 Reclamping

3.8 Summary

4 Robotic Retroperitoneal Partial Nephrectomy

4.1 Introduction

4.2 Patient Selection

4.3 Pre-operative Evaluation and Preparation

4.4 Patient Position

4.5 Obtaining Access

4.6 Robot Docking

4.7 Partial Nephrectomy: Techniques

4.8 Special Concerns

4.8.1 Breach of Peritoneum

4.8.2 Selective Artery Clamping

4.8.3 Parenchyma Around Tumour Lights Up with ICG

4.9 Literature Review

4.9.1 Operative Time and Warm Ischemia Time

4.9.2 Estimated Blood Loss and Length of Hospital Stay

4.9.3 Clavien-Dindo Minor (Grade 1 to 2) and Major (Grade 3 to 5) Complications

4.9.4 Decline in Estimated Glomerular Filtration Rate and Upstaging of Chronic Kidney Disease

4.9.5 Positive Surgical Margin and Overall Tumour Recurrence

4.9.6 Summary of Evidence

5 Robotic Partial Nephrectomy

5.1 Indications

5.2 Techniques

5.2.1 Approaches

5.2.2 Pedicle Management

5.2.3 Resection and Suture Techniques

5.2.4 Novel Technologies

5.3 Conclusions

References

6 Pushing the Boundaries in Robot-Assisted Partial Nephrectomy for Renal Cancer

6.1 Pre-operative Planning with 3D Models

6.2 Hilum Control

6.2.1 Off-Clamp Resection

6.2.2 Early Unclamping

6.2.3 Superselective Clamping = "zero Ischemia"

6.2.4 Cold Ischemia

6.3 Tumour Resection Strategy

6.4 Future Perspectives

6.4.1 3D Model Generation

6.4.2 Virtual Models and Augmented Reality

6.5 Conclusions

7 Perioperative Surgical Complications in Robotic Partial Nephrectomy

7.1 Introduction

7.2 Definition and Rates

7.3 Pre-operative Prevention of Complications

7.4 Intraoperative Complications

7.4.1 Intraoperative Adverse Events Leading to Bleeding

7.4.2 Intraoperative Tumor Violation (ITV)

7.4.3 Visceral Injuries

7.4.4 Thoracic Complications

7.5 Postoperative Complications

7.5.1 Postoperative Bleeding

7.5.2 Urinary Leak

7.5.3 Acute Kidney Injury

7.6 Conclusions

8 Renal Robotic Surgery for Lefties: Left-Handedness in Upper Tract Robotic Surgery

8.1 Introduction

8.2 Upper Tract Robotic Surgery

8.2.1 Instruments

Notes:

8.2.2 Renal Robotic Surgery: Positioning and Port Placement

Other Format:

Print version: Goonewardene, Sanchia S. Robotic Surgery for Renal Cancer

ISBN:

9783031110009

3031110005

OCLC:

1357016128

Access Restriction:

Restricted for use by site license.