Transperitoneal Robot-Assisted Partial Nephrectomy for Tumors in Posterior Locations

Abstract

Abstract Introduction: Robot-assisted partial nephrectomy is one of the fastest growing robotic procedures. It was quickly adopted by urologists with many different training levels as a minimally invasive alternative to open nephrectomy. 1 Larger tumors in more difficult locations are increasingly done.2 The technique of placing the robotic camera lateral to the robotic arms is useful for tumors in posterior locations. This port placement also optimizes motion of the robotic arms and decreases collisions.3 Most current published series come from large academic institutions,4 and little has been published from the community setting. We illustrated the technique in this 7-min video with three cases performed by a community urologist with no fellowship training. Methods: The technique of placing the robotic camera lateral to the robotic arms is usually performed at our institution when approaching tumors in posterior locations. The robotic camera is placed 3 fingerbreadths from the costal margin, in between ...