V5-02 COMPLEX ROBOTIC PARTIAL NEPHRECTOMY FOR HILAR MASSES

Abstract

You have accessJournal of UrologyRenal Oncology/Robotics1 Apr 2014V5-02 COMPLEX ROBOTIC PARTIAL NEPHRECTOMY FOR HILAR MASSES Michael Maddox, Philip Dorsey, Christopher Keel, Julie Wang, and Benjamin Lee Michael MaddoxMichael Maddox More articles by this author , Philip DorseyPhilip Dorsey More articles by this author , Christopher KeelChristopher Keel More articles by this author , Julie WangJulie Wang More articles by this author , and Benjamin LeeBenjamin Lee More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.1705AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail Introduction and Objectives Robotic partial nephrectomy is performed increasingly for complex renal masses. We present technique of addressing a right posterior hilar renal mass abutting the collecting system, as well as the renal hilum. Our objective was to demonstrate our technique for dissection and extirpation of a hilar mass using the robotic-assisted laparoscopic approach. Methods The patient was diagnosed with a three centimeter posterior hilar mass found incidentally on a computerized tomography scan. The RENAL nephrometry score for the mass was 9h, demonstrating the significantly complex nature of the lesion. The video demonstrates our technique used to dissect the mass from the hilum and safely reconstruct the kidney without inadvertent injury to the adjacent structures. Results Following dissection of the renal artery and vein, the kidney is mobilized in its entirety to align the posterior hilar mass to optimize reconstruction. Dissection into the renal sinus is performed off clamp. In our experience with hilar lesions, only the renal artery is clamped while the renal vein remains open throughout the procedure. Reconstruction of the kidney is performed with care not to obstruct the renal pelvis post operatively. Conclusions Robotic-assisted laparoscopic partial nephrectomy is a safe and feasible option for the treatment of complex renal masses including hilar tumors. © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e616-e617 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Michael Maddox More articles by this author Philip Dorsey More articles by this author Christopher Keel More articles by this author Julie Wang More articles by this author Benjamin Lee More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...