Partial nephrectomy

Abstract

  Partial nephrectomy for small renal tumors not only has anticancer properties equivalent to radical nephrectomy, but also has a clear advantage in preserving renal function, so it has been designated as the standard therapy for small renal tumors in overseas guidelines. It is also recommended in Japanese guidelines.

  Since robot-assisted partial nephrectomy (RAPN) was first reported by Gettman et al. in 2004, it is now being performed at many institutions around the world, taking advantage of fine bright field and multi-joint forceps manipulation. This is the main treatment in partial nephrectomy. RAPN has shown better results than laparoscopic artial nephrectomy in terms of rate of transition to open surgery, warm ischemia time, postoperative renal function, and length of hospital stay, and has been widely used in Japan since being covered by insurance in April 2016. It is widespread.

  This time, we will report on the RAPN surgical technique using the Japanese surgical robot hinotori and a comparison of the surgical results with da Vinci at our hospital.