A systematic management algorithm for perioperative complications after robotic assisted partial nephrectomy

Nephron-sparing surgery (NSS) is the treatment of choice for T1 renal cell carcinoma (RCC). Since the first robotic assisted partial nephrectomy (RAPN) was performed in 2004, NSS is being implemented with increasing frequency. RAPN will likely become the gold standard procedure for T1 RCC due to imp...

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Bibliographic Details
Published in:Canadian Urological Association journal 2019-11, Vol.13 (11), p.E371-E376
Main Authors: Ryan, James, MacCraith, Eoin, Davis, Niall F, McLornan, Liza
Format: Article
Language:English
Subjects:
Algorithms
Carcinoma
Renal cell carcinoma
Review
Robotic surgery
Strategic planning (Business)
Surgery
Tumors
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Summary:Nephron-sparing surgery (NSS) is the treatment of choice for T1 renal cell carcinoma (RCC). Since the first robotic assisted partial nephrectomy (RAPN) was performed in 2004, NSS is being implemented with increasing frequency. RAPN will likely become the gold standard procedure for T1 RCC due to improved dexterity, enhanced visualization, shorter learning curve, quicker recovery time, and shortened warm ischemic time. Although RAPN appears to be the preferred treatment for select renal tumours, there are notable complications in up to 35% of cases. While complications associated with RAPN are well-described, there is a lack of literature describing appropriate management strategies. Herein, we review complications associated with RAPN and design an appropriate systematic management algorithm.
ISSN:1911-6470
1920-1214
DOI:10.5489/cuaj.5750