Robotic Partial Nephrectomy with the Da Vinci Xi

George J S Kallingal, Sanjaya Swain, Fadi Darwiche, Sanoj Punnen, Murugesan Manoharan, Mark L Gonzalgo, Dipen J Parekh

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Purpose. The surgical expertise to perform robotic partial nephrectomy is heavily dependent on technology. The Da Vinci Xi (XI) is the latest robotic surgical platform with significant advancements compared to its predecessor. We describe our operative technique and experience with the XI system for robotic partial nephrectomy (RPN). Materials and Methods. Patients with clinical T1 renal masses were offered RPN with the XI. We used laser targeting, autopositioning, and a novel "in-line" port placement to perform RPN. Results. 15 patients underwent RPN with the XI. There were no intraoperative complications and no operative conversions. Mean console time was 101.3 minutes (range 44-176 minutes). Mean ischemia time was 17.5 minutes and estimated blood loss was 120 mLs. 12 of 15 patients had renal cell carcinoma. Two patients had oncocytoma and one had benign cystic disease. All patients had negative surgical margins and pathologic T1 disease. Two postoperative complications were encountered, including one patient who developed a pseudoaneurysm and one readmitted for presumed urinary tract infection. Conclusions. RPN with the XI system can be safely performed. Combining our surgical technique with the technological advancements on the XI offers patients acceptable pathologic and perioperative outcomes.

Original languageEnglish (US)
Article number9675095
JournalAdvances in Urology
Volume2016
DOIs
StatePublished - 2016

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Robotics
Nephrectomy
Oxyphilic Adenoma
False Aneurysm
Intraoperative Complications
Renal Cell Carcinoma
Urinary Tract Infections
Lasers
Ischemia
Technology
Kidney

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Urology

Cite this

Robotic Partial Nephrectomy with the Da Vinci Xi. / Kallingal, George J S; Swain, Sanjaya; Darwiche, Fadi; Punnen, Sanoj; Manoharan, Murugesan; Gonzalgo, Mark L; Parekh, Dipen J.

In: Advances in Urology, Vol. 2016, 9675095, 2016.

Research output: Contribution to journalArticle

Kallingal, George J S ; Swain, Sanjaya ; Darwiche, Fadi ; Punnen, Sanoj ; Manoharan, Murugesan ; Gonzalgo, Mark L ; Parekh, Dipen J. / Robotic Partial Nephrectomy with the Da Vinci Xi. In: Advances in Urology. 2016 ; Vol. 2016.
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AU - Gonzalgo, Mark L

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