Comparison of Robotic with Laparoscopic Radical Nephrectomy

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Comparison of Robotic with Laparoscopic Radical
Nephrectomy for Renal Malignancies Anmar
Nassir, Mehran Anvari, Anil Kapoor
Umm Al-Qura University, Makkah, SA. Assistant
Professor. McMaster University,Hamilton,
Canada. Centre for Minimal Access Surgery.
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• The use of a three-armed robot during
  laparoscopic surgery has been proposed to provide
  a number of benefits.
• These include
• the provision of 3D images,
• creation of natural operating field
• where hands and eyes working in the same
  direction
• increased dexterity at the tip of
  laparoscopic instruments due to the
  microwrist action.
• We report preliminary experience with RRN using
  the Zeus robotic system for small renal masses,
  including technique, results and complications.

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• Robotic Assisted Surgery
• Four port (1- 10 mm, 3- 5 mm) technique was
  used.

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• Comparison f Outcomes Between the Two Groups
• There was a significant increase in the
  operating time in the RRN group

• The increase was primarily due to the set up of
  the robotic arms
• There was no difference in resumption of oral
  diet, bowel function and hospital stay between
  the 2 groups.

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• Conclusion
• Our early experience suggests that RRN is safe
  and feasible, minimally invasive method of
  removing low stage renal malignancies, with low
  morbidity, short hospital stay, and quick
  recovery.
• Robotics offers the benefits of laparoscopic
  approach, with microwrist fine motor control in
  3D image, and natural operating field.
• Although preliminary data suggest adequate
  cancer control, long-term follow-up is imperative
  to ensure cancer control is comparable with
  traditional methods of open surgery and
  laparoscopic surgery.

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• Further refinement of the robot will increase its
  application in advanced laparoscopic surgery and
  may also provide a tool for remote assisting and
  operating using telecommunication lines
  (telerobotic surgery).
• We feel strongly that the use of robots will
  increase in many surgical specialties in the
  future as the instrumentation improves and a new
  applications are realized.