Cirugía renal robótica: nefrectomía radical y parcial

摘要

OBJECTIVES: By addressing the performance limitations of standard laparoscopy, robotics has developed a role in urology. While greatest use has been in pelvic prostatectomy, the role of robotics is expanding to other retroperitoneal surgeries. We review the feasibility of robotic radical and partial nephrectomy METHODS: Medline literature search of robotic nephrectomy and partial nephrectomy was performed. Data was compiled for the review as well as personal experience. RESULTS: Multiple studies have demonstrated the feasibility and safety of robotic assisted laparoscopic nephrectomy and partial nephrectomy. Operative time is increased with the robotic system compared to pure laparoscopic surgery. Although complication rates are low, robotic renal surgery requires two skilled surgeons. CONCLUSION: While the use of robotics in renal surgery may enhance suturing abilities, currently, this system requires two skilled surgeons and significant operative time. The exact role of robotics in extirpative renal surgery remains unclear and may require technical and surgical advancements before robotic renal surgery is widely accepted.