ArticleSpringerPlus2015
Operative technique and early experience for robotic-assisted laparoscopic nephroureterectomy (RALNU) using da Vinci Xi.
Article in SpringerPlus, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 38 citations in OpenAlex.
- Camera Port Swapping in Transperitoneal Robotic Partial Nephrectomy: A Feasible Alternative to the Retroperitoneal Approach for Posterior Renal Tumors.Journal of clinical medicine · 2025Article
- DaVinci Xi ROtation technique for NEphroureterectomy (DRONE): a retrospective single-centre cohort study and description of a novel approach with augmented range of motion.Journal of robotic surgery · 2025Article
- Minimally Invasive One-Docking, Two-Target, and Three-Port Robotic-Assisted Nephroureterectomy: Redefining Surgical Approach.Cancers · 2025Article
- Validate robot-assisted total laparoscopic hysterectomy with four equally-spaced ports without an assistant port.Journal of robotic surgery · 2024Article
- Application of the single-port robotic platform during radical nephroureterectomy for upper tract urothelial carcinoma: feasibility of the single-port robot in the multi-quadrant setting.Translational andrology and urology · 2023Review
- First Comparison of Retroperitoneal Versus Transperitoneal Robot-Assisted Nephroureterectomy with Bladder Cuff: A Single Center Study.Annals of surgical oncology · 2023Article
- Retroperitoneal robot-assisted laparoscopic nephroureterectomy using the da Vinci Xi and SP systems: Initial experiences in cadaveric models.Investigative and clinical urology · 2023Article
- Robotic-assisted versus laparoscopic nephroureterectomy; a systematic review and meta-analysis.BJUI compass · 2023Review
- First completely robot-assisted retroperitoneal nephroureterectomy with bladder cuff: a step-by-step technique.World journal of urology · 2022Article
- Controversies in management of the bladder cuff at nephroureterectomy.Translational andrology and urology · 2020Review
- Robot-assisted nephroureterectomy for upper tract urothelial carcinoma: results from three high-volume robotic surgery institutions.Journal of robotic surgery · 2020Article
- Frontiers in robot-assisted retroperitoneal oncological surgery.Nature reviews. Urology · 2017Review
- Da Vinci Xi and Si platforms have equivalent perioperative outcomes during robot-assisted partial nephrectomy: preliminary experience.Journal of robotic surgery · 2017Article
- Robot-assisted nephroureterectomy: current perspectives.Robotic surgery (Auckland) · 2016Review
- Robot-assisted radical nephroureterectomy with extended template lymphadenectomy for upper tract urothelial carcinoma: An outcome analysis.Indian journal of urology : IJU : journal of the Urological Society of IndiaArticle
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeRobotic-assisted laparoscopic nephroureterectomy (RALNU) has been previously utilized for management of upper tract urothelial carcinoma. The da Vinci Xi surgical system was released in April of 2014. We describe our operative technique and early experience for RALNU using the da Vinci Xi system highlighting unique features of this surgical platform. MATERIALS AND
methodsA total of 10 patients with a diagnosis of upper tract urothelial carcinoma underwent RALNU using the da Vinci Xi system between April and November of 2014. A novel, oblique "in line" robotic trocar configuration was utilized to access the upper abdomen (nephrectomy portion) and pelvis (bladder cuff excision) without undocking. The port hopping feature of da Vinci Xi was utilized to facilitate optimal, multi-quadrant visualization during RALNU.
resultsRobotic-assisted laparoscopic nephroureterectomy was successfully completed without open conversion in all 10 patients. Mean operative time was 184 min (range 140-300 min), mean estimated blood loss was 121 cc (range 60-300 cc), and mean hospital stay was 2.4 days. Final pathology demonstrated high grade urothelial carcinoma in all patients. Surgical margins were negative in all patients. No intra-operative complications were encountered. One patient developed a pulmonary embolus after being discharged. No patients required a blood transfusion. Mean patient follow-up was 130 days (range 15-210 days).
conclusionThe use of da Vinci Xi with a novel, oblique "in line" port configuration and camera port hopping technique allows for an efficient and reproducible method for RALNU without the need for repositioning the patient or the robot during surgery.
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