%0 Journal Article
%T Robot-Assisted Nephrotomy as a Nephron-Sparing Approach for Completely Intraparenchymal Renal Tumors
%A Marcos Dall¡¯Oglio
%A Matheus Miranda Paiva
%A Fabr¨ªcio Golono Kaminagakura
%A Jos¨¦ Augusto Farias da Silva J¨²nior
%A Jorge Ock¨¦
%J Open Journal of Urology
%P 459-467
%@ 2160-5629
%D 2023
%I Scientific Research Publishing
%R 10.4236/oju.2023.1310052
%X <strong>Introduction:</strong> The diagnosis of small renal masses and the endophytic tumor approach have become challenging. This study aims to describe exclusively robot-assisted surgery as an alternative nephron-sparing approach for renal intraparenchymal tumors. <strong>Patients and Methods:</strong> We retrospectively analyzed all patients with completely endophytic tumors undergoing robot-assisted partial nephrectomy, treated under the Da Vinci System<sup>&amp;#174;</sup>, aided by intraoperative ultrasound. The patients¡¯ demographic characteristics, perioperative and oncological outcomes were assessed. <strong>Results:</strong> From a total of 13 partial nephrectomies performed between 06/2010 and 10/2021, all patients underwent nephrotomy. The patients¡¯ mean age was 52 years and the tumor measured mean 2.6 cm. Warm ischemia time was 24 minutes and histopathological analysis revealed that 12 patients had renal cell carcinoma. In a mean 36-month follow-up, no significant renal function alterations were found and no local or systemic recurrences occurred. <strong>Conclusion:</strong> Robot-assisted access is a safe and effective option for the nephron-sparing technique in completely intraparenchymal renal tumors.
%K Robotic Surgical Procedures
%K Kidney Neoplasms
%K Organ Sparing Treatment
%K Nephrectomy
%K Renal Mass
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=128713