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Revista mexicana de urología
versión On-line ISSN 2007-4085versión impresa ISSN 0185-4542
Resumen
SOTO-VAZQUEZ, Teresita; ALMEIDA-MAGANA, Ricardo y VILLEDA-SANDOVAL, Christian Isaac. Robotic-assisted and laparoscopic partial nephrectomies in patients with renal tumor. Rev. mex. urol. [online]. 2020, vol.80, n.3, e05. Epub 07-Mar-2022. ISSN 2007-4085. https://doi.org/10.48193/rmu.v80i3.581.
Background:
Kidney cancer accounts for 2% of cancer deaths in Mexico. Partial nephrectomy has become the treatment of choice for renal tumors <4cm and can be carried out utilizing minimally invasive techniques.
Aim:
To describe the perioperative, oncologic, and follow-up characteristics of patients that underwent partial laparoscopy with the robotic-assisted or laparoscopic approach at our hospital center.
Methods:
A descriptive, retrospective cases series was conducted on patients that underwent minimally invasive partial nephrectomy at the Centro Médico Naval, within the time frame of February 2016 to February 2019.
Results:
Sixteen patients had a BMI >25 kg/m2, initial creatinine was 0.97mg/dl, surgery duration was 202 minutes, blood loss was 300 ml, and 13 patients underwent warm ischemia, for a median of 24 minutes. Hospital stay was 3 days, 2 patients presented with complications, and serum creatinine at day 30 was 1.05 mg/dl. The 17 patients that presented with cancer all had clear cell renal cell carcinoma. Thirteen of those patients had nuclear grade 2 and 3 had positive margins.
Conclusions:
Our good short-term oncologic and functional results were similar to those reported in the international literature. Comparison with the national literature is difficult, given the lack of studies employing the robotic approach.
Palabras llave : Renal neoplasia renal; robotic surgery partial nephrectomy.