Abstract
We aim in this article to review the literature covering the evaluation of robot-assisted surgery in the treatment of renal cancer by partial nephrectomy, comparing it with an open approach and with conventional laparoscopic surgery. Robot-assisted surgery brings minimally invasive partial nephrectomy nearer. It facilitates the performance of partial nephrectomy in a shorter operative time and with less blood loss and reduced length of hospital stay in comparison with open surgery. The warm ischaemia time is similar to that with open surgery and is below the 25 minutes limit. The width of surgical margins is not statistically different from that obtained with standard laparoscopic techniques.
Résumé
Le but de cet article est la revue de la littérature évaluant la chirurgie robot-assistée dans le cadre du traitement par néphrectomie partielle du cancer rénal, en comparant cette technique avec la chirurgie ouverte et cœlioscopique classique. La chirurgie robot-assistée rend la néphrectomie partielle mini-invasive plus disponible. Elle permet de réaliser la néphrectomie partielle avec un temps opératoire, des pertes sanguines et un temps d’hospitalisation réduit par rapport à la chirurgie ouverte, en reproduisant un temps d’ischémie chaude comparable à la chirurgie ouverte, et inférieur à la limite de 25 minutes. Le taux de marge chirurgicale n’est pas statistiquement différent entre les techniques cœlioscopiques classiques ou robot-assistées.
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Références
Aron M, Koenig P, Kaouk JH, et al. (2008) Robotic and laparoscopic partial nephrectomy: a matched-pair comparison from a high-volume centre. BJU Int 102: 86–92
Becker F, Van Poppel H, Hakenberg OW, et al. (2009) Assessing the impact of ischaemia time during partial nephrectomy. Eur Urol 56: 625–634
Bensalah K, Pantuck AJ, Rioux-Leclercq N, et al. (2010) Positive surgical margin appears to have negligible impact on survival of renal cell carcinomas treated by nephron-sparing surgery. Eur Urol 57: 466–471
Benway BM, Bhayani SB, Rogers CG, et al. (2009) Robot assisted partial nephrectomy versus laparoscopic partial nephrectomy for renal tumors: a multiinstitutional analysis of perioperative outcomes. J Urol 182: 866–872
Caruso RP, Phillips CK, Kau E, et al. (2006) Robot assisted laparoscopic partial nephrectomy: initial experience. J Urol 176: 36–39
Clayman RV, Kavoussi LR, Soper NJ, et al. (1991) Laparoscopic nephrectomy: initial case report. J Urol 146: 278–282
Crepel M, Bernhard JC, Bellec L, et al. (2007) Comparison of open and laparoscopic partial nephrectomy: a French multicentre experience. Prog Urol 17: 45–49
Deane LA, Lee HJ, Box GN, et al. (2008) Robotic versus standard laparoscopic partial/wedge nephrectomy: a comparison of intraoperative and perioperative results from a single institution. J Endourol 22: 947–952
Feder MT, Patel MB, Melman A, et al. (2008) Comparison of open and laparoscopic nephrectomy in obese and nonobese patients: outcomes stratified by body mass index. J Urol 180: 79–83
Gettman MT, Blute ML, Chow GK, et al. (2004) Robotic-assisted laparoscopic partial nephrectomy: technique and initial clinical experience with DaVinci robotic system. Urology 64: 914–918
Gill IS, Kavoussi LR, Lane BR, et al. (2007) Comparison of 1,800 laparoscopic and open partial nephrectomies for single renal tumors. J Urol 178: 41–46
Gong EM, Orvieto MA, Zorn KC, et al. (2008) Comparison of laparoscopic and open partial nephrectomy in clinical T1a renal tumors. J Endourol 22:953–957
Ljungberg B, Cowan NC, Hanbury DC, et al. (2010) EAU guidelines on renal cell carcinoma: the 2010 update. Eur Urol 58: 398–406
Marszalek M, Meixl H, Polajnar M, et al. (2009) Laparoscopic and open partial nephrectomy: a matched-pair comparison of 200 patients. Eur Urol 55: 1171–1178
Novick AC, Stewart BH, Straffon RA, Banowsky LH (1977) Partial nephrectomy in the treatment of renal adenocarcinoma. J Urol 118: 932–936
Thompson RH, Lane BR, Lohse CM, et al. (2010) Every minute counts when the renal hilum is clamped during partial nephrectomy. Eur Urol 58: 340–345
Wang AJ, Bhayani SB (2009) Robotic partial nephrectomy versus laparoscopic partial nephrectomy for renal cell carcinoma: single-surgeon analysis of superior to 100 consecutive procedures. Urology 73: 306–310
Weight CJ, Larson BT, Fergany AF, et al. (2010) Nephrectomy induced chronic renal insufficiency is associated with increased risk of cardiovascular death and death from any cause in patients with localized cT1b renal masses. J Urol 183: 1317–1323
Weight CJ, Lieser G, Larson BT, et al. (2010) Partial nephrectomy is associated with improved overall survival compared to radical nephrectomy in patients with unanticipated benign renal tumours. Eur Urol 58: 293–298
Winfield HN, Donovan JF, Godet AS, Clayman RV (1993) Laparoscopic partial nephrectomy: initial case report for benign disease. J Endourol 7: 521–526
Yossepowitch O, Thompson RH, Leibovich BC, et al. (2008) Positive surgical margins at partial nephrectomy: predictors and oncological outcomes. J Urol 179: 2158–2163
Zini L, Perrotte P, Capitanio U, et al. (2009) Radical versus partial nephrectomy: effect on overall and non-cancer mortality. Cancer 115: 1465–1471
Zorn KC, Gong EM, Mendiola FP, et al. (2007) Operative outcomes of upper pole laparoscopic partial nephrectomy: comparison of lower pole laparoscopic and upper pole open partial nephrectomy. Urology 70: 28–34
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Walz, J., Rybikowski, S., Gabbay, G. et al. Intérêt de la robotique dans le traitement du cancer du rein. Oncologie 13, 29–34 (2011). https://doi.org/10.1007/s10269-010-1973-9
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DOI: https://doi.org/10.1007/s10269-010-1973-9