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NOTES Cholecystectomy by Transgastric and Transvesical Combined Approach

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Robot Assisted Laparoscopic Partial Nephrectomy: The University Of California - Irvine Technique

New Technologies
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Deane Leslie,
University Of Illimois At Chicago,
Chicago


ABSTRACT:
Introduction: Laparoscopic partial/wedge nephrectomy (LPN) is a technically challenging procedure that is performed by a limited number of expert laparoscopic surgeons. The robotic interface may allow some of these challenges to be overcome. This video demonstrates our technique and results of our initial experience with robotic assisted laparoscopic partial/wedge nephrectomy (RALPN).
Patients and Methods: At our institution, 10 consecutive patients have undergone 11 RALPN’s between March 2004 and January 2007. Their medical records were reviewed.
Results: The mean age of the patients was 53.2 years. The mean tumor size was 3.1 cm (2.5 – 4 cm). The mean total procedure time was 228.7 minutes (98 – 375 minutes. The mean warm ischemia time was 35.3 minutes (15 – 49 minutes). The mean estimated blood loss was 115 ml (25 – 300 ml). The mean fall in postoperative hematocrit was 4.2 %. All margins were free of tumor with a mean margin of 2.1 mm. The mean length of hospital stay was 2 days. There was one post-operative complication: hemorrhage requiring transfusion and re-exploration via a hand-assisted approach.
Conclusions: RALPN is technically feasible and can be performed with similar outcomes to the published literature on standard LPN.
Laparoscopic Roux-en-Y stapled cystojejunostomy
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