Robotic retroperitoneal approach - a new technique for the upper urinary tract and adrenal gland

Nicolae Crisan, Calin Neiculescu, Deliu Victor Matei, Ioan Coman

Research output: Contribution to journalArticle

Abstract

Background: The retroperitoneal approach is generally avoided because of the reduced working space, the difficulties in robot positioning and the risk of arms conflict. A new robotic retroperitoneal approach is presented that can be applied for upper urinary tract pathology and adrenal pathology. Methods: Between November 2009 and November 2011, 34 out of 114 robotic procedures were performed by the retroperitoneal approach using a triangle shaped trocar placement and the robotic cart positioned at the patient's head. Results: All of the 34 retroperitoneal procedures were performed using this type of approach, with no conflict between the robotic arms and no conversions. The average operating time was 50min for simple nephrectomies and 180min for partial nephrectomies. The blood loss was not relevant. Conclusion: This approach enables excellent mobility for the robotic arms, generating no conflict and providing good maneuvering space for the bedside assistant.

Original languageEnglish
Pages (from-to)492-496
Number of pages5
JournalInternational Journal of Medical Robotics and Computer Assisted Surgery
Volume9
Issue number4
DOIs
Publication statusPublished - Dec 2013

Fingerprint

Robotics
Adrenal Glands
Urinary Tract
Robotic arms
Pathology
Nephrectomy
Blood
Robots
Surgical Instruments
Arm
Head

Keywords

  • Adrenalectomy
  • Partial nephrectomy
  • Pyeloplasty
  • Retroperitoneal approach
  • Robotic

ASJC Scopus subject areas

  • Computer Science Applications
  • Biophysics
  • Surgery

Cite this

Robotic retroperitoneal approach - a new technique for the upper urinary tract and adrenal gland. / Crisan, Nicolae; Neiculescu, Calin; Matei, Deliu Victor; Coman, Ioan.

In: International Journal of Medical Robotics and Computer Assisted Surgery, Vol. 9, No. 4, 12.2013, p. 492-496.

Research output: Contribution to journalArticle

@article{36d40e54562a4fac9924e858028a0955,
title = "Robotic retroperitoneal approach - a new technique for the upper urinary tract and adrenal gland",
abstract = "Background: The retroperitoneal approach is generally avoided because of the reduced working space, the difficulties in robot positioning and the risk of arms conflict. A new robotic retroperitoneal approach is presented that can be applied for upper urinary tract pathology and adrenal pathology. Methods: Between November 2009 and November 2011, 34 out of 114 robotic procedures were performed by the retroperitoneal approach using a triangle shaped trocar placement and the robotic cart positioned at the patient's head. Results: All of the 34 retroperitoneal procedures were performed using this type of approach, with no conflict between the robotic arms and no conversions. The average operating time was 50min for simple nephrectomies and 180min for partial nephrectomies. The blood loss was not relevant. Conclusion: This approach enables excellent mobility for the robotic arms, generating no conflict and providing good maneuvering space for the bedside assistant.",
keywords = "Adrenalectomy, Partial nephrectomy, Pyeloplasty, Retroperitoneal approach, Robotic",
author = "Nicolae Crisan and Calin Neiculescu and Matei, {Deliu Victor} and Ioan Coman",
year = "2013",
month = "12",
doi = "10.1002/rcs.1523",
language = "English",
volume = "9",
pages = "492--496",
journal = "International Journal of Medical Robotics and Computer Assisted Surgery",
issn = "1478-596X",
publisher = "John Wiley and Sons Ltd",
number = "4",

}

TY - JOUR

T1 - Robotic retroperitoneal approach - a new technique for the upper urinary tract and adrenal gland

AU - Crisan, Nicolae

AU - Neiculescu, Calin

AU - Matei, Deliu Victor

AU - Coman, Ioan

PY - 2013/12

Y1 - 2013/12

N2 - Background: The retroperitoneal approach is generally avoided because of the reduced working space, the difficulties in robot positioning and the risk of arms conflict. A new robotic retroperitoneal approach is presented that can be applied for upper urinary tract pathology and adrenal pathology. Methods: Between November 2009 and November 2011, 34 out of 114 robotic procedures were performed by the retroperitoneal approach using a triangle shaped trocar placement and the robotic cart positioned at the patient's head. Results: All of the 34 retroperitoneal procedures were performed using this type of approach, with no conflict between the robotic arms and no conversions. The average operating time was 50min for simple nephrectomies and 180min for partial nephrectomies. The blood loss was not relevant. Conclusion: This approach enables excellent mobility for the robotic arms, generating no conflict and providing good maneuvering space for the bedside assistant.

AB - Background: The retroperitoneal approach is generally avoided because of the reduced working space, the difficulties in robot positioning and the risk of arms conflict. A new robotic retroperitoneal approach is presented that can be applied for upper urinary tract pathology and adrenal pathology. Methods: Between November 2009 and November 2011, 34 out of 114 robotic procedures were performed by the retroperitoneal approach using a triangle shaped trocar placement and the robotic cart positioned at the patient's head. Results: All of the 34 retroperitoneal procedures were performed using this type of approach, with no conflict between the robotic arms and no conversions. The average operating time was 50min for simple nephrectomies and 180min for partial nephrectomies. The blood loss was not relevant. Conclusion: This approach enables excellent mobility for the robotic arms, generating no conflict and providing good maneuvering space for the bedside assistant.

KW - Adrenalectomy

KW - Partial nephrectomy

KW - Pyeloplasty

KW - Retroperitoneal approach

KW - Robotic

UR - http://www.scopus.com/inward/record.url?scp=84890429113&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84890429113&partnerID=8YFLogxK

U2 - 10.1002/rcs.1523

DO - 10.1002/rcs.1523

M3 - Article

C2 - 24038746

AN - SCOPUS:84890429113

VL - 9

SP - 492

EP - 496

JO - International Journal of Medical Robotics and Computer Assisted Surgery

JF - International Journal of Medical Robotics and Computer Assisted Surgery

SN - 1478-596X

IS - 4

ER -