Robotic renal surgery: The future or a passing curiosity?
Identifieur interne : 004152 ( Main/Merge ); précédent : 004151; suivant : 004153Robotic renal surgery: The future or a passing curiosity?
Auteurs : Jeff Warren ; Vitor Da Silva ; Yves Caumartin ; Patrick P. W. LukeSource :
- Canadian Urological Association Journal [ 1911-6470 ] ; 2009.
Abstract
The development, advancement and clinical integration of robotic technology in surgery continue at a staggering pace. In no other discipline has this rapid evolution occurred to a greater degree than in urology. Although radical prostatectomy has grown to become the prototypical application for the robot, the role of the robot in renal surgery remains controversial. Herein we review the literature on robotic renal surgery. A comprehensive PubMed literature search was performed to identify all published reports relating to robotic renal surgery. All clinically related articles involving human participants were critically appraised in this review. Fifty-one clinical articles were included, encompassing robot-assisted pyeloplasty, nephrectomy, nephroureterectomy, living-donor nephrectomy and partial nephrectomy. Feasibility has been shown for each of these procedures. Robot-assisted techniques have been described for almost all renal-related procedures. However, the intersect between feasibility and necessity as it pertains to robotic renal surgery has yet to be defined. Also, the high cost of surgical robotic technology mandates critical appraisal before adoption, especially in a publicly funded health care system, such as the one present in Canada.
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PubMed: 19543471
PubMed Central: 2692162
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Robotic renal surgery: The future or a passing curiosity?</title><author><name sortKey="Warren, Jeff" sort="Warren, Jeff" uniqKey="Warren J" first="Jeff" last="Warren">Jeff Warren</name><affiliation><nlm:aff id="af1-cuaj-3-231">From the Department of Surgery, Division of Urology, University of Western Ontario,</nlm:aff><wicri:noCountry code="subfield">University of Western Ontario</wicri:noCountry></affiliation><affiliation><nlm:aff wicri:cut=", and" id="af2-cuaj-3-231">Schulich School of Medicine, University of Western Ontario, London, Ont.</nlm:aff><wicri:noCountry code="subfield">Ont.</wicri:noCountry></affiliation></author><author><name sortKey="Da Silva, Vitor" sort="Da Silva, Vitor" uniqKey="Da Silva V" first="Vitor" last="Da Silva">Vitor Da Silva</name><affiliation><nlm:aff wicri:cut=", and" id="af2-cuaj-3-231">Schulich School of Medicine, University of Western Ontario, London, Ont.</nlm:aff><wicri:noCountry code="subfield">Ont.</wicri:noCountry></affiliation></author><author><name sortKey="Caumartin, Yves" sort="Caumartin, Yves" uniqKey="Caumartin Y" first="Yves" last="Caumartin">Yves Caumartin</name><affiliation><nlm:aff id="af3-cuaj-3-231">the Department of Surgery, Division of Urology, Laval University, Québec City, Que.</nlm:aff><wicri:noCountry code="subfield">Que.</wicri:noCountry></affiliation></author><author><name sortKey="Luke, Patrick P W" sort="Luke, Patrick P W" uniqKey="Luke P" first="Patrick P. W." last="Luke">Patrick P. W. Luke</name><affiliation><nlm:aff id="af1-cuaj-3-231">From the Department of Surgery, Division of Urology, University of Western Ontario,</nlm:aff><wicri:noCountry code="subfield">University of Western Ontario</wicri:noCountry></affiliation><affiliation><nlm:aff wicri:cut=", and" id="af2-cuaj-3-231">Schulich School of Medicine, University of Western Ontario, London, Ont.</nlm:aff><wicri:noCountry code="subfield">Ont.</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">19543471</idno><idno type="pmc">2692162</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2692162</idno><idno type="RBID">PMC:2692162</idno><date when="2009">2009</date><idno type="wicri:Area/Pmc/Corpus">002578</idno><idno type="wicri:Area/Pmc/Curation">002578</idno><idno type="wicri:Area/Pmc/Checkpoint">002055</idno><idno type="wicri:Area/Ncbi/Merge">001173</idno><idno type="wicri:Area/Ncbi/Curation">001173</idno><idno type="wicri:Area/Ncbi/Checkpoint">001173</idno><idno type="wicri:doubleKey">1911-6470:2009:Warren J:robotic:renal:surgery</idno><idno type="wicri:Area/Main/Merge">004152</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Robotic renal surgery: The future or a passing curiosity?</title><author><name sortKey="Warren, Jeff" sort="Warren, Jeff" uniqKey="Warren J" first="Jeff" last="Warren">Jeff Warren</name><affiliation><nlm:aff id="af1-cuaj-3-231">From the Department of Surgery, Division of Urology, University of Western Ontario,</nlm:aff><wicri:noCountry code="subfield">University of Western Ontario</wicri:noCountry></affiliation><affiliation><nlm:aff wicri:cut=", and" id="af2-cuaj-3-231">Schulich School of Medicine, University of Western Ontario, London, Ont.</nlm:aff><wicri:noCountry code="subfield">Ont.</wicri:noCountry></affiliation></author><author><name sortKey="Da Silva, Vitor" sort="Da Silva, Vitor" uniqKey="Da Silva V" first="Vitor" last="Da Silva">Vitor Da Silva</name><affiliation><nlm:aff wicri:cut=", and" id="af2-cuaj-3-231">Schulich School of Medicine, University of Western Ontario, London, Ont.</nlm:aff><wicri:noCountry code="subfield">Ont.</wicri:noCountry></affiliation></author><author><name sortKey="Caumartin, Yves" sort="Caumartin, Yves" uniqKey="Caumartin Y" first="Yves" last="Caumartin">Yves Caumartin</name><affiliation><nlm:aff id="af3-cuaj-3-231">the Department of Surgery, Division of Urology, Laval University, Québec City, Que.</nlm:aff><wicri:noCountry code="subfield">Que.</wicri:noCountry></affiliation></author><author><name sortKey="Luke, Patrick P W" sort="Luke, Patrick P W" uniqKey="Luke P" first="Patrick P. W." last="Luke">Patrick P. W. Luke</name><affiliation><nlm:aff id="af1-cuaj-3-231">From the Department of Surgery, Division of Urology, University of Western Ontario,</nlm:aff><wicri:noCountry code="subfield">University of Western Ontario</wicri:noCountry></affiliation><affiliation><nlm:aff wicri:cut=", and" id="af2-cuaj-3-231">Schulich School of Medicine, University of Western Ontario, London, Ont.</nlm:aff><wicri:noCountry code="subfield">Ont.</wicri:noCountry></affiliation></author></analytic><series><title level="j">Canadian Urological Association Journal</title><idno type="ISSN">1911-6470</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The development, advancement and clinical integration of robotic technology in surgery continue at a staggering pace. In no other discipline has this rapid evolution occurred to a greater degree than in urology. Although radical prostatectomy has grown to become the prototypical application for the robot, the role of the robot in renal surgery remains controversial. Herein we review the literature on robotic renal surgery. A comprehensive PubMed literature search was performed to identify all published reports relating to robotic renal surgery. All clinically related articles involving human participants were critically appraised in this review. Fifty-one clinical articles were included, encompassing robot-assisted pyeloplasty, nephrectomy, nephroureterectomy, living-donor nephrectomy and partial nephrectomy. Feasibility has been shown for each of these procedures. Robot-assisted techniques have been described for almost all renal-related procedures. However, the intersect between feasibility and necessity as it pertains to robotic renal surgery has yet to be defined. Also, the high cost of surgical robotic technology mandates critical appraisal before adoption, especially in a publicly funded health care system, such as the one present in Canada.</p></div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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