Robotic renal surgery: The future or a passing curiosity?
Identifieur interne : 002578 ( Pmc/Curation ); précédent : 002577; suivant : 002579Robotic 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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Jeff Warren<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><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><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><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><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><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>Le document en format XML
<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></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><pmc article-type="review-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Can Urol Assoc J</journal-id><journal-id journal-id-type="publisher-id">CUAJ</journal-id><journal-title-group><journal-title>Canadian Urological Association Journal</journal-title></journal-title-group><issn pub-type="ppub">1911-6470</issn><publisher><publisher-name>Canadian Medical Association</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">19543471</article-id><article-id pub-id-type="pmc">2692162</article-id><article-id pub-id-type="publisher-id">cuaj-3-231</article-id><article-categories><subj-group subj-group-type="heading"><subject>Review</subject></subj-group></article-categories><title-group><article-title>Robotic renal surgery: The future or a passing curiosity?</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Warren</surname><given-names>Jeff</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="af1-cuaj-3-231">*</xref><xref ref-type="aff" rid="af2-cuaj-3-231">†</xref></contrib><contrib contrib-type="author"><name><surname>da Silva</surname><given-names>Vitor</given-names></name><degrees>BMSc</degrees><xref ref-type="aff" rid="af2-cuaj-3-231">†</xref></contrib><contrib contrib-type="author"><name><surname>Caumartin</surname><given-names>Yves</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="af3-cuaj-3-231">‡</xref></contrib><contrib contrib-type="author"><name><surname>Luke</surname><given-names>Patrick P.W.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="af1-cuaj-3-231">*</xref><xref ref-type="aff" rid="af2-cuaj-3-231">†</xref><xref ref-type="corresp" rid="c1-cuaj-3-231"></xref></contrib></contrib-group><aff id="af1-cuaj-3-231"><label>*</label>From the Department of Surgery, Division of Urology, University of Western Ontario,</aff><aff id="af2-cuaj-3-231"><label>†</label>Schulich School of Medicine, University of Western Ontario, London, Ont., and</aff><aff id="af3-cuaj-3-231"><label>‡</label>the Department of Surgery, Division of Urology, Laval University, Québec City, Que.</aff><author-notes><corresp id="c1-cuaj-3-231">Correspondence: Dr. Patrick Luke, London Health Sciences Centre, University Campus, 339 Windermere Rd., London ON N6A 5A5; fax 519 663-3858;
<email>patrick.luke@lhsc.on.ca</email></corresp></author-notes><pub-date pub-type="ppub"><month>6</month><year>2009</year></pub-date><volume>3</volume><issue>3</issue><fpage>231</fpage><lpage>240</lpage><permissions><copyright-statement>Copyright: © 2009 Canadian Urological Association or its licensors</copyright-statement></permissions><abstract><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></abstract><trans-abstract xml:lang="fr"><title>Résumé</title><p>Le développement, le perfectionnement et l’intégration en milieu clinique de la technologie robotique en contexte opératoire se poursuit à un rythme stupéfiant. Aucune autre discipline n’a vu cette évolution rapide à un niveau aussi élevé que l’urologie. Alors que la prostatectomie radicale en est devenue l’application prototype, le rôle de la robotique en chirurgie rénale demeure controversé. Dans l’article qui suit, nous passons en revue la littérature portant sur l’emploi de la robotique en chirurgie rénale. Une recherche exhaustive dans la base de données PubMed a été effectuée afin de cerner les rapports sur le sujet. Tous les rapports cliniques portant sur des sujets humains ont été évalués. Cinquante et un articles cliniques ont été inclus dans notre analyse, incluant des cas, tous assistés par robot, de pyéloplastie, de néphrectomie, de néphro-urétérectomie, de néphrectomie chez des donneurs vivants et de néphrectomie partielle. Pour chacune de ces interventions, la faisabilité a été démontrée. Des techniques assistées par robot ont été décrites pour pratiquement tous les types d’interventions rénales. Néanmoins, le point d’intersection entre faisabilité et nécessité concernant l’utilisation de la robotique reste à définir. Par ailleurs, le coût élevé de la robotique chirurgicale justifie une évaluation critique avant l’adoption de cette technologie, en particulier dans un système de santé public comme celui du Canada.</p></trans-abstract></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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