Introduction Nephron-sparing surgery (NSS) is indicated for the treatment of small renal masses, and the technique for NSS has transitioned from open to the minimally invasive approach. Although the initial experience with minimally invasive NSS used traditional laparoscopy, robotic surgery…
Introduction Partial nephrectomy is now considered the treatment of choice in all small renal tumors when technically feasible, because long-term oncologic outcomes are equivalent to radical nephrectomy while preserving renal function. Despite its oncologic safety, laparoscopic partial nephrectomy (LPN) is…
Introduction This chapter describes techniques for transperitoneal and retroperitoneal robotic-assisted laparoscopic nephrectomy. Robotic assistance facilitates a minimally invasive approach and avoids the need for open surgery particularly for larger and more challenging tumors, including those with inferior vena caval tumor…
Introduction Benign prostatic hyperplasia (BPH) is the most common cause of lower urinary tract symptoms (LUTS) and bladder outlet obstruction (BOO) in men. The prevalence of this pathology increases with male aging. In the fourth decade of life, BPH is…
Introduction Lymph node status is a primary factor in determining a patient’s prognosis and future therapy for prostate cancer. Lymph node involvement (LNI) is associated with a significant increase in recurrence and mortality. , Pelvic lymph node dissection (PLND) remains…
Introduction Robot-assisted radical prostatectomy (RARP) is the most common form of treatment for localized prostate cancer. Introduction of robotics has helped to visualize prostatic and periprostatic structures better and improve the ability to perform detailed dissections. Still, a significant number…
Introduction Radical prostatectomy represents a treatment of choice for organ-confined prostate cancer (PCa). However, due to the adjacent anatomical location of the prostate to the neurovascular bundles (NVBs), and the urethral sphincter complex, radical prostatectomy may lead to adverse functional…
Introduction The first report of robotic-assisted radical prostatectomy (RARP) was performed by Binder and Kramer in 2000, describing 10 patients who underwent surgical treatment for prostate cancer using robotic technology. In this study, the authors combined the Walsh retrograde technique…
Standard approach Linda My Huynh, Erica Huang, Thomas Edward Ahlering Introduction Since the introduction of the robot-assisted radical prostatectomy (RARP) in 2001, much has been learned about techniques to improve patient outcomes via tenants of decreased bleeding and improved visualization.…
Introduction Surgeons have been at the forefront of integrating robotic systems into routine clinical practice. Radical prostatectomy is now commonly performed using a surgical robot in the majority of large centers in developed nations. Surgeons continue to push the boundaries…