Robot-assisted upper pole nephrectomy in adult patients with duplicated renal collecting systems

Matthew D. Mason, Craig A Peters, Noah S. Schenkman

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Duplicated renal collecting systems are a common congenital anomaly, with patients usually presenting in childhood, rarely in adult life. To our knowledge, only one case of robot-assisted heminephrectomy in adults has been described. We reviewed the medical records of four adult patients with symptomatic unilateral duplicated collecting systems and nonfunctioning upper pole renal units (NFUPRU) who underwent robot-assisted laparoscopic heminephrectomy at our institutions. Heminephrectomy for NFUPRU should be approached differently than partial nephrectomy, because of complex vascular anatomy. Patients who are undergoing this procedure have brief hospital stays, minimal morbidity, preservation of renal function, and resolution of symptoms. Robot-assisted laparoscopy is well suited for this procedure because it allows improved visualization during dissection of the unique vascular anatomy as well as scaling of surgeon movements and improved ergonomics.

Original languageEnglish (US)
Pages (from-to)838-842
Number of pages5
JournalJournal of Endourology
Volume26
Issue number7
DOIs
StatePublished - Jul 1 2012

ASJC Scopus subject areas

  • Urology

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