da Vinci® Partial Nephrectomy
If your doctor recommends surgery for a kidney disease such as kidney cancer, ask about da Vinci Surgery. Depending on your disease state and tumor location, you may not have to lose your entire kidney to surgery. This surgical technique is called partial nephrectomy or kidney-sparing surgery. The goal is to remove only the diseased part of your kidney sparing the healthy, functioning kidney tissue.
Sparing kidney tissue is important because studies show that patients who have their entire kidney removed are more likely to suffer from chronic kidney disease (CKD) after surgery and need dialysis compared to patients who received a kidney-sparing partial nephrectomy.1,2
Why da Vinci Surgery?
Instead of a large incision used in open surgery, da Vinci surgeons make a few small incisions - similar to traditional laparoscopy. The da Vinci System features a magnified 3D high-definition vision system and special wristed instruments that bend and rotate far greater than the human wrist. As a result, da Vincienables your doctor to operate with enhanced vision, precision, dexterity and control.
As a result of da Vinci technology, da Vinci Partial Nephrectomy offers the following potential benefits:
- Precise tumor removal and kidney reconstruction3,4
- Excellent chance of preserving the kidney, where indicated4
- Low rate of operative complications4
- Short hospital stay3
As a result of da Vinci technology, da Vinci Partial Nephrectomy offers the following potential benefits when compared to traditional laparoscopy:
- Shorter operation5,6
- Shorter warm ischemic time (shorter is better for kidney function)5,6
- Less blood loss5
- Shorter hospital stay6
State-of-the-art da Vinci uses the latest in surgical and robotics technologies and is beneficial for performing complex surgery. Your surgeon is 100% in control of the da Vinci System, which translates his or her hand movements into smaller, more precise movements of tiny instruments inside your body. da Vinci – taking surgery beyond the limits of the human hand.Physicians have used the da Vinci System successfully worldwide in approximately 1.5 million various surgical procedures to date. da Vinci is changing the experience of surgery for people around the world.
Risks & Considerations Related to Partial Nephrectomy & da Vinci Surgery
Potential risks of any partial nephrectomy procedure include:
- Urine leakage
- Internal bleeding
- Injury to surrounding organs
In addition to these risks, there are risks related to minimally invasive surgery, including da Vinci Partial Nephrectomy, such as hernia (bulging tissue/organ) at incision site.7
- To find a da Vinci surgeon nearest you, use our surgeon locator.
- Huang WC, Elkin EB, Levey AS, Jang TL, Russo P; Partial Nephrectomy Versus Radical Nephrectomy in Patients With Small Renal Tumors-Is there a Difference in Mortality and Cardiovascular Outcomes; The Journal of Urology, Vol. 181, 55-62, January 2009.
- Guide for Management of Clinical Stage 1 Renal Mass, 2009; American Urological Association Education and Research, Inc. www.auanet.org, URL: http://www.auanet.org/content/media/renalmass09.pdf?CFID=3292545&CFTOKEN=94898243&jsessionid=843026c2999c59bc411027365115951a1118
- Rogers CG, Menon M, Weise ES. Robotic partial nephrectomy: a multi-institutional analysis; J Robotic Surgery (2008)2:141-143 DOI 10.1007/s11701-008-0098-2.
- Bhayani SB, Das N. Robotic-assisted laparoscopic partial nephrectomy for suspected renal cell carcinoma. BMC Surgery 2008;8:16.
- Pierorazio PM, Patel HD, Feng T, Yohannan J, Hyams ES, Allaf ME. Robotic-assisted versus traditional laparoscopic partial nephrectomy: comparison of outcomes and evaluation of learning curve. Urology. 2011 Oct;78(4):813-9. Epub 2011 Jul 29.
- Wang AJ, Bhayani SB.Robotic partial nephrectomy versus laparoscopic partial nephrectomy for renal cell carcinoma: single-surgeon analysis of >100 consecutive procedures. Urology. 2009 Feb;73(2):306-10. Epub 2008 Nov 26.
- Khalifeh, A., Autorino, R., Hillyer, S.P., Laydner, H., Eyraud, R., Panumatrassamee, K., Long, J.A., Kaouk, J.H., Comparative Outcomes and Assessment of “Trifecta” in 500 Robotic and Laparoscopic Partial Nephrectomies: A Single Surgeon experience, The Journal of Urology® (2012), doi: 10.1016/j.juro.2012.10.021.
All surgery presents risk, including da Vinci® Surgery and other minimally invasive procedures. Serious complications may occur in any surgery, up to and including death. Examples of serious or life-threatening complications which may require hospitalization include injury to tissues or organs, bleeding, infection or internal scarring that can cause long-lasting dysfunction or pain. Temporary pain or nerve injury has been linked to the inverted position often used during abdominal and pelvic surgery. Risks of surgery also include potential for equipment failure and human error. Risks specific to minimally invasive surgery may include: A long operation and time under anesthesia, conversion to another technique or the need for additional or larger incisions. If your surgeon needs to convert the procedure, it could mean a long operative time with additional time under anesthesia and increased complications. Temporary pain or discomfort may result from pneumoperitoneum, the presence of air or gas in the abdominal cavity used by surgeons in minimally invasive surgery. Research suggests that there could be an increased risk of incision-site hernia with single-incision surgery. Results, including cosmetic results, may vary. Patients who bleed easily, who have abnormal blood clotting, are pregnant or morbidly obese are typically not candidates for minimally invasive surgery, including da Vinci® Surgery. For more complete information on surgical risks, safety, and indications for use, please refer to http://www.davincisurgery.com/safety/. Patients should talk to their doctors about their surgical experience and to decide if da Vinci Surgery is right for them. Other options may be available. Intuitive Surgical reviews clinical literature from the highest level of evidence available to provide benefit and risk information about use of the da Vinci Surgical System in specific representative procedures. We encourage patients and physicians to review all available information on surgical options and treatment in order to make an informed decision. Clinical studies are available through the National Library of Medicine at www.ncbi.nlm.nih.gov/pubmed.
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