Robot-Assisted Partial Nephrectomy
The state of the art for small renal tumors is nephron sparing surgery. Cancer outcomes are similar to radical (total) nephrectomy but normal renal tissue is conserved. Partial nephrectomy (nephron sparing surgery) can be performed either with an open approach, straight laparoscopic approach, or using the robot-assisted laparoscopic approach.
Better Outcomes Using da Vinci Robotic Surgery
Robot-assisted partial nephrectomy using the da Vinci Robot offers outcomes similar to traditional open and standard laparoscopic surgery, but has the additional advantage to patients of reduced tissue trauma, decreased risk of infection, less visible scarring and the potential for quicker recovery. Delicate, precise and rapid robotic suturing means kidneys spend less time diverted from the blood supply, which can contribute to preserved kidney function.
Back to top
CPMC's Experienced da Vinci Robotic Surgical Team
California Pacific Medical Center urologic surgeons have many years of experience using the DaVinci robotic system, performing some of the first cases in the Bay area in 2004. They were the first in the Bay area to perform laparoscopic partial nephrectomy and were early adoptors of robot-assisted partial nephrectomy surgery.
Back to top
da Vinci (Robotic) Partial Nephrectomy - Details and Advantages
In a robot-assisted partial nephrectomy, the surgeon precisely identifies and removes the cancerous kidney tumors as well as a small surrounding rim of healthy tissue through small (1- to 2-centimeter) abdominal incisions called ports (portals or keyholes).
Surgeons take advantage of the improved precision made possible by the computer-enhanced robotic system to perform complex maneuvers during the kidney repair that can be challenging if performed using traditional laparoscopic surgical techniques.
During the robot-assisted partial nephrectomy procedure, the surgeon directs the movement of the surgical instruments from a remote console a short distance from the patient and operating table, while a surgical team stands by to assist. The surgeon sees a magnified, three-dimensional view of the surgical area on a video monitor. The enhanced image provides greater visual detail than traditional open surgery.
Another member of the surgical team stands at the operating table, closely monitoring the surgery and the robot-controlled laparoscopic instruments. The assisting surgical team inserts the instruments through the abdominal incision ports and attaches the instruments to the system's robotic arms.
The surgeon sits at the console, directing the surgical instruments using two hand-and-finger control devices. The DaVinci robotic system scales down the surgeon's hand motions, so larger original movements translate into a precise adjustment at the instrument's tip. The controls filter out minor tremors inherent to any human hand motion.
Back to top
The da Vinci Robotic Surgery Advantage for Partial Nephrectomy
Robotic partial nephrectomy, laparoscopic partial nephrectomy, and traditional open surgery yield similar long-term outcomes. However, the much smaller incisions in robotic and laparoscopic surgery can mean less post-operative pain, tissue trauma, and blood loss and a faster return to normal activities. You can expect one to three days of hospital recovery following robotic laparoscopic surgery, as opposed to traditional open surgery, which usually requires a stay of at least five days. Recuperation at home is about two to four weeks as opposed to six to seven weeks with standard open surgery.
Back to top
About Robotic Surgery with the da Vinci Surgical System at CPMC San Francisco
San Francisco residents as well as people who come from all over the United States know that CPMC’s top surgeons are among the best in the San Francisco Bay area at performing da Vinci Robot-assisted surgeries. In fact, CPMC’s gynecologists perform more da Vinci Robot-assisted surgeries than any other San Francisco Bay Area doctors. Robotic surgery such as the da Vinci surgical system is now the gold standard of treatment for many conditions. Our commitment is to be one of the best robotic and da Vinci surgery centers in the San Francisco Bay Area, in California, and in the United States and to work with our patients to determine the best treatment options, including minimally invasive robotic surgery using the top-rated da Vinci robot. Our Robotic Surgery Department serves the entire San Francisco Bay Area, including San Francisco and Marin County, as well as the entire Northern California region with da Vinci certified surgeons.
Note: da Vinci takes its name from Leonardo di ser Piero da Vinci the famous Italian artist and scientist. “da Vinci” may be misspelled as one word, daVinci, as in daVinci robotic surgery, or daVinci surgery, or daVinci certified surgeon, but the correct spelling is two words, da Vinci.
Back to top
which requires a large abdominal incision (see illustration at left, above). Da Vinci Surgery for Kidney Cancer uses the best techniques of open surgery and applies them to a robotic-assisted, minimally invasive approach - preferably resulting in a series of small incisions (above, right).
The precision, vision and control of the Da Vinci Robot in partial nephrectomy procedures may also provide your surgeon the means to preserve your kidney by removing just the tumor and not the entire kidney. Preserving your kidney can help prevent future kidney disease - and even dialysis.