Partial nephrectomy through retroperitoneal approach with a new surgical robot system, KD‐SR‐01
Jie Wang, Shubo Fan, Cheng Shen, Kunlin Yang, Zhihua Li, Shengwei Xiong, Chang Meng, Cuijian Zhang, Lin Cai, Zhongyuan Zhang, Zhongyuan Zhang, Wei Yu, Xiaofei Dai, Liang Cui, Zheng Zhang, Zheng Zhang, Xuesong Li, Liqun Zhou
Abstract
BACKGROUND: To present our experiences with partial nephrectomy (PN) through retroperitoneal approach (RP) with the Kangduo robotic system. METHODS: From December 2020 to February 2021, the perioperative data of 11 patients underwent PN through RP with the Kangduo robotic system were collected prospectively. RESULTS: For the R.E.N.A.L. nephrometry score, 72.7% of patients had a low score (4-6) and 27.3% of patients had a medium score (7-9). Seven tumours were posterior (P), four tumours were on the midline (X). All procedures were completed successfully. The median warm ischemia time was 18.5 (IQR, 13.7-21.0) min. None of the patients had positive surgical margins at definitive histology (all pT1a). No high-grade perioperative complications or device-related adverse events occurred. At a mean follow-up of 8 ± 0.8 months, no complications occurred in all patients. CONCLUSIONS: RPPN using the novel Kangduo robotic system is a safe and effective option for managing posterior and lateral renal tumours with R.E.N.A.L. nephrometry scores ≤9.