Application of Da Vinci Xi surgical system in partial nephrectomy with different surgical approaches(with surgical video)
Objective:To investigate the clinical efficacy and safety of different surgical approaches in Da Vinci robot-assisted laparoscopic partial nephrectomy,and to provide experience for its clinical application.Methods:The clinical data of 23 patients who underwent robot-assisted laparoscopic partial nephrectomy for T1 renal tumor using Da Vinci Xi surgical system in the Urology Center of Xinjiang Uygur Autonomous Region People's Hospital from November 2020 to May 2021 were retrospectively analyzed.According to the relationship between tumor location and renal pedicle,history of abdominal surgery,obesity and other factors,all patients were divided into the transabdominal approach group(10 cases)and retroperitoneal approach group(13 cases),and the effect of two different approaches on the perioperative period was compared.Results:All the operations were successfully completed without conversion to open surgery.The operative time of retroperitoneal approach were significantly shorter than that of the transabdominal approach.Conclusion:The efficacy and safety of robot-assisted laparoscopic partial nephrectomy in the treatment of renal tumors with Da Vinci Xi surgical system are good,and the effect of retroperitoneal approach is better.