| Autor: |
V, Cornejo-Dávila, M, Nazmy, N, Kella, M A, Palmeros-Rodríguez, J G, Morales-Montor, C, Pacheco-Gahbler |
| Rok vydání: |
2015 |
| Předmět: |
|
| Zdroj: |
Actas urologicas espanolas. 40(3) |
| ISSN: |
1699-7980 |
| Popis: |
Partial nephrectomy is the treatment of choice for T1a tumours. The open approach is still the standard method. Robot-assisted laparoscopic surgery offers advantages that are applicable to partial nephrectomy, such as the use of the Firefly® system with near-infrared fluorescence.To demonstrate the implementation of fluorescence in nephron-sparing surgery.This case concerned a 37-year-old female smoker, with obesity. The patient had a right kidney tumour measuring 31 mm, which was found using tomography. She therefore underwent robot-assisted laparoscopic partial nephrectomy, with a warm ischaemia time of 22 minutes and the use of fluorescence with the Firefly® system to guide the resection. There were no complications. The tumour was a pT1aN0M0 renal cell carcinoma, with negative margins. Robot-assisted renal laparoscopic surgery is employed for nephron-sparing surgery, with good oncological and functional results. The combination of the Firefly® technology and intraoperative ultrasound can more accurately delimit the extent of the lesion, increase the negative margins and decrease the ischaemia time.Near-infrared fluorescence in robot-assisted partial nephrectomy is useful for guiding the tumour resection and can potentially improve the oncological and functional results. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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