Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
The care of patients with necrotizing pancreatitis is a complex problem for the general, acute care, minimally invasive, and hepatopancreatobiliary surgeon. In this brief report, we present a case series of 2 patients with fulminant retroperitoneal necrosis recently treated at our center using a novel robotic-assisted retroperitoneal necrosectomy and debridement (RAND) following failure of the step-up approach. This approach maximizes access to the retroperitoneum and allows improved visualization and dexterity in the challenging retroperitoneal space while maintaining minimally invasive surgical principles. Using the robotic platform permits instrument maneuvering, reduces instrument exchanges, and facilitates definitive debridement without the need for repeated surgical interventions.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1177/00031348251376684 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Advanced robotic surgery in obese patients with gynecological cancers: tips and tricks from literature to clinical practice.
J Robot Surg
September 2025
Department of Gynecology, European Institute of Oncology (IEO) IRCCS, Milan, Italy.
Obesity is closely linked to an increased incidence of several gynecological conditions and poses significant challenges to their surgical management. Among these, endometrial cancer stands out due to its high prevalence in patients with elevated body mass index, with nearly 60% of those requiring primary surgical treatment classified as obese or morbidly obese. The coexistence of multiple comorbidities in this population contributes to a heightened risk of perioperative and postoperative complications.
View Article and Find Full Text PDFRobotic-Assisted Retroperitoneal Necrosectomy and Debridement (RAND): Improving Surgical Outcomes in Necrotizing Pancreatitis Using Innovative Approaches.
Am Surg
September 2025
Department of Surgery, Washington University in St Louis, St Louis, MO, USA.
The care of patients with necrotizing pancreatitis is a complex problem for the general, acute care, minimally invasive, and hepatopancreatobiliary surgeon. In this brief report, we present a case series of 2 patients with fulminant retroperitoneal necrosis recently treated at our center using a novel robotic-assisted retroperitoneal necrosectomy and debridement (RAND) following failure of the step-up approach. This approach maximizes access to the retroperitoneum and allows improved visualization and dexterity in the challenging retroperitoneal space while maintaining minimally invasive surgical principles.
View Article and Find Full Text PDFA comparative analysis of pre-operative factors, intra-operative events and post-operative outcomes assessing transperitoneal and retroperitoneal approaches for robotic partial nephrectomy in T1 renal cancer: a multicenter international experience.
J Robot Surg
September 2025
Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
The aim of our study is to compare and assess the correlation of preoperative factors, intraoperative events and post-operative outcomes of robot assisted transperitoneal (RATP) and robot assisted retroperitoneal (RARP) partial nephrectomy (PN) in T1 renal cancer. Data from 2609 patients during the period of 10 years who underwent either RATP or RARP partial nephrectomies was retrospectively analyzed. We compared preoperative factors (age, BMI, tumour size/stage, PADUA score, preoperative eGFR, history of previous abdominal and ipsilateral surgery), intraoperative events: operative time (OT), warm ischemia time (WIT), estimated blood loss (EBL), and post-operative outcomes: complications, eGFR, positive surgical margins (PSM), and death due to disease (DOD) or due to other causes (DOC) and survival rates.
View Article and Find Full Text PDFChromophobe renal cell carcinoma (chRCC) is a rare subtype of renal cell carcinoma (RCC). Sarcomatoid differentiation is considered a result of dedifferentiation of the primary tumor. The coexistence of both components (chromophobe and sarcomatoid) in a single renal tumor has been infrequently reported.
View Article and Find Full Text PDFAssessing pentafecta achievement and survival of retroperitoneal robotic partial nephrectomy for anterior tumors: An update on the outcomes of a long-term follow-up.
Urol Oncol
August 2025
Department of Genitourinary Oncology, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center of Cancer, Key Laboratory of Cancer Prevention and Therapy Tianjin, Tianjin's Clinical Research Center for Cancer, Tianjin, China. Electronic address:
Purpose: To evaluate the perioperative, functional and oncological results of retroperitoneal robotic-assisted laparoscopic partial nephrectomy (rRAPN) and transperitoneal robotic-assisted laparoscopic partial nephrectomy (tRAPN) for anterior renal masses.
Methods: The charts of patients with anterior renal mass from February 2016 to December 2023 undergoing robotic-assisted laparoscopic partial nephrectomy (RAPN) were reviewed. Parameters including demographic characteristics, as well as perioperative, functional and oncological outcomes were analyzed.