Jury still out on robotic partial nephrectomy

Splinting poststroke: the jury is still out.

Splinting Poststroke: the Jury Is Still Out To the Editor: In the article abstract by Lannin et al,1 the authors claim “the practice of routine splinting soon after stroke should be discontinued.” Their presented data does not show this. The stated aim was to determine the effect of splinting “on contracture in the wrist and long finger flexor muscles”1 without defining ‘contracture’. Participa...

Robotic Partial Nephrectomy Using Robotic Bulldog Clamps

BACKGROUND AND OBJECTIVES The need for a skilled assistant to perform hilar clamping during robotic partial nephrectomy is a potential limitation of the technique. We describe our experience using robotic bulldog clamps applied by the console surgeon for hilar clamping. METHODS A total of 60 consecutive patients underwent robotic partial nephrectomy, 30 using laparoscopic bulldog clamps appli...

Are monarch butterflies true navigators? The jury is still out.

Minimizing Ports During Robotic Partial Nephrectomy

BACKGROUND AND OBJECTIVE Robotic upper urinary tract surgery is in most of the cases performed utilizing a standard 5 port configuration. Fewer ports can potentially produce a less invasive operation. Taking in consideration the above we report a novel technique for robot assisted laparoscopic partial nephrectomy utilizing fewer ports and we test its feasibility and safety profile. METHODS Da...

Off-clamp robotic-assisted partial nephrectomy

BMI of 32.2±8.3kg/m2. The mean clinical tumor size was 2.9±1.6cm with a mean nephrometry score of 6.9±2.1. There was a mean operative time of 169±61 minutes and a mean estimated blood loss of 242±299mL. Positive surgical margins occurred in 2 cases (1.1%). Average hospital length of stay was 2±1.3 days, and there were 14 (7.5%) postoperative complications. Mean percent decline of eGFR was 6.8±2...