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Date Published: 09/04/2025
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DOI: https://doi.org/10.51298/vmj.v548i1.13276
Issue
Vol. 548 No. 1 (2025)
Section
Các bài báo
How to Cite
Nguyễn Hoàng, L., & Trần Vĩnh, H. (2025). ROBOT - ASSISTED RADICAL NEPHRECTOMY IN THE TREATMENT OF RENAL CELL CARCINOMA: OUR STEP-BY-STEP TECHNICAL TO IMPROVE SURGEON SKILLS, EXPERIENCE THROUGH 25 CASES AT BINH DANG HOSPITAL. Vietnam Medical Journal, 548(1). https://doi.org/10.51298/vmj.v548i1.13276

ROBOT - ASSISTED RADICAL NEPHRECTOMY IN THE TREATMENT OF RENAL CELL CARCINOMA: OUR STEP-BY-STEP TECHNICAL TO IMPROVE SURGEON SKILLS, EXPERIENCE THROUGH 25 CASES AT BINH DANG HOSPITAL

Luông Nguyễn Hoàng, Hưng Trần Vĩnh

Main Article Content

Abstract

Introduction: To evaluate and analyze the experience of robot - assisted radical nephrectomy in the treatment of renal cell carcinoma, step - by - step technical procedures to improve the skills of surgeons at Binh Dan Hospital. Patients and methods: Our study describe a series of cases, we selected all patients with solid kidney tumors diagnosed by CT scan or MRI of the urinary system at Binh Dan Hospital who underwent robot - assisted radical nephrectomy from December 2023 to October 2024 according to step - by - step technical procedures. Results: Recorded 25 patients (14 men, 11 women, male/female ratio: 1.3/1, average age 59.5 years; range from 35 to 70) underwent robot - assisted radical nephrectomy. Kidney tumors were located on the left side in 13 cases (52%), on the right side in 12 cases (48%). The size of the kidney tumor is 74 ± 39mm, including 5 cases of stage cT1N0M0 (20%), 18 cases of stage cT2N0-1M0 (72%), 2 cases of stage cT3aN0M0 (8%). The average surgery time is 132 minutes. Estimated amount of blood loss is 88ml. Cases requiring blood transfusion: 0 cases. Major complications (Clavien ≥ 3) were absent. Hospital stay about 2.9 days. Post - operative pathology of 25 cases of renal cell carcinoma includes: 18 cases of clear cell type (72%), 5 cases of papillary type (20%) and 2 cases of chromophobe cells (4%). Conclusion: This study were 25 patients with localized renal cell carcinoma, including cases with tumor thrombus in the renal vein; robot - assisted radical nephrectomy was performed within an acceptable surgical time frame, feasible, and safe without significant complications.

Article Details

Keywords

Renal cell carcinoma, radical nephrectomy, robot - assisted radical nephrectomy

References

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