Renal Physiology and Robotic Urological Surgery

Kate Flavin,1 Venkat Prasad,1 Shanmugasundaram Gowrie-Mohan,1 *Nikhil Vasdev2,3

1. Department of Anaesthetics, Lister Hospital, Hertfordshire, UK
2. Hertfordshire and Bedfordshire Urological Cancer Centre, Department of Urology, Lister Hospital, Hertfordshire, UK
3. School of Life and Medical Sciences, University of Hertfordshire, Hertfordshire, UK
*Correspondence to nikhilvasdev@doctors.org.uk

Disclosure: The authors have declared no conflicts of interest.
Received: 27.02.17 Accepted: 17.10.17
Citation: EMJ. 2017;2[4]:90-96.

Abstract

The use of robotic-assisted laparoscopic techniques has transformed the face of urological surgery in the last decade, with demonstrable benefits over both unassisted laparoscopic and traditional open approaches. For example, robotic-assisted partial nephrectomy is associated with lower morbidity, improved convalescence, reduced postoperative pain, shorter length of hospital stay, and a superior cosmetic result when compared to an open procedure. This review discusses the various perioperative influences on the renal physiology of patients undergoing robotic-assisted urological procedures.

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