V11-06: Robotic Assisted Partial Nephrectomy in a Pelvic Kidney

Video

Introductions and Objectives
Partial nephrectomy and nephron sparing surgery is becoming the gold standard for renal lesions. We attempted a Robotic partial nephrectomy in a right pelvic kidney.

Methods
An 85 year old female with a history of hypertention and hyperlipidemia was found to have a 3 X 2cm exophytic enhancing lesion in the upper pole of her right pelvic kidney. After informed consent, the patient was taken to the operating room for a robotic assisted partial nephrectomy

Results
Length of the operation was 140 minutes. Estimated blood loss was 25cc. Cold ischemia time was 28 minutes. Post operative creatinine was 1.1. The patient was discharged on post operative day 2. There were no surgical complications

Conclusions
Robotic partial nephrectomy in a pelvic kidney is a feasible operation with surgeon expertise. Dedicated CT angiography is helpful to identify the aberrant vasculature of the kidney. Although not used in this case, 3D imaging and virtual surgical planning can be helpful in defining surgical approach.

Funding: None