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New technique for minimally invasive robotic kidney cancer surgery
Date:12/13/2012

so you can sew up the kidney, we can remove the tumor as soon as it's excised through the gel point, look at it and decide if we're happy with what's been removed. If there's any doubt, I can go right back in and cut more out."

Dr. Rogers wrote in the study that others have tried various techniques to cool the kidney in minimally invasive surgery, but they "require specific equipment or expertise and are too complex or impractical for routine use."

"Unfortunately, the majority of people today diagnosed with kidney cancer get their entire kidney removed," Dr. Rogers says. "Not only that, they're getting it removed through an open approach, though a large incision that often requires removal a rib, when there are minimally invasive approaches, such as robotic surgery, available."

One of the reasons more patients aren't given the option of a partial nephrectomy is because for the surgeon, it's technically challenging to do and much more difficult to perform than taking the entire kidney out.

Dr. Rogers explains: "In order to safely perform a partial nephrectomy, surgeons often have to clamp off the blood supply to the kidney to allow them to see the tumor and cut it out in a bloodless field. But once the blood supply is cut off to the kidney, there's only about 30 minutes before the kidney can experience irreversible damage. That means the surgeon has to be very technically skilled to remove the tumor, and sew the kidney back together in a very short time.

"Time is a barrier for many surgeons to offer the partial nephrectomy procedure to their patients. Or, for those who do, they'll offer the open approach to a partial nephrectomy, which means a bigger operation for the patient. There are two things surgeons who perform open nephrectomies have been able to claim, up until now, that they could do which minimally invasive surgeons could not.

First, when the surgeon is holding the kidney in the open approach and the
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Contact: Dwight Angell
dwight.angell@hfhs.org
313-876-8709
Henry Ford Health System
Source:Eurekalert

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