Renal Physiology and Robotic Urological Surgery

Author:

Flavin Kate1,Prasad Venkat1,Gowrie-Mohan Shanmugasundaram1,Vasdev Nikhil2

Affiliation:

1. Department of Anaesthetics, Lister Hospital, Hertfordshire, UK

2. Hertfordshire and Bedfordshire Urological Cancer Centre, Department of Urology, Lister Hospital, Hertfordshire, UK; School of Life and Medical Sciences, University of Hertfordshire, Hertfordshire, UK

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.

Publisher

European Medical Group

Subject

General Medicine

Reference50 articles.

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3. Smith I et al.; European Society of Anaesthesiology. Perioperative fasting in adults and children: Guidelines from the European Society of Anaesthesiology. Eur J Anaesthesiol. 2011;28(8):556-69.

4. British National Formulary. 7.4.1 Drugs used for urinary retention. 2017. Available at: https://www.evidence.nhs.uk/formulary/bnf/current/7-obstetrics-gynaecology-and-urinary-tract-disorders/74-drugs-for-genito-urinary-disorders/741-drugs-for-urinary-retention. Last accessed: 27 February 2017.

5. Allen JT et al. The effect of indomethacin on renal blood flow and ureteral pressure in unilateral ureteral obstruction in awake dogs. Invest Urol. 1978;15(4):324-7.

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