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Robotic Partial Nephrectomy

Kidney-sparing tumor removal in renal tumors using robotic surgery.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Robotic Partial Nephrectomy?

Robotic partial nephrectomy (RPN) is the removal of renal tumors with a healthy tissue margin and repair of the remaining kidney parenchyma using the da Vinci robotic surgical system.

Trifecta (negative surgical margin + minimal kidney function loss + complication-free recovery) and pentafecta (trifecta + warm ischemia <25 min + no positive surgical margin) are success criteria.

It has become the standard treatment for stage T1 renal tumors (<7 cm). 3D imaging, augmented reality, and indocyanine green (ICG) fluorescence guidance enhance surgical precision.

Symptoms

Renal mass (cT1a: <4 cm, cT1b: 4-7 cm)
Bilateral renal tumors
Renal tumor in patient with single kidney
Hereditary kidney cancer syndromes (VHL)
Patients in whom kidney function preservation is required

Risk Factors

Bleeding and transfusion (2-5%)
Urinary fistula (1-3%)
Positive surgical margin (2-4%)
Warm ischemia injury (long clamp time)
Need for conversion (<5%)

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Urology evaluation when a renal mass is detected
  • If postoperative fever, bleeding, or urine leak develops
  • If deterioration in kidney function tests occurs
  • If recurrence is suspected on follow-up imaging

Treatment Methods

01
Robotic partial nephrectomy (da Vinci Xi/SP)
02
ICG fluorescence-guided tumor and perfusion assessment
03
Selective arterial clamping (reducing ischemia time)
04
Renorrhaphy (kidney parenchyma repair)
05
Postoperative CT follow-up (3, 6, 12 months and annually)

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.