Seminer in Medicine, 15.12.2017, Prof. Dr. Erdem Canda

Author: KUSOM
Time: 13:30
Location: RF / MED 176





Friday, December 15
th, 2017


Speaker           : Prof. Dr. Erdem Canda/ Ankara Yildirim Beyazit University, Department of Urology

Title                : Zero ischemia robotic partial nephrectomy

Time               : 13:30 (Refresment will served at 13:15)
Place              : RF/ MED 176

TelePresence  :  AH Dean's Room / KUH 9th Meeting Room



Zero ischemia robotic partial nephrectomy

Renal cell carcinoma (RCC), accounts for 2-3% of all malignant neoplasms in adults. Currently, the widespread use of radiological imaging modalities led the detection of most renal tumors incidentally, as small renal masses in asymptomatic patients [1]. The curative treatment of renal tumors is radical nephrectomy (RN), however, partial nephrectomy (PN) has become the standard option in tumors less than 4 cm, and in tumors between 4-7 cm, if suitable [2]. Previously, it has been reported that, PN had similar oncologic outcomes with favorable functional outcomes compared with RN [3]. The relative inability of cooling the kidney during robotic and laparoscopic approaches, is still remaining as a challenging issue [4]. The introduction of the da Vinci surgical robotic system (Intuitive Surgical Sunnyvale, CA, USA) in renal tumors, has facilitated the PN procedure, especially during renal parenchymal dissection, renorhaphy and warm ischemia [5]. Additionally, zero ischemia robotic PN (RPN), prevents complete renal ischemia, and possibly provides better postoperative renal function particularly in patients with preoperative decreased renal function.


Key Words: Partial nephrectomy; renal cell carcinoma; robotic surgery; zero ischemia 


1.Kirkali Z, Canda AE. Open partial nephrectomy in the management of small renal masses. Adv Urol 2008:309760.

2.Ljungberg B, Cowan NC, Hanbury DC, Hora M, Kuczyk MA, Merseburger AS, et al. European Association of Urology Guideline Group. EAU guidelines on renal cell carcinoma: the 2010 update. Eur Urol 2010;58:398-406.

3.Ener K, Canda AE, Altinova S, Atmaca AF, Alkan E, Asil E, et al. Robotic partial nephrectomy for clinical stage T1 tumors: Experience in 42 cases. Kaohsiung J Med Sci. 2016 Jan;32(1):16-21.

4.Bhayani SB, Rha KH, Pinto PA, Ong AM, Allaf ME, Trock BJ, et al. Laparoscopic partial nephrectomy: effect of warm ischemia on serum creatinine. J Urol 2004;172:1264-6.

5.De Lorenzis E, Palumbo C, Cozzi G, Talso M, Rosso M, Costa B, et al. Robotics in uro-oncologic surgery. Ecancermedicalscience 2013;7:354.