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We describe a robotic retroperitoneal approach to renal surgery, optimized in porcine and cadaveric models, and applied to human patients. A retroperitoneal approach for robotic kidney surgery was developed in nonsurvival porcine and a fresh cadaver models, and then utilized in ten patients (three partial nephrectomy, three radical nephrectomy, two simple nephrectomy, one pyeloplasty, one cryoablation)...
A 74-year-old man with multiple medical comorbidities and a 3.6 cm right posterior renal hilar mass, biopsy-confirmed as papillary renal cell carcinoma, underwent a robot-assisted retroperitoneal renal cryoablation. We report the feasibility of robot-assisted retroperitoneal cryoablation of a renal tumor and describe our technique.
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