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Minimally Invasive Surgery
Volume 2015 (2015), Article ID 671267, 6 pages
Research Article

Early Experience in Da Vinci Robot-Assisted Partial Nephrectomy: An Australian Single Centre Series

St Vincent’s Hospital, Darlinghurst, Sydney, NSW 2010, Australia

Received 21 March 2015; Accepted 30 May 2015

Academic Editor: Peng Hui Wang

Copyright © 2015 Francis Ting et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Introduction and Objectives. To demonstrate the safety and efficacy of the robot-assisted partial nephrectomy (RAPN) technique in an Australian setting. Methods. Between November 2010 and July 2014, a total of 76 patients underwent 77 RAPN procedures using the Da Vinci Surgical System© at our institution. 58 of these procedures were performed primarily by the senior author (PB) and are described in this case series. Results. Median operative time was 4 hours (range 1.5–6) and median warm ischaemic time (WIT) was 8 minutes (range 0–30) including 11 cases with zero ischaemic time. All surgical margins were clear with the exception of one patient who had egress of intravascular microscopic tumour outside the capsule to the point of the resection margin. Complications were identified in 9 patients (15.8%). Major complications included conversion to open surgery due to significant venous bleeding (), reperfusion injury (), gluteal compartment syndrome (), DVT/PE (), and readmission for haematuria (). Conclusion. This series demonstrates the safety and efficacy of the RAPN technique in an Australian setting when performed by experienced laparoscopic surgeons in a dedicated high volume robotic centre.