Cedars-Sinai Medical Towers
8631 W. Third Street, Suite #715 E
Los Angeles, CA 90048 		Comprehensive Urology - Los Angeles Urologists
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Robotic Partial Nephrectomy



At Comprehensive Urology, our surgeons are specialized in performing both total and partial nephrectomies and can therefore help patients make the best choice as to which approach is most suitable for their tumor type. Our surgeons are also one of the few in the country that have tremendous expertise in both the traditional “open” surgical approach as well as minimally invasive surgical approaches (both laparoscopic and robotic surgical options); and can therefore provide state or the art surgical care for patients with kidney tumors (robotic (da Vinci) partial nephrectomy).

What are the advantages of robot assisted laparoscopic partial nephrectomy?
Smaller incisions result in:
  • less pain
  • shorter hospital stay
  • shorter recovery time
  • better cosmetic result
  • less risk of infection
How is the surgery performed?



Diagram 1



Diagram 2



Diagram 3



Diagram 4
©2010 Intuitive Surgical, Inc.


After placing the robotic instruments into small entry sites (termed ports) in the abdominal wall (diagram 1), the Da Vinci robot is “docked” or connected to the instruments in order to begin the partial nephrectomy (diagram 2). The surgeon sits at the surgical console next to the operating table. While looking through a 3-dimentional view within the console, the surgeon directs every movement that the small robotic instruments make inside of the abdomen (diagram 3). The dime sized instruments are then used to excise the tumor from the kidney and then reconstruct the remaining kidney (diagram 4).

Key steps for partial nephrectomy:
  • First the kidney is exposed and separated from its surrounding attachments.
  • The tumor is then identified, often with ultrasound guidance to carefully visualize its borders which separate it from the normal kidney.
  • Next the main blood vessels (artery and vein) are carefully delineated.
  • These blood vessels are then clamped to minimize bleeding from the kidney while the tumor is removed (the kidneys have 1/4th of the entire body’s blood flowing through them at any one time).
  • Once the tumor is removed, the remaining kidney is then reconstructed and sewn back together.
  • The vessels are then unclamped, and the kidney is then inspected to ensure the reconstruction has controlled all bleeding.
Robotic partial nephrectomy allows precise removal of the tumor with delicate reconstruction of the remaining kidney, thus sparing the patient the pain from a larger incision traditionally required to perform the procedure.




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COMPREHENSIVE UROLOGY [ at CEDAR SINAI ] 8631 W. Third Street, Suite #715 E, Los Angeles, CA 90048 | Appointments Online or Call 310-278-8330

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Our urologists serve the following cities throughout Los Angeles, in close proximity to our office:
Beverly Hills, Brentwood, Century City, Santa Monica, West Hollywood, West L.A.

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