Editing Robotic Partial Nephrectomy (section)

== Pre-operative Preparation ==

* '''<span style="color:#ff0000">Pre-operative imaging</span>'''
**'''<span style="color:#ff0000">Primary tumor</span>'''
***'''Size'''
***'''Location'''
****Tumor position on CT will correspond to direction of hilum during surgery i.e. a posterolateral tumor on imaging that is in direct line with the hilum will be a lateral tumor during transperitoneal partial.
***'''<span style="color:#ff0000">Endophytic vs. exophytic</span>'''
****'''<span style="color:#ff0000">If endophytic tumor, obtain pre-operative ultrasound.</span>'''
*****'''If tumour not visible on pre-operative ultrasound, consider radical nephrectomy as intra-operative ultrasound to identify tumour will unlikely be successful.'''
***'''Proximity to collecting system'''
***'''Vasculature'''
**Metastatic staging
*Hold/bridge anticoagulation medications prior to surgery
**ASA 7 days
**Clopidogrel 5 days
**Apixaban 2 days
*'''Pre-operative testing'''
**'''Urinalysis +/- culture'''
**'''CBC'''
**'''Serum creatinine/GFR'''

*'''Venous thromboembolism prophylaxis'''
** Compression stockings
** Heparin[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6456347/]
*'''Antibiotics'''
**2g cefazolin (900 mg clindamycin, if penicillin allergic)[https://pubmed.ncbi.nlm.nih.gov/31441676/]