Robotic Partial Nephrectomy: Difference between revisions

Line 52:

* '''Pre-operative imaging'''

**'''Primary tumor'''

***'''~~Tumor location~~'''

***'''Size'''

****'''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.~~'''~~

***'''Location'''

***'''Endophytic vs. exophytic ~~tumour~~'''

****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.

***'''Endophytic vs. exophytic'''

****'''If endophytic tumor, obtain pre-operative ultrasound.'''

*****'''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

***'''Proximity to collecting system'''

***Vasculature

***'''Vasculature'''

**~~Staging~~

**Metastatic staging

*Hold/bridge anticoagulation medications prior to surgery

**ASA 7 days

@@ Line 52: / Line 52: @@
 * '''<span style="color:#ff0000">Pre-operative imaging</span>'''
 **'''<span style="color:#ff0000">Primary tumor</span>'''
-***'''Tumor location'''
+***'''Size'''
-****'''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.'''
+***'''Location'''
-***'''<span style="color:#ff0000">Endophytic vs. exophytic tumour</span>'''
+****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
+***'''Proximity to collecting system'''
-***Vasculature
+***'''Vasculature'''
-**Staging
+**Metastatic staging
 *Hold/bridge anticoagulation medications prior to surgery
 **ASA 7 days