AWAKE DA VINCI ROBOTIC PARTIAL NEPHRECTOMY: FIRST CASE REPORT EVER IN A SITUATION OF NEED

Awake Da Vinci robotic partial nephrectomy: First case report ever in a situation of need

Awake Da Vinci robotic partial nephrectomy: First case report ever in a situation of need

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We report a unique case of a robotic partial nephrectomy performed under continuous spinal anesthesia (CSA).A 63-year-old Molder Top Weight woman, active smoker with mild obesity and previous right pneumonectomy, was diagnosed with a growing 5.5-cm renal right cystic tumor.Being at high risk for general anesthesia, a loco-regional approach was indicated.

Therefore, after multidisciplinary discussion, a robotic-assisted partial nephrectomy under CSA was considered mandatory.After T4-T5 sensory and motor block, retroperitoneoscopic robot-assisted surgery was successfully performed.Postoperative period Antenna Products was uneventful, with optimal pain control.This unique case demonstrates the feasibility of robotic surgery under CSA, for imperative indications.

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