da Vinci robotic partial nephrectomy for renal cell carcinoma: an atlas of the four-arm technique

Abstract

Da Vinci robotic surgery is becoming a standard alternative to open and laparoscopic surgical techniques. Robotic partial nephrectomy has been described in limited numbers. In this article, a surgical atlas of the transperitoneal four-arm approach to robotic partial nephrectomy is outlined. Surgical pearls, pitfalls, and limitations are reviewed.