Chirurgie rénale cœlioscopique robot assistée : revue de la littérature

The laparoscopy robot-assisted in the renal surgery is a recent technology. The indications of the laparoscopic surgery robot-assisted in the renal surgery are not codified yet and the open surgery and the traditional laparoscopic are still the recommended procedures. The objective of this article was to analyze the literature on the renal laparoscopic surgery robot assisted to specify the indications. The laparoscopic surgery robot-assisted does not bring major benefit in the realization of a total nephrectomy with regard to the conventional laparoscopy. The technical difficulty of the partial nephrectomy gives an advantage to the laparoscopic surgery robot assisted in particular at the level of the speed of the learning curve for the feasible tumors in laparoscopy. The laparoscopic surgery robot assisted countered satisfactory at the carcinologic level during a nephro-ureterectomy without demonstrating and the main disadvantage with regard to the laparoscopy is the necessity of a change of position of the robot and the patient during the procedure. The pyeloplasty by robot assisted laparoscopic surgery is becoming the new “gold standard” due to the technical ease of the suture. The live donor nephrectomy with the robot assisted laparoscopic surgery develops by its technical ease and of learning towards the laparoscopy but rest limited by its cost.