The Da Vinci robot was used in two complex and difficult cases that Mediclinic City Hospital in Dubai recently completed to remove Remarkable kidney-sparing cancer from two patients who only had one kidney. Remarkably few centers are equipped to execute such complicated robotic surgical procedures, and successful completion of such treatments is rare.
In kidney cancer situations, robotic surgical excision is the most effective way to achieve successful cancer management. This can be either entire removal (called a radical nephrectomy) or partial nephrectomy (also called nephron-sparing surgery) in which the renal tumor is removed only part of the way while the kidney tissue that is still working is preserved. Managing renal cancer in people with a single kidney is particularly difficult since maintaining the kidney that is usually functioning is just as important as treating the illness.
One kidney is present in about 1-2 percent of people, either from birth or as a result of kidney stones, cancer, trauma, or other causes causing later loss of kidney function. Fighting a tumor in one kidney is extremely difficult because the goal is to not only get rid of the cancer but also to preserve enough renal function to avoid the need for dialysis. The difficulty was highlighted by Dr. Mudhar Hasan, Consultant Robotic Urologist and Head of the Urology Department at Mediclinic City Hospital, who oversaw and carried out these surgeries.
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