Volume 63, Issue 3, Pages (March 2013)

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Volume 63, Issue 3, Pages 573-578 (March 2013) Robotic Partial Nephrectomy with Cold Ischemia and On-clamp Tumor Extraction: Recapitulating the Open Approach Craig G. Rogers, Khurshid R. Ghani, Ramesh K. Kumar, Wooju Jeong, Mani Menon European Urology Volume 63, Issue 3, Pages 573-578 (March 2013) DOI: 10.1016/j.eururo.2012.11.029 Copyright © 2012 European Association of Urology Terms and Conditions

Fig. 1 (A) Insertion of the inner ring of the Gelpoint wound retractor for retroperitoneal approach; (B) final position of the wound retractor for Gelpoint and trocar insertion. European Urology 2013 63, 573-578DOI: (10.1016/j.eururo.2012.11.029) Copyright © 2012 European Association of Urology Terms and Conditions

Fig. 2 Gelpoint and trocar placement for (A) right-sided retroperitoneal and (B) transperitoneal robotic partial nephrectomy approaches. The camera and assistant ports within the Gelpoint are labeled C and A, respectively. Robotic working trocars are placed outside the Gelpoint. European Urology 2013 63, 573-578DOI: (10.1016/j.eururo.2012.11.029) Copyright © 2012 European Association of Urology Terms and Conditions

Fig. 3 (A) Modified syringes prefilled with ice slush for cold ischemia. (B) Internal view of kidney covered with ice slush while renal artery is clamped with robotic bulldog clamp. Inset picture demonstrates the external view of injection of ice slush through the Gelpoint. European Urology 2013 63, 573-578DOI: (10.1016/j.eururo.2012.11.029) Copyright © 2012 European Association of Urology Terms and Conditions

Fig. 4 Early extraction of tumor through Gelpoint (arrow) while on clamp, allowing gross pathologic assessment of margins. European Urology 2013 63, 573-578DOI: (10.1016/j.eururo.2012.11.029) Copyright © 2012 European Association of Urology Terms and Conditions

Fig. 5 Renorrhaphy during intracorporeal cooling and extraction–robotic partial nephrectomy. Inset picture demonstrates an on-table, gross, pathologic margin assessment of a partial nephrectomy specimen while renorrhaphy is ongoing. European Urology 2013 63, 573-578DOI: (10.1016/j.eururo.2012.11.029) Copyright © 2012 European Association of Urology Terms and Conditions