OCT 07, 2020 9:00 AM PDT

Keynote Presentation: Retroperitoneal Robotic Partial Nephrectomy for Renal Cell Carcinoma

C.E. Credits: P.A.C.E. CE Florida CE
Speaker
  • Director, Robotic Surgery, Providence St. Joseph Health Care System and Swedish Medical Center
    Biography

      Dr. James Porter is Director of Robotic Surgery at Providence St. Joseph Health Care System and Swedish Medical Center in Seattle, Washington.  He is former Associate Professor of Urology and head of laparoscopy and robotics in the Department of Urology at the University of Washington Medical Center.  He performed the first laparoscopic radical prostatectomy in the Pacific Northwest on October, 2000.  His area of expertise is robotic assisted prostatectomy, and partial nephrectomy.   He developed the retroperitoneal approach for robotic renal surgery and pioneered retroperitoneal lymph node dissection for the treatment of testicular cancer.  He has been director of a fellowship in robotic and laparoscopic surgery for the last 18 years.  He is the most experienced laparoscopic and robotic surgeon in the Pacific Northwest and has performed over 4,000 robotic procedures.   He earned his undergraduate degree in biochemistry at Ohio State University.  He received his medical degree from the Medical College of Ohio and performed his urology residency at the University of Washington Medical Center.  He obtained advanced laparoscopic training in Heilbronn, Germany under the direction of Dr. Jens Rassweiler.


    Abstract

    Robotic partial nephrectomy (RPN) has increasingly been applied to the treatment of small renal masses. Because of space limitations and the size of the robot at the patient side, the standard approach to RPN has been transperitoneal.  However, posterior located tumors are difficult to approach transperitoneally, and require the kidney to be completely mobilized and flipped medially.    Retroperitoneal robotic partial nephrectomy is an alternative technique ideally suited for posterior located tumors and for patients who have had previous surgery.  The approach eliminates the need to rotate the kidney and avoids manipulation of the intestines.  Consequently, patients are able to eat and leave the hospital sooner in our experience.  The evolution of the daVinci robot has facilitated the retroperitoneal approach to partial nephrectomy by allowing the robotic arms to be placed closer and permitting more range of movement. Retroperitoneal robotic partial nephrectomy is a safe and reproducible approach to minimally invasive partial nephrectomy.

    Learning Objectives:

    1. Understand the indications for retroperitoneal robotic partial nephrectomy

    2. Identify the retroperitoneal landmarks, port configuration and docking for retroperitoneal robotic partial nephrectomy

    3. Understand the techniques for creating and optimizing the retroperitoneal space


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