Robot-assisted laparoscopic partial nephrectomy: A technical assistance standardized procedure and instrumentation

The introduction of robotics into a surgical team should be imagined as an ambitious team project able to ensure the transfer and the integration of a proficiency acquired in a reference centre. This surgical technique has to be reproducible to minimize the complications rate, the clamping time and to preserve good oncological results. We insist particularly on the assistant and scrub nurse part, giving that their performances impact directly patients' outcomes. A technique inspired from reference centre, standardized for the surgeon and his assistant, is essential to introduce safely and ambitiously a robotic program. (C) 2011 Elsevier Masson SAS. All rights resetved.