A modified strategy in robot-assisted laparoscopic partial nephrectomy for localized renal tuberculosis: the "unroofing and base excision" technique and clinical outcomes.

ABSTRACT: Renal tuberculosis is one of the main reasons for nephrectomy. Early removal of tuberculous lesions can preserve the remaining functional renal tissue and help avoid nephrectomy. Robotic-assisted surgery significantly improves the success rate of partial nephrectomy. The present study aims to introduce a modified robotic surgical approach, the 'unroofing and base excision' technique, for treating localized renal tuberculosis. Four patients with localized renal tuberculosis underwent our modified robot-assisted laparoscopic partial nephrectomy. In traditional approaches, lesions were excised at least 0.5 cm from the margin, and the lesion cavity was left intact. In the current procedure, surgery begins with opening the lesion cavity, and the cavity wall is then lifted to identify the bounda

SUBMITTER: Ban Y 

PROVIDER: S-EPMC12779438 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature