ADVANCES AND CHALLENGES IN THE RESULTS AND COMPLICATIONS OF ROBOTIC SURGERY IN RENAL SURGERY: AN INTEGRATIVE REVIEW

• DOI: 10.22533/at.ed.15938023021010

• Palavras-chave: robotic surgical procedures, intraoperative complications, nephrectomy, renal neoplasms, evaluation of health care outcomes.

• Keywords: robotic surgical procedures, intraoperative complications, nephrectomy, renal neoplasms, evaluation of health care outcomes.

• Abstract:

  Robotic surgery has gained prominence in the area of urology, particularly in renal surgery. In this study, we carried out an integrative review to evaluate the results and complications of the use of robotics in renal surgeries, based on a selection of articles published between 2010 and 2023. We used an integrative review approach, including searching the PubMed and Scopus, with descriptors related to robotic kidney surgery, resulting in a selection of 10 articles. These studies were analyzed regarding their results, complications and methods used. The studies included in this review demonstrated that robotic kidney surgery has been shown to be an effective and safe technique for treating complex kidney tumors, regardless of size. Analysis of complications revealed that the incidence of perioperative complications, such as excessive bleeding and injury to adjacent organs, was generally low. Furthermore, oncological results, such as negative surgical margins, were consistently satisfactory. Based on the integrative review of selected studies, we concluded that robotic renal surgery is a viable and safe approach for the treatment of renal tumors, including complex cases. The favorable results and low complication rates suggest that this technique may be a valuable option for patients with surgical indications. However, additional studies are needed to evaluate long-term oncological and functional outcomes.