A diagnosis of kidney cancer often brings immediate concerns\nregarding whether the entire kidney must be removed. However, not all\ncases require a total nephrectomy. In certain conditions, doctors can\nperform a partial nephrectomy, a procedure designed to remove only the\nportion of the kidney containing the tumour while preserving the\nremaining healthy kidney tissue.<\/p>\n
In such procedures, robotic technology such as the da .da Vinci Xi\ncan be used to assist doctors in performing surgery with greater\nprecision and control. According to Dr Syamsu Hudaya from Mayapada\nHospital South Jakarta, robotic technology in partial nephrectomy does\nnot operate independently. The surgeon maintains full control before and\nduring the operation, while the robotic system helps to optimise\ninstrument movement, ensuring the procedure is more controlled.<\/p>\n
\u201cBefore the operation, patients receive guidance regarding\npreparation, including dietary and fluid restrictions, as well as which\nmedications to continue or stop. During the operation, the patient is\nplaced under general anaesthesia, after which the doctor controls the\nprocedure using the da Vinci Xi robot, while a 3D camera helps to view\nthe surgical area more clearly,\u201d Dr Syamsu stated in a written release\non Monday (28\/9\/2026).<\/p>\n
He noted that robotic instruments assist doctors in performing more\nstable, precise, and flexible movements to remove tumours in narrow or\ncomplex areas of the kidney, whilst preserving healthy kidney tissue.\nPerforming a partial nephrectomy with robotic technology can offer\nseveral benefits to patients, including helping to reduce the risk of\nblood loss during surgery, shortening hospital stays, and maintaining\nkidney function as normally as possible post-surgery.<\/p>\n
So, who requires a partial nephrectomy? \u201cPartial nephrectomy is\ngenerally considered for tumours of an ideal size below 7 cm, if the\nlocation and condition allow the tumour to be removed without removing\nthe entire kidney. However, this size is not an absolute limit, as\nlarger tumours may also be considered after the doctor assesses the\npatient\u2019s condition and the tumour,\u201d Dr Syamsu explained.<\/p>\n
Dr Syamsu added that partial nephrectomy may also be considered for\npatients with only one kidney, those with multiple small tumours or\ntumours in both kidneys, and patients at risk of chronic kidney disease.\nTo determine the appropriate treatment, doctors will perform ultrasound,\nCT Urography with contrast, and MRI with contrast. These examinations\nare conducted to assess the size, location, and characteristics of the\ntumour.<\/p>\n
For certain patients, a SPECT-CT Scan may also be used to assess the\nfunction of each kidney, particularly in patients with a single kidney,\nimpaired kidney function, or tumours in both kidneys. \u201cOnce cancer is\ndiagnosed, doctors will determine the stage of the disease to understand\nhow far the cancer has progressed and decide whether the patient can\nundergo a partial nephentectomy, a total nephrectomy, or other\ntreatments,\u201d Dr Syamsu clarified.<\/p>\n
The advancement of surgical technology allows more complex procedures\nto be performed minimally invasively, including partial nephrectomy\nprocedures. Accurate detection and diagnosis help doctors determine the\nappropriate treatment according to the patient\u2019s condition.<\/p>\n
The Tahir Uro-Nephrology Centre at Mayapada Hospital provides\nservices to handle various disorders of the renal system and urinary\ntract, supported by a multidisciplinary team ranging from early\ndetection and diagnosis to treatment. Mayapada Hospital South Jakarta\nalso features the da Vinci Xi robotic technology to support more precise\nand targeted surgical actions according to patient needs. This robotic\ntechnology complements the services of the Oncology Centre at Mayapada\nHospital South Jakarta, specifically in supporting surgical procedures\nfor various cancer cases alongside a multidisciplinary medical team.<\/p>", "url": "https:\/\/jawawa.id\/newsitem\/da-vinci-xi-robot-assists-in-more-precise-kidney-cancer-surgery-1790582162", "image": "" }, "sponsor": "Okusi Associates", "sponsor_url": "https:\/\/okusiassociates.com" }