Università degli studi di Modena e Reggio Emilia

Università degli Studi di Modena e Reggio Emilia
Corso di laurea in infermieristica - Sede di Modena

Abstract

Robotic nephrectomy (RAPN) is a minimally invasive surgical practice that revolutionized the surgical management of kidney cancer after the introduction of laparoscopy in 1991. Since 1990 the latter has been the gold standard for the treatment of all those oncological masses that were considered resectable, clinicians started from there to refine the technique more and more and make it as invasive as possible in order to offer to the patients an increasingly sustainable therapeutic option. It is possible to appreciate that RAPN has almost completely supplanted all the other surgical techniques that were available to the clinician for the treatment of patients with renal oncological diseases. The technique is constantly evolving, both thanks to the development of diagnostic techniques (CT / MRI) that provide clinicians with increasingly precise imaging and also to the introduction of new systems such as the Da Vinci that makes possible a constant improvement of the technique. In a clinical context which is aimed with patient centricity and the quality of life of the patient, as therapeutic primum movens, RAPN has found its perfect context of development, both for the incredible therapeutic possibilities it has, and for the lower post-operative impact that it determines on the patient, making functional and emotional post-surgical recovery increasingly rapid and agile. A review of the literature available through the consultation of databases such as Pubmed, Uptodate, Cochrane Library and CINAHL has been carried out to carry out the topic through the use of keywords such as “nephrectomy”, “robotico assisted”, "nursing management", "treatment" and "diagnostic activities". In addition, a nursing plan has also been developed using the standardised NANDA-I, NOC and NIC taxonomies.