Retroperitoneoscopic partial nephrectomy with transient occlusion of renal artery for treatment of small renal tumors

Urology
Tadashi MatsudaKoei Muguruma

Abstract

To evaluate the results of retroperitoneoscopic partial nephrectomy with transient occlusion of the renal artery for treatment of patients with small renal tumors. From May 2002 to March 2003, 12 consecutive patients with T1N0M0 renal tumors with a median diameter of 3.0 cm underwent retroperitoneoscopic partial nephrectomy. The renal artery was clamped transiently without occlusion of the renal vein and the tumor was excised with scissors. Intracorporeal renal cooling was achieved by cold saline perfusion of the renal pelvis through a single-J ureteral catheter. Hemostasis was achieved by approximating the renal parenchyma over the perirenal fatty tissue using a retroperitoneoscopic suturing technique. Of the 12 patients, 11 successfully underwent partial nephrectomy retroperitoneoscopically. The median operative time, renal ischemic time, and amount of blood loss in the successful procedures was 220 minutes (range 132 to 340), 50 minutes (range 16 to 115), and 150 mL (range 50 to 800), respectively. The renal calix was opened and repaired in 10 patients. The surgical margin was negative in all patients. The postoperative course was uneventful in all patients, and the return to work was achieved in a median of 18 days (range 9...Continue Reading

References

Dec 10, 1998·Journal of Endourology·S V JackmanL R Kavoussi
Dec 23, 2000·The Journal of Urology·J A Cadeddu, T S Corwin
Nov 17, 2001·Urology·K JeschkeK Henning

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Citations

Oct 25, 2011·Journal of Minimal Access Surgery·Jose L Dominguez-EscrigNaeem Soomro
Nov 15, 2011·Journal of Endourology·Hideo SaitoUNKNOWN Japanese Society Of Endourology Laparoscopic Partial Nephrectomy Study Group
Apr 27, 2011·BJU International·Alex SheflerGünter Janetschek
Apr 23, 2010·International Journal of Urology : Official Journal of the Japanese Urological Association·Gen KawaTadashi Matsuda
Jun 12, 2009·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·J LuP Wen
May 28, 2020·Journal of Endourology·Sandeep Gurram, Louis Kavoussi

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