Single-Site Sutureless Partial Nephrectomy for Small Exophytic Renal Tumors

Journal of Clinical Medicine
Ching-Chia LiWen-Jeng Wu

Abstract

Partial nephrectomy (PN) is the standard procedure for most patients with localized renal cancer. Laparoscopy has become the preferred surgical approach to target this cancer, but the steep learning curve with laparoscopic PN (LPN) remains a concern. In LPN intracorporeal suturing, the operation time is further extended even under robot assistance, a step which prolongs warm ischemic time. Herein, we shared our experience to reduce the warm ischemia time, which allows surgeons to perform LPN more easily by using a combination of hemostatic agents to safely control parenchymal bleeding. Between 2015 and 2018, we enrolled 52 patients who underwent LPN in our hospital. Single-site sutureless LPN and traditional suture methods were performed in 33 and 19 patients, respectively. Preoperative, intra-operative, and postoperative variables were recorded. Renal function was evaluated by estimated glomerular filtration rate (eGFR) pre- and postoperatively. The average warm ischemia time (sutureless vs. suture group; 11.8 ± 3.9 vs. 21.2 ± 7.2 min, p < 0.001) and the operation time (167.9 ± 37.5 vs. 193.7 ± 42.5 min, p = 0.035) were significantly shorter in the sutureless group. In the sutureless group, only 2 patients suffered from massiv...Continue Reading

References

Dec 1, 1993·Journal of Laparoendoscopic Surgery·E M McDougallK Anderson
Jun 11, 2003·The Journal of Urology·Inderbir S GillJihad H Kaouk
Apr 6, 2007·European Urology·Börje LjungbergUNKNOWN European Association of Urology Guideline Group for renal cell carcinoma
Jan 12, 2008·Journal of Endourology·Michael C LipkeChandru P Sundaram
Aug 18, 2009·The Journal of Urology·Steven C CampbellUNKNOWN Practice Guidelines Committee of the American Urological Association
Sep 10, 2010·European Urology·R Houston ThompsonSteven C Campbell
Oct 23, 2010·Journal of Endourology·Luca CindoloLuigi Schips
Oct 26, 2010·European Urology·Inderbir S GillMihir M Desai
Oct 10, 2013·International Journal of Urology : Official Journal of the Japanese Urological Association·Tomonori OtaHiroyuki Nishiyama
Jan 15, 2015·International Journal of Urology : Official Journal of the Japanese Urological Association·Kazunori KiharaKazutaka Saito
Mar 11, 2015·BJU International·Marios HadjipavlouUNKNOWN BAUS Sections of Endourology and Oncology
Jul 15, 2015·Surgical Endoscopy·Ching-Chia LiWen-Jeng Wu
Jan 26, 2016·The Journal of Urology·Maria C MirDipen J Parekh
Apr 16, 2017·Clinical Genitourinary Cancer·Igor SorokinRebecca L O'Malley

❮ Previous
Next ❯

Software Mentioned

FloSeal
SPSS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Archivio italiano di urologia, andrologia : organo ufficiale [di] Società italiana di ecografia urologica e nefrologica
Daniele TiscioneGianni Malossini
The Journal of Practical Nursing
H Larsen
© 2021 Meta ULC. All rights reserved