Journals / Medicine Science / 2018 / Cilt: 7 - Sayı: 2

Results of our laparoscopic partial nephrectomy without ischemia: the first ten cases

Pages
402–405
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

LPN without ischemia is a new method that can only be performed in selected cases in experienced clinics.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Laparoscopic partial nephrectomy (LPN) without ischemia is a new method that can only be performed in selected cases.
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Key Findings & Data:The demographic characteristics, perioperative and postoperative surgical results, complications and renal functions were retrospectively reviewed for patients who underwent LPN without ischemia between March 2014 and September 2015.
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Conclusion & Impact:LPN without ischemia is a new method that can only be performed in selected cases in experienced clinics.
🔬Design:Review & Systematic Survey
📍Scope:2014 Verileri
⚙️Variables:Domain Parameters

Özet

Laparoscopic partial nephrectomy (LPN) without ischemia is a new method that can only be performed in selected cases. We presented results of patients who underwent LPN without ischemia for renal mass in our clinic. The demographic characteristics, perioperative and postoperative surgical results, complications and renal functions were retrospectively reviewed for patients who underwent LPN without ischemia between March 2014 and September 2015. Renal function was assessed using the estimated glomerular filtration rate (GFR) calculated by the Modification of Diet in Renal Disease (MDRD) equation. Complications was assessed according to modified Clavien classification. Ten cases of LPN without ischemia were performed. The mean age was (year) 50.6 ± 8.6, the mean mass size (mm) 37.9 ± 23, the mean RENAL score was 6.4 ± 1.2. The mean operation time (minute) 110.5 ± 41, the mean bleeding amount (ml) 191 ± 198, the mean hemoglobilin (mg/dl) preoperative 13.86 ± 1.28, postoperative 12.2 ± 1.2, the mean creatinine (mg/dl) preoperative 0.95 ± 0.19, postoperative 0.85 ± 0.2, 1.Year 0,91±0,1, GFR (ml/min) preoperative 77.6, postoperative 1.day 79.6, 1.Year 81.2, hospitalization duration (day) 2.9 ± 0.7. Two patients underwent blood transfusion (According to modified Clavien classification grade 2). LPN without ischemia is a new method that can only be performed in selected cases in experienced clinics.

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Cite This Article

ÖlÇÜCÜOĞLU, E., KARAKAN, M. Ş. (2018). Results of our laparoscopic partial nephrectomy without ischemia: the first ten cases. Medicine Science, Cilt: 7 - Sayı: 2, 402–405. https://ajindex.com/articles/277304

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References (13)

  1. Kim SP, Thompson RH, Boorjian SA, et al. Comparative effectiveness for survival and renal function of partial and radical nephrectomy for localized renal tumours: a systematic review and meta-analysis. J Urol. 2012;188: 51–7.
  2. Van Poppel H, Da Pozzo L, Albrecht W, et al. A prospective, randomised EORTC intergroup phase 3 study comparing the oncologic outcome of elective nephron-sparing surgery and radical nephrectomy for low stage renal cell carcinoma. Eur Urol. 2011;59:543–52.
  3. Simmons MN, Fergany AF, Campbell SC. Effect of parenchymal volume preservation on kidney function after partial nephrectomy. J Urol. 2011;186:405–10.
  4. Thompson RH, Lane BR, Lohse CM, et al. Renal function after partial nephrectomy: effect of warm ischaemia relative to quantity and quality of preserved kidney. Urology. 2012;79: 356–60.
  5. Huang WC, Elkin EB, Levey AS, et al. Partial nephrectomy versus radical nephrectomy in patients with small renal tumors--is there a difference in mortality and cardiovascular outcomes? J Urol. 2009;181:55-61; discussion 61-62.
  6. Peycelon M, Hupertan V, Comperat E, et al. Long-term outcomes after nephron sparing surgery for renal cell carcinoma larger than 4 cm. J Urol. 2009;181(1):35-41.
  7. Miller DC, Schonlau M, Litwin MS, et al. Urologic Diseases in America Project. Renal and cardiovascular morbidity after partial or radical nephrectomy. Cancer. 2008;112:511-20.
  8. Thompson RH, Boorjian SA, Lohse CM, et al. Radical nephrectomy for pT1a renal masses may be associated with decreased overall survival compared with partial nephrectomy. J Urol. 2008;179:468-73.
  9. Ficarra V, Galfano A, Cavalleri S. Is simple enucleation a minimal partial nephrectomy responding to the EAU Guidelines’ recommendations? Eur Urol. 2009;55:1315-8. Minervini A, di Cristofano C, Lapini A, et al. Histopathological analysis of peritumoral pseudocapsule and surgical margins status after tumor enucleation for renal cell carcinoma. Eur Urol. 2009:55(6);1410-8.
  10. Minervini A, Serni S, Tuccio A, et al. Local recurrence after tumour enucleation for renal cell carcinoma with no ablation of the tumour bed: results of a prospective single centre study. BJU Int. 2011;107(9):1394-9.
  11. Kutikov A, Uzzo RG. The R.E.N.A.L. nephrometry score: a comprehensive standardized system for quantitating renal tumor size, location and depth. J Urol. 2009;182:844–53.
  12. McDougall EM, Clayman RV, Chandhoke PS, et al. Laparoscopic partial nephrectomy in the pig model. J Urol. 1993;149(6):1633-6.
  13. Patel AR, Eggener SE. Warm ischemi