Partial Clamping of the Renal Artery During Robot-Assisted Laparoscopic Partial Nephrectomy: Technique and Initial Outcomes

2012 ◽  
Vol 26 (5) ◽  
pp. 469-473 ◽  
Author(s):  
Keith J. Kowalczyk ◽  
Mehrdad Alemozaffar ◽  
Nathanael D. Hevelone ◽  
William D. Ulmer ◽  
Blakely A. Plaster ◽  
...  
Keyword(s):  
Renal Artery ◽  
Partial Nephrectomy ◽  
Laparoscopic Partial Nephrectomy ◽  
Robot Assisted

scholarly journals Early unclamping might reduce the risk of renal artery pseudoaneurysm after robot-assisted laparoscopic partial nephrectomy

2015 ◽  
Vol 22 (12) ◽  
pp. 1096-1102 ◽  
Author(s):  
Tsunenori Kondo ◽  
Toshio Takagi ◽  
Satoru Morita ◽  
Kenji Omae ◽  
Yasunobu Hashimoto ◽  
...  
Keyword(s):  
Renal Artery ◽  
Partial Nephrectomy ◽  
Laparoscopic Partial Nephrectomy ◽  
Robot Assisted ◽  
Artery Pseudoaneurysm ◽  
Renal Artery Pseudoaneurysm

scholarly journals Robotic-assisted laparoscopic partial nephrectomy. Retrospective descriptive study over a 10-year period. Anesthetic experience

2021 ◽  
Author(s):  
Anabel Adell Pérez ◽  
Antia Osorio López ◽  
Borja Mugabure Bujedo ◽  
Berta Castellano Paulis ◽  
Manuel Azcona Andueza ◽  
...  
Keyword(s):  
Renal Artery ◽  
Partial Nephrectomy ◽  
Perioperative Complications ◽  
Intraoperative Complications ◽  
Anesthetic Management ◽  
Laparoscopic Partial Nephrectomy ◽  
Robot Assisted ◽  
Artery Pseudoaneurysm ◽  
Robotic Assisted ◽  
Anesthetic Risk

Introduction: Robot-assisted laparoscopic surgery is currently the surgical treatment of choice for small renal masses. Objective: Reviewing the anesthetic management and perioperative morbidity of patients undergoing robotic-assisted laparoscopic partial nephrectomy (RALPN) from 2009 to 2019 at Hospital Universitario Donostia. Material and methods: Retrospective, descriptive, observational study involving 343 patients. Results: 95 % of the patients were ASA II-III. Transient renal artery clamping was performed in 91 %, with a mean ischemia time of 17.79 minutes. The mean duration of the procedure under balanced general anesthesia was 184 min. Standard monitoring was performed along with invasive arterial pressure monitoring (IAP), central venous catheter (CVC) and EV1000 platform (Edwards®) for complex patients. Complications were recorded in 40 patients (11.67 %). Patients under anti-aggregation therapy experienced more bleeding than non-anti-aggregation patients (p 0.04) but did not require more transfusions. Patients with a higher anesthetic risk did not experience more complications. No statistically significant association was found between worsening renal function and the occurrence of intraoperative complications. 21 patients (6 %) were readmitted due to complications; the most frequent complication was renal artery pseudoaneurysm that required endovascular embolization. Conclusions: It should be highlighted that after ten years of experience with this technique, the patients with a higher anesthetic risk have not experienced serious perioperative complications. RALPN is a safe technique that demands a careful anesthetic support. A robot-assisted approach alone is not a guarantee for success without strong teamwork.

1237: Laparoscopic Partial Nephrectomy Using Renal Artery Perfusion for Cold Ischemia

2007 ◽  
Vol 177 (4S) ◽  
pp. 407-408 ◽  
Author(s):  
Avi Beri ◽  
Jean B. Lattouf ◽  
Martin Grüll ◽  
Karl Leeb ◽  
Stephan Jeschke ◽  
...  
Keyword(s):  
Renal Artery ◽  
Partial Nephrectomy ◽  
Laparoscopic Partial Nephrectomy ◽  
Cold Ischemia ◽  
Artery Perfusion
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