Robot-assisted partial nephrectomy with intracorporeal renal hypothermia using ice slush: step-by-step technique and matched comparison with warm ischaemia

2015 ◽  
Vol 117 (3) ◽  
pp. 531-536 ◽  
Author(s):  
Daniel Ramirez ◽  
Peter A. Caputo ◽  
Jayram Krishnan ◽  
Homayoun Zargar ◽  
Jihad H. Kaouk
Keyword(s):  
Partial Nephrectomy ◽  
Robot Assisted ◽  
Warm Ischaemia ◽  
Renal Hypothermia ◽  
Matched Comparison

A Matched Comparison of Perioperative Outcomes of a Single Laparoscopic Surgeon Versus a Multisurgeon Robot-Assisted Cohort for Partial Nephrectomy

2012 ◽  
Vol 188 (1) ◽  
pp. 45-50 ◽  
Author(s):  
Jonathan S. Ellison ◽  
Jeffrey S. Montgomery ◽  
J. Stuart Wolf ◽  
Khaled S. Hafez ◽  
David C. Miller ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Perioperative Outcomes ◽  
Robot Assisted ◽  
Matched Comparison

scholarly journals Intracorporeal renal hypothermia with ice slush for robot-assisted partial nephrectomy in a highly complex renal mass

2019 ◽  
Vol 18 (6) ◽  
pp. e2687
Author(s):  
J.L. Bauza Quetglas ◽  
E. Pieras ◽  
P. Murthy ◽  
V. Tubau ◽  
M. De La Cruz ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Renal Mass ◽  
Robot Assisted ◽  
Renal Hypothermia

scholarly journals Comparison of Robot-Assisted Laparoscopic Partial Nephrectomy with Laparoscopic Cryoablation in the Treatment of Localised Renal Tumours: A Propensity Score-Matched Comparison of Long-Term Outcomes

Diagnostics ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 759
Author(s):  
Hui-Ying Liu ◽  
Chih Hsiung Kang ◽  
Hung-Jen Wang ◽  
Chien Hsu Chen ◽  
Hao Lun Luo ◽  
...  
Keyword(s):  
Renal Function ◽  
Partial Nephrectomy ◽  
Laparoscopic Partial Nephrectomy ◽  
Robot Assisted ◽  
Oncological Outcomes ◽  
Recommended Treatment ◽  
Renal Function Deterioration ◽  
Renal Tumours ◽  
Lca Group ◽  
Matched Comparison

Preserving renal function and controlling oncological outcomes are pertinent when managing renal neoplasms. Cryoablation is the recommended treatment only for clinical T1a stage renal tumour. Here, we compared the outcomes of robot-assisted laparoscopic partial nephrectomy (RaPN) and laparoscopic cryoablation (LCA) in the treatment of patients with localised T1-T2 renal tumours. Overall, 86 patients who received RaPN and 78 patients underwent LCA were included in this study. The intraoperative, postoperative, and oncological outcomes in the LCA group were non-inferior to the RaPN group. Moreover, LCA demonstrated shorter operative time (267.45 ± 104.53 min vs. 138.56 ± 45.28 min, p < 0.001), lower blood loss (300.56 ± 360.73 mL vs. 30.73 ± 50.31 mL, p < 0.001), and slight renal function deterioration because of the reduced invasiveness, without compromising on the oncological outcomes.

scholarly journals Early vascular unclamping reduces warm ischaemia time in robot-assisted laparoscopic partial nephrectomy

F1000Research ◽  
2015 ◽  
Vol 4 ◽  
pp. 108 ◽  
Author(s):  
Kevin Lah ◽  
Devang Desai ◽  
Charles Chabert ◽  
Christian Gericke ◽  
Troy Gianduzzo
Keyword(s):  
Renal Function ◽  
Partial Nephrectomy ◽  
Positive Margin ◽  
Laparoscopic Partial Nephrectomy ◽  
Robot Assisted ◽  
Renal Masses ◽  
Warm Ischaemia ◽  
Ischaemia Time ◽  
Patient Series ◽  
Warm Ischaemia Time

Introduction: The aim of this study was to assess the outcomes of early vascular release in robot-assisted laparoscopic partial nephrectomy (RAPN) to reduce warm ischaemia time (WIT) and minimise renal dysfunction. RAPN is increasingly utilised in the management of small renal masses. To this end it is imperative that WIT is kept to a minimum to maintain renal function.Methods: RAPN was performed via a four-arm robotic transperitoneal approach. The renal artery and vein were individually clamped with robotic vascular bulldog clamps to allow cold scissor excision of the tumour. The cut surface was then sutured with one or two running 3-0 V-LocTM sutures, following which the vascular clamps were released. Specific bleeding vessels were then selectively oversewn and the collecting system repaired. Renorrhaphy was then completed using a running horizontal mattress 0-0 V-LocTM suture.Results: A total of 16 patients underwent RAPN with a median WIT of 15 minutes (range: 8-25), operative time 230 minutes (range: 180-280) and blood loss of 100 mL (range: 50-1000). There were no transfusions, secondary haemorrhages or urine leaks. There was one focal positive margin in a central 5.5 cm pT3a renal cell carcinomas (RCC). Long-term estimated glomerular filtration rate (eGFR) was not significantly different to pre-operative values.Conclusion: In this patient series, early vascular release effectively minimised WIT and maintained renal function without compromising perioperative safety.

scholarly journals Intracorporeal renal hypothermia with ice slush for robot-assisted partial nephrectomy in a highly complex renal mass

2019 ◽  
Vol 45 (5) ◽  
pp. 1073-1074
Author(s):  
Jose Luis Bauza ◽  
Prithvi Murthy ◽  
Daniel Sagalovich ◽  
Riccardo Bertolo ◽  
Enrique Pieras ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Renal Mass ◽  
Robot Assisted ◽  
Renal Hypothermia
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