Expanding the limits of nephron‐sparing surgery: Surgical technique and mid‐term outcomes of purely off‐clamp robotic partial nephrectomy for totally endophytic renal tumors

2022 ◽  
Author(s):  
Gabriele Tuderti ◽  
Aldo Brassetti ◽  
Riccardo Mastroianni ◽  
Leonardo Misuraca ◽  
Alfredo Bove ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Partial Nephrectomy ◽  
Nephron Sparing Surgery ◽  
Renal Tumors ◽  
Robotic Partial Nephrectomy ◽  
Nephron Sparing

scholarly journals Robotic Partial Nephrectomy for Complex Renal Tumors: Surgical Technique

2008 ◽  
Vol 53 (3) ◽  
pp. 514-523 ◽  
Author(s):  
Craig G. Rogers ◽  
Amar Singh ◽  
Adam M. Blatt ◽  
W. Marston Linehan ◽  
Peter A. Pinto
Keyword(s):  
Surgical Technique ◽  
Partial Nephrectomy ◽  
Renal Tumors ◽  
Robotic Partial Nephrectomy

scholarly journals Nephron sparing surgery for renal tumors-comparison of off-clamp partial nephrectomy with hilar clamping

2020 ◽  
Vol 36 (3) ◽  
Author(s):  
Imran Khan Jalbani ◽  
Syed Mohammad Nazim ◽  
Maria Ahmed ◽  
Farhat Abbas
Keyword(s):  
Renal Function ◽  
Blood Loss ◽  
Partial Nephrectomy ◽  
Nephron Sparing Surgery ◽  
Surgical Margins ◽  
Renal Tumors ◽  
Open Partial Nephrectomy ◽  
Nephrometry Score ◽  
Nephron Sparing ◽  
Significant Difference

Background and Objective: Open partial nephrectomy (PN) is still considered gold standard procedure for T1 localized renal tumors. Conventional technique involves clamping of the renal artery with or without vein however, renal ischemia produces a certain level of damage to the kidneys. This study aims to investigate potential effect of off-clamp vs. hilar clamping PN on renal function. Methods: This is a retrospective cohort study of patients who underwent unilateral, open partial nephrectomy for renal tumors b/w January 2009 December 2016 at our institution. A total of 90 partial nephrectomies were performed of which 65 cases were eligible for analysis. Non clamping technique was used in 43 while clamp was applied in 22 patients. Variables studied were patients’ demographics, clinical variables, the laterality, tumors size and location, R.E.N.A.L nephrometry score, blood loss, tumor histology and surgical margins. Patients’ renal function (serum creatinine and eGFR) were determined pre-operatively, at 3 and 12 months follow up. Data was analyzed on SPSS v. 22. Results: Both the groups were comparable with regards to pre-operative renal function. Mean radiological size of tumor was 4.71±1.31 and 3.81±1.0 (0.003) in two groups respectively. Mean R.E.N.A.L nephrometry score was 6.1±1.5 in off-clamp group compared to 7.05±1.7 in clamp group (p=0.04). No statistically significant difference was found in operative duration, blood loss, positive surgical margins and intra/ peri-operative complications. At three months and one year, renal function was better preserved in non-clamp group compared to clamp group (p=0.001 and 0.007 respectively). Conclusion: Off clamp open partial nephrectomy is safe and feasible option leading to less decline in renal function. doi: https://doi.org/10.12669/pjms.36.3.1533 How to cite this:Jalbani IK, Nazim SM, Ahmed M, Abbas F. Nephron sparing surgery for renal tumors- comparison of off-clamp partial nephrectomy with hilar clamping. Pak J Med Sci. 2020;36(3):---------. doi: https://doi.org/10.12669/pjms.36.3.1533 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Nephron-Sparing Surgery for Central Renal Tumors

2008 ◽  
pp. 341-344
Author(s):  
Sascha Pahernik ◽  
Joachim W. Thüroff
Keyword(s):  
Nephron Sparing Surgery ◽  
Renal Tumors ◽  
Nephron Sparing

Nephron-Sparing Surgery: Laparoscopic Partial Nephrectomy

2008 ◽  
pp. 221-227
Author(s):  
Georges-Pascal Haber ◽  
Jose R. Colombo ◽  
Inderbir S. Gill
Keyword(s):  
Partial Nephrectomy ◽  
Laparoscopic Partial Nephrectomy ◽  
Nephron Sparing Surgery ◽  
Nephron Sparing

scholarly journals Development of a nomogram to predict achievement of trifecta outcomes after robotic partial nephrectomy for cT1-2 renal tumors

2020 ◽  
Vol 20 ◽  
pp. S125
Author(s):  
A. Brassetti ◽  
U. Anceschi ◽  
R. Bertolo ◽  
C. De Nunzio ◽  
G. Tuderti ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Renal Tumors ◽  
Robotic Partial Nephrectomy
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