Laparoscopic radical nephrectomy partial nephrectomy ischemia time. Medical search. Frequent questions

Recent reports have shown the efficacy of robot-assisted partial nephrectomy (RAPN) compared with open and laparoscopic surgery for difficult cases such as hilar, endophytic or large tumors. (elsevierpure.com)
Although the indication of RAPN for renal tumors has expanded, there are some cases where we have to decide to perform radical nephrectomy for oncological safety. (elsevierpure.com)
Does nephrometry scoring of renal tumors predict outcomes in patients selected for robot-assisted partial nephrectomy? (wakehealth.edu)
Robotic and laparoscopic partial nephrectomy for T1b tumors. (wakehealth.edu)
Radical nephrectomy is the standard for larger and central tumors. (medscape.com)
The adoption of robotic assistance has contributed to the increased utilization of partial nephrectomy for the management of renal tumors. (biomedcentral.com)
As an oncological urologist, Dr. Liu specializes in the surgical treatment of urinary tumors, especially in robotic and minimally invasive laparoscopic surgeries, as well as the comprehensive treatment of bladder cancer and testicular cancer, and the surgical treatment of children's tumors. (sysucc.org.cn)

Radical Prostatectomy: Technique and Pathological Issues - Do Biopsy Characteristics Predict Unilateral Prostate Cancer on Radical Prostatectomy? (bcm.edu)
To investigate the genomic features of tertiary pattern 5 (TP5) on radical prostatectomy specimens in an effort to explain the poor clinical outcomes associated with this disease subtype. (bjuinternational.com)
Herbert Ruckle, MD. "Robotic Assisted Laparoscopic Prostatectomy. (llu.edu)
The utility of indocyanine green dye (ICG) has evolved significantly to the robotic operations including Robotic Assisted Radical Prostatectomy (RARP). (e-urol-sci.com)
Comparative analysis of the results of cancer radical retropubic and robot-assisted prostatectomy. (ecuro.ru)
148 . Management of end-stage erectile dysfunction and stress urinary incontinence after radical prostatectomy by simultaneous dual implantation using a single trans-scrotal incision: surgical technique and outcomes. (ignaciomoncada.com)
147 . Effects of tadalafil once daily or on demand versus placebo on time to recovery of erectile function in patients after bilateral nerve-sparing radical prostatectomy. (ignaciomoncada.com)

Reevaluating Warm Ischemia Time as a Predictor of Renal Function Outcomes After Robotic Partial Nephrectomy. (wakehealth.edu)

Robot-assisted partial nephrectomy: current status, techniques, and future directions. (wakehealth.edu)
Does experience in creating a robot-assisted partial nephrectomy (RAPN) programme in an academic centre impact outcomes or complication rate? (wakehealth.edu)
Do statin medications impact renal functional or oncologic outcomes for robot-assisted partial nephrectomy? (wakehealth.edu)
Oncologic Outcomes Following Robot-Assisted Laparoscopic Nephroureterectomy with Bladder Cuff Excision for Upper Tract Urothelial Carcinoma. (wakehealth.edu)
Predictors of Medical and Surgical Complications After Robot-Assisted Partial Nephrectomy: An Analysis of 1139 Patients in a Multi-Institutional Kidney Cancer Database. (wakehealth.edu)
Robot-assisted partial nephrectomy: continued refinement of outcomes beyond the initial learning curve. (wakehealth.edu)
Selective arterial clamping does not improve outcomes in robot-assisted partial nephrectomy: a propensity-score analysis of patients without impaired renal function. (wakehealth.edu)
Predicting Complications Following Robot-Assisted Partial Nephrectomy with the ACS NSQIP® Universal Surgical Risk Calculator. (wakehealth.edu)
He is one of the first surgeons in China to carry out robot-assisted/laparoscopic retroperitoneal lymph node dissection for testicular cancer and ultra-expanded lymph node dissection for bladder cancer. (sysucc.org.cn)

Specializations: Expertise in kidney transplantation, robotic and laparoscopic urological surgeries, endourology, stone disease management, and urological cancer surgeries. (healthtrip.com)

Near-infrared fluorescence imaging to facilitate super-selective arterial clamping during zero-ischaemia robotic partial nephrectomy. (wakehealth.edu)
Comparison of clamping technique in robotic partial nephrectomy: does unclamped partial nephrectomy improve perioperative outcomes and renal function? (wakehealth.edu)
Emerging technologies to improve techniques and outcomes of robotic partial nephrectomy: striving toward the pentafecta. (wakehealth.edu)
Main Renal Artery Clamping With or Without Renal Vein Clamping During Robotic Partial Nephrectomy for Clinical T1 Renal Masses: Perioperative and Long-term Functional Outcomes. (wakehealth.edu)
Comparison of perioperative and functional outcomes of robotic partial nephrectomy for cT1a vs cT1b renal masses. (wakehealth.edu)
Is Off Clamp Always Beneficial During Robotic Partial Nephrectomy? (wakehealth.edu)
To our knowledge, a comprehensive safety checklist does not exist to guide surgeons on the management of hemorrhage during robotic partial nephrectomy. (biomedcentral.com)
A treatment safety checklist for the management of hemorrhage during robotic partial nephrectomy was collaboratively developed based on prior experiences with intraoperative hemorrhage during robotic partial nephrectomy. (biomedcentral.com)
Reducing the risk of hemorrhage during robotic partial nephrectomy begins with reviewing the preoperative imaging for renal vasculature and tumor anatomy, with a focus on accessory vessels and renal tumor proximity to the renal hilum. (biomedcentral.com)
Safely performing robotic partial nephrectomy is dependent on attention to prevention of hemorrhage and rapid response to the challenge of intraoperative bleeding. (biomedcentral.com)
Preparation is essential for maximizing the chance of success during robotic partial nephrectomy. (biomedcentral.com)
Series on robotic partial nephrectomy report a reasonable blood loss (Table 1 ). (biomedcentral.com)
Thus, the existing literature does little to educate surgeons on how to deal with bleeding during robotic partial nephrectomy while clamped. (biomedcentral.com)
Table 1 Selected reports from 2009-2012 of estimated blood loss during robotic partial nephrectomy with hilar clamping. (biomedcentral.com)
The goal of this manuscript is to educate robotic surgeons in factors to minimize hemorrhage during robotic partial nephrectomy. (biomedcentral.com)
We then developed a safety and management checklist for "hemorrhage while clamped" during robotic partial nephrectomy. (biomedcentral.com)
Since that time, the authors have performed a total of over 1500 robotic partial nephrectomies. (biomedcentral.com)

Skilled in Radical Cystectomy and Neobladder procedures using both conventional and minimally invasive approaches. (healthtrip.com)
Traditionally, partial nephrectomy had been performed via an open approach but there has been a steady trend toward a minimally invasive approach [ 2 ]. (biomedcentral.com)
As partial nephrectomy is increasingly performed with a minimally invasive approach, control of intraoperative hemorrhage can be more challenging than simple manual compression of the renal parenchyma with suturing, as can be done in open surgery. (biomedcentral.com)

Furthermore, some reports have suggested that one of the factors for trifecta achievement, which was defined as negative surgical margins, freedom from perioperative complications, and an short ischemia time, is the experience of the surgeon who will carry out the procedure. (elsevierpure.com)

Changes in quality of life over time post radical cystectomy depend on urinary diversion type. (urologyspecialist.com.au)
Does prior pelvic radiotherapy increase the rate of benign anastomotic stricures following radical cystectomy and urinary diversion? (urologyspecialist.com.au)

I discussed various surgical options with my consultant - I was attracted by the idea of laparoscopic surgery , but perhaps only because my inner geek was interested in having a robot involved in the procedure (the hospital has a da Vinci Surgical System ). (adjb.net)
These were cases with 46, XX congenital adrenal hyperplasia, partial androgen insensitivity, mixed or partial gonadal dysgenesis, and micropenis where data about the assigned gender, childhood genital-normalizing surgery, and adult gender could be extracted. (e-urol-sci.com)
Proficient in Nephron Sparing Surgery, including Robotic and Laparoscopic Partial Nephrectomy. (healthtrip.com)
However, partial nephrectomy can be technically challenging because of intraoperative hemorrhage, which limits the ability to identify the tumor margin and may necessitate the conversion to open surgery or radical nephrectomy. (biomedcentral.com)
During this stressful situation, it is imperative for the surgeon to have an organized approach to management of hemorrhage, as delayed management could lead to prolonged ischemic times, iatrogenic positive surgical margins from inadequate visualization, conversion to open surgery, or radical nephrectomy. (biomedcentral.com)

And so, unexpectedly swiftly, I find I am to present myself at Addenbrooke's at 07:00 this Saturday to be admitted for an open partial nephtectomy (following the recent diagnosis of suspected kidney cancer). (adjb.net)
Does Sarcopenia Impact Complications and Overall Survival in Patients Undergoing Radical Nephrectomy for Stage III and IV Kidney Cancer? (wakehealth.edu)

Indocyanine green cannot predict malignancy in partial nephrectomy: histopathologic correlation with fluorescence pattern in 100 patients. (wakehealth.edu)

The majority of respondents were in practice >10 years and spent >80% time in paediatric urology. (bvsalud.org)

Median (range) operative time was 217 minutes. (auanet.org)

Radical nephrectomy with IVC thrombectomy for level III and IV thrombus. (urologyspecialist.com.au)

There were no conversions to open technique or additions of conventional laparoscopic ports. (auanet.org)

Impact of renal function on eligibility for chemotherapy and survival in patients who have undergone radical nephro-ureterectomy. (wakehealth.edu)
Comparative Analysis of Renal Functional Outcomes and Overall Survival of Elderly vs Nonelderly Patients Undergoing Radical Nephrectomy. (wakehealth.edu)

The recommendations not met were using the Shouldice technique for any non-mesh open inguinal herniorrhaphy, using local anesthesia for open repair of reducible inguinal hernias, using lightweight mesh, and avoiding the use of prophylactic antibiotics in laparoscopic herniorrhaphy. (researchgate.net)

A nonrandomized prospective comparison of robotic-assisted partial nephrectomy in the elderly to a younger cohort: an analysis of 339 patients with intermediate-term follow-up. (wakehealth.edu)
Ischemia is not an independent predictive factor of chronic renal failure after partial nephrectomy in a solitary kidney in patients without pre-operative renal insufficiency. (univ-rennes.fr)

Since a decrease in renal function can lead to an increase in the risk of cardiovascular events and patient death due to the development of chronic kidney disease, we need to select a suitable treatment that includes active surveillance, ablation therapy and partial nephrectomy for nephron sparing. (elsevierpure.com)
Encourage employees to ask their physicians how much time they can take to seek second opinions and make a decision on their treatment. (surgerysecondopinion.com)
151 . Laparoscopic partial nephrectomy with prior superselective embolisation as treatment for giant renal angiomyolipoma. (ignaciomoncada.com)

Cases assigned female had more than five times greater likelihood of assigned gender incongruence (95% confidence interval = 1.96-14.92). (e-urol-sci.com)
A single institution experience of 141 cases of laparoscopic radical nephrectomy with cost-reductive measures. (wakehealth.edu)
Oncologic outcome of 132 cases of laparoscopic radical nephrectomy with intact specimen removal for T1-2N0M0 renal cell carcinoma. (wakehealth.edu)

The abstract is reproduced below and you can click on the button to read the full article, which is freely available to all readers for at least 30 days from the time of this post. (bjuinternational.com)
If you only have time to read one article this week, it should be this one. (bjuinternational.com)

however, the permanent spinal cord ischemia rate was 4% for both groups (P = .96). (caspasepathway.com)

If the same pattern is followed, it is only a matter of time before the new ID becomes mandatory. (adjb.net)

Robotic radical prostatectomy has become the prime example in which a complex open procedure may be reproduced with robotic assistance in a minimally invasive fashion. (medscape.com)
The learning curve for OT was identified as 10-250 cases for robot-assisted laparoscopic prostatectomy and 40-250 for laparoscopic radical prostatectomy. (bvsalud.org)
The first speaker was Dr. Soki Kashima, he talked about the role of extensive lymph node dissection during robotic radical prostatectomy after neoadjuvant chemotherapy. (puaweb.org)
During his talk, he discussed the advantage of giving neoadjuvant chemo and hormonal therapy prior to radical prostatectomy in high risk prostate cancer patients. (puaweb.org)
Biochemical recurrence (BCR) free survival has been shown to be higher compared to patients treated with radical prostatectomy alone. (puaweb.org)
However, their data suggest that the type of lymph node dissection as well as the number of nodes dissected during radical prostatectomy is not related to BCR free survival. (puaweb.org)
Comparative analysis of the results of cancer radical retropubic and robot-assisted prostatectomy. (ecuro.ru)

Laparoscopic living-donor nephrectomy is the main technique at high-volume renal transplant centers. (e-urol-sci.com)
[11] Currently, laparoscopic living-donor nephrectomy is the main technique performed at high-volume renal transplant centers, and laparoendoscopic single-site donor nephrectomy (LESS-DN) represents an advancement in minimally invasive surgery. (e-urol-sci.com)

13. Minimal effect of cold ischemia time on progression to late-stage chronic kidney disease observed long term after partial nephrectomy. (nih.gov)
Current clinical data support a "safe" warm ischemia time of 25 minutes, or a cold ischemia time (when the kidney is placed on ice slush) of 35 min while up to two hours can be tolerated [ 4 ]. (hindawi.com)

abstract： INTRODUCTION:Single-incision laparoscopic cholecystectomy (SILC) is an evolving concept in minimally invasive surgery. (shengsci.com)
This is especially true in contemporary practice as experience in partial nephrectomy grows, primarily driven by the rise of robotic minimally-invasive surgery. (iospress.com)
Laparoendoscopic single-site donor nephrectomy (LESS-DN) is s an evolutionary minimally invasive surgery, which could be performed by transperitoneal or retroperitoneal approaches. (e-urol-sci.com)

A standard of care for the treatment of small renal masses is partial nephrectomy. (medscape.com)
The European Organization for Research and Treatment of Cancer" provided the first Level I evidence that long-term oncologic outcomes between partial nephrectomy and radical nephrectomy were equivalent, allowing partial nephrectomy to become a standard of care for small renal masses [2]. (asmepress.com)

No high-quality studies evaluating the learning curve for laparoscopic radical cystectomy and for robotic and laparoscopic retroperitoneal lymph node dissection were identified. (bvsalud.org)
We present a retrospective analysis of our single-institution donor nephrectomy series comparing the transperitoneal to retroperitoneal LESS-DN regarding operative outcomes. (e-urol-sci.com)
Retroperitoneal LESS-DN results in similar perioperative outcomes as transperitoneal LESS-DN without compromising donor safety and providing a faster operation time, shorter LOS, and a trend toward a shorter WIT. (e-urol-sci.com)

However, while the majority of cancers are suitable for partial nephrectomy, concern about the warm ischemia time has meant that only around 25% of small kidney cancers are treated with nephron-sparing surgery [ 3 ]. (hindawi.com)

A pharmacological agent that could reduce the risk of IRI and prolong the "safe" warm ischemia time would cause a global transformational change in the utilization of partial nephrectomy, with broader implications for renal transplantation, cardiac surgery, and the myriad other surgeries that involve IRI. (hindawi.com)
Recently there have been several reports indicating that robotic surgery facilitates the resection of the tumour and intracorporeal suturing thus decreasing the warm ischemia time [6-8]. (asmepress.com)
As with any MI procedure, laparoscopic cancer surgery comes with less bleeding, less collateral damage to surrounding tissue, less pain and faster recovery. (kauveryhospital.com)
Again, depending on the location deep-inside, the stage or severity of disease, size of the growth, and overall health or condition of the patient, the surgeon will take a call on whether open, laparoscopic or robotic surgery will be done. (kauveryhospital.com)
On top of that, the long recovery time involved in open surgery further compromises immunity, nutrition and overall health of the patient. (kauveryhospital.com)
The quick recovery time with Robotic surgery overcomes this drawback of open surgery. (kauveryhospital.com)
Shorter ischemic time: During surgery, blood flow is reduced or halted to the concerned tissue for some time (ischemia). (kauveryhospital.com)
This time can be reduced in robotic surgery. (kauveryhospital.com)
The increase of partial nephrectomies performed was attributable to robotic assisted surgery that increased by 15%, with a concomitant decrease of open surgery by 33% [ 7 ]. (iospress.com)
This modality of treatment is especially useful for patients who are not good candidates for radical surgery. (puaweb.org)
[6] Living-donor kidney transplantation is associated with several advantages, such as a short waiting period, elective timing of surgery, and better graft function than cadaveric kidney transplantation. (e-urol-sci.com)
The first donor nephrectomy surgery was performed in 1954 using an open method, and it became the gold standard surgery for almost 45 years. (e-urol-sci.com)

We evaluated renal functional outcomes after sequential partial nephrectomy (PN) and radical nephrectomy (RN) in patients with bilateral renal cell carcinoma (RCC). (biomedcentral.com)
BACKGROUND/OBJECTIVES:To investigate the oncological and functional outcomes after partial nephrectomy for clinical stage T1 (cT1) renal cell carcinoma (RCC), and assess the association between excisional volume loss (EVL) and postoperative renal function. (shengsci.com)

6. Warm Ischemia-Related Postoperative Renal Dysfunction in Elective Laparoscopic Partial Nephrectomy Recovers During Intermediate-Term Follow-Up. (nih.gov)
14. Effect of warm ischemia time during laparoscopic partial nephrectomy on early postoperative glomerular filtration rate. (nih.gov)
The two key factors that contribute to postoperative loss of renal function are ischemia time and degree of parenchymal loss [ 2 ]. (hindawi.com)
The two approaches were compared for the operation time, blood loss, warm ischemia time (WIT), postoperative pain, length of stay (LOS), postoperative wound size, postoperative pain, and the postoperative renal function for twelve months retrospectively. (e-urol-sci.com)
This chapter summarizes our perioperative management approach from the time the decision to operate is made through the operative and postoperative course. (basicmedicalkey.com)
The perioperative period is defined as the time from preoperative workup through the first 30 days of postoperative care. (basicmedicalkey.com)

12. Predicting Renal Function Outcomes After Partial and Radical Nephrectomy. (nih.gov)

CONCLUSIONS:Patients with cT1a and cT1b RCC have comparable oncological and functional outcome after partial nephrectomy, and preoperative eGFR is an independent factor to predict developing CKD. (shengsci.com)

Single-incision laparoscopic cholecystectomy: the first Malaysian experience. (shengsci.com)

As the technique of RAPN (robotic-assisted partial nephrectomy) continues to develop and mature, intraoperative & perioperative outcomes continue to be reported [4]. (asmepress.com)

When technically feasible laparoscopic partial nephrectomy (LPN) is an increasingly used option. (coek.info)

have demonstrated that bilateral partial nephrectomy (PN) is associated with significantly improved estimated glomerular filtration rate (eGFR) compared to radical nephrectomy (RN) [ 6 ]. (biomedcentral.com)

The quest for trifecta comprising warm ischemia time less than 25 minutes, negative surgical margins and no perioperative complications seems to be better accomplished by robotic partial nephrectomy, which is likely to become the new standard for minimally invasive partial nephrectomy. (asmepress.com)
None of the cases was converted to open partial/radical nephrectomy and none had positive surgical margins in the histopathology reports. (asmepress.com)
Robotic and laparoscopic partial nephrectomy has been shown to be similar in perioperative outcomes which include warm ischemia time, surgical margins, and complications. (puaweb.org)

[ 4 ] However, the operation has also been thought to be technically advanced secondary to the laparoscopic reconstructive skills necessary to perform the procedure quickly while the kidney is under warm ischemia. (medscape.com)
Learning curves are mapped using an array of measurements including operative time (OT), estimated blood loss, complication rates as well as procedure-specific outcomes, with OT being the most commonly used metric by eligible studies. (bvsalud.org)
Although open partial nephrectomy is an efficacious procedure, a minimally invasive approach might be more attractive to patients [3]. (asmepress.com)
It is not used for cancers present on the surface of the body as Robotic procedure in unnecessary, and an open/laparoscopic procedure is good enough in this case . (kauveryhospital.com)

In this communication we describe the surgical outcomes of 35 patients undergoing robotic partial nephrectomy. (medscape.com)
We retrospectivelly evaluated the medical records of 65 patients who underwent laparascopic partial nephrectomy between May 2009 and June 2013 in our clinic. (hasekidergisi.com)
Comparisons between radical (RN) or partial nephrectomy (PN) and young or elderly patients were performed. (biomedcentral.com)
Beyond this period, critical ischemia ensues, where renal cells are irreversibly injured, eventually resulting in nephron loss and chronic kidney disease in 5-17% patients [ 4 ]. (hindawi.com)
METHODS:We retrospectively reviewed 150 patients with cT1 RCC undergoing partial nephrectomy from 2002 to 2016. (shengsci.com)
A total of 40 patients were included in the study who underwent robotic-assisted partial nephrectomy for renal tumours less than 7 cm in size. (asmepress.com)

The objective of this review is to evaluate the factors that determine the development or deterioration of Chronic Kidney Disease (CKD) after partial nephrectomy (PN). (nih.gov)
Prolonged renal ischemia may lead to irreversible nephron damage in the remaining tissue and, ultimately, chronic kidney disease. (hindawi.com)

Only one patient underwent radical nephrectomy for uncontrolled bleeding in group 2. (hasekidergisi.com)

Mean tumor size was 2.8cm, and mean OR time was 142 minutes. (medscape.com)
The decision to undergo partial nephrectomy (PN) versus radical nephrectomy (RN) for a localized renal mass should take various factors into consideration, including tumor characteristics, patient's health status and preference, and risks and benefits of these each approach. (iospress.com)

ESOPHAGEAL CANCER: A LAPAROSCOPIC APPROACH 14. (canjsurg.ca)

Mean warm ischemia time was 20 minutes. (medscape.com)
5. Factors affecting renal function after open partial nephrectomy-a comparison of clampless and clamped warm ischemic technique. (nih.gov)
The mean operation time and warm ischemia time were similar between groups but estimated blood loss and transfusion requirement were significantly higher in group 2. (hasekidergisi.com)
Mean Warm Ischemia Time (WIT) was recorded to be 27.28 ± 5.923 minutes. (asmepress.com)

The mean total operative time was noted to be 167.00 ± 21.116 minutes. (asmepress.com)

The open and laparoscopic approaches have been well described in the literature. (medscape.com)
[ 1 ] In the 1990s laparoscopic approaches to partial nephrectomy were developed. (medscape.com)

10. The effect of hypertension and diabetes on the degree of renal function deterioration after unilateral nephrectomy. (nih.gov)

Radical nephrectomy can place the patient in need of immediate renal replacement therapy. (medscape.com)

Further studies should be performed to compare the outcomes to laparoscopic and open operations. (medscape.com)
Open radical nephrectomy is the traditional treatment for a renal neoplasm, but open partial nephrectomy has evolved into a standard of care, with the obvious advantage of sparing the kidney. (medscape.com)
Partial nephrectomy (open or minimally invasive) usually requires temporary renal arterial occlusion to limit intraoperative bleeding and improve access to intrarenal structures. (hindawi.com)

18 years with a renal tumour of clinical stage T1 coming for robotic partial nephrectomy. (asmepress.com)

8. [Partial nephrectomy on solitary kidney: Renal function outcome and predictive factors of impairment]. (nih.gov)

Cite this: Robotic Assisted Laparoscopic Partial Nephrectomy for Suspected Renal Cell Carcinoma: Retrospective Review of Surgical Outcomes of 35 Cases - Medscape - Sep 24, 2008. (medscape.com)

Again, laparoscopic procedures have their own limitations around flexibility and control. (kauveryhospital.com)

intra-surgical factors, like the surgical technique used, the remaining healthy tissue, the experience of the surgeon, the time and type of ischemia among others. (nih.gov)

The majority of respondents were in practice >10 years and spent >80% time in paediatric urology. (bvsalud.org)

This is a time-critical step due to the critical ischemia period of renal tissue. (hindawi.com)
It helps the surgeon to perform a radical operation (remove the entire cancerous growth, plus metastasized tissue around it) while preserving the nerves and other critical structures intact. (kauveryhospital.com)

examining a large cohort of Medicare beneficiaries, increase rates of computed tomography (CT) imaging was associated with a higher risk of nephrectomy, presumably from incidental detection of renal masses, with little change in morality [ 4 ]. (iospress.com)

Otherwise, routine testing of the partial thromboplastin time, prothrombin time, and international normalized ratio (INR) is not recommended. (basicmedicalkey.com)

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