• Robotic versus laparoscopic partial nephrectomy: a systematic review and meta-analysis. (ac.ir)
  • Tumor enucleation (TE) optimizes parenchymal preservation and could yield better function than standard partial nephrectomy (SPN). (auanet.org)
  • Renal tumor enucleation (TE) in renal cancer involves dissection along the pseudocapsule and may optimize preservation of parenchymal mass. (elsevierpure.com)
  • Present un-controlled results pointed that tumor-focusing nephron-sparing non-ischemic partial lap-aroscopic nephrectomy may be preferable for small-sized, low-complex renal masses. (ac.ir)
  • Partial nephrectomy however, is associated with better renal function preservation and lower risk of chronic kidney -disease. (prelekara.sk)
  • Patients managed with partial nephrectomy (PN) with necessary data for analysis of preservation of ipsilateral parenchymal mass and global GFR from two centers were included. (auanet.org)
  • Design, setting, and participants: Patients managed with partial nephrectomy (PN) with necessary data for analysis of preservation of ipsilateral parenchymal mass (IPM) and global glomerular filtration rate (GFR) from two centers were included. (elsevierpure.com)
  • Comparison of 1,800 laparoscopic and open partial nephrectomies for single renal tumors. (ac.ir)
  • Imaging in the arterial phase can be performed to evaluate mesenteric ischemia, aortic dissection, or aneurysm, and can also be used to improve visualization of the pancreas in patients with upper abdominal pain. (radiologykey.com)
  • Scans for hyperemergent conditions such as ruptured aneurysm, aortic dissection, or high-grade bowel obstruction with suspected ischemia should not be delayed for administration of oral contrast. (radiologykey.com)
  • This study aimed to document the surgical and oncologic results of nephron sparing of non-ischemic laparoscopic partial nephrectomy without the step of hilus controlling and even without dissecting to expose the main renal vascularity and directly focusing on mass removal. (ac.ir)
  • UroToday - Positive Surgical Parenchymal Margin After Laparoscopic Partial Nephrectomy for Renal Cella: Oncological Outcomes Carcinom Thursday, 15 March 2007 BERKELEY, CA (UroToday.com) - Positive margins following supposedly curative surgery can be devastating for patient and surgeon alike. (theroboticsurgeon.com)
  • The records of the patients who underwent our modified laparoscopic partial nephrectomy technique were evaluated retrospectively. (ac.ir)
  • Hemorrhagic bacterial is indicated in pregnancy and patients with nephritis which is relatively uncommon shows contraindication to iodinated contrast such as hyper attenuating areas representing parenchymal transplant recipients. (egyptianjournal.xyz)
  • Running-clip renorrhaphy reducing warm ischemic time during laparoscopic partial nephrectomy. (ac.ir)
  • Our analysis suggests that TE has potential to maximally preserve parenchymal mass compared to SPN and may provide optimized functional recovery. (auanet.org)
  • UroToday - Incidence of Benign Pathologic Findings at Partial Nephrectomy for Solitary Renal Mass Presumed to be Renal Cell Carcinoma on Preoperative Imaging The authors conclude that there is no reliable indicator of benign pathology preoperatively in solitary renal masses, as all of these were considered to be renal cell carcinoma on preoperative imaging. (theroboticsurgeon.com)
  • Touma NJ, Matsumoto ED, Kapoor A. Laparoscopic partial nephrectomy: The Mc Master University experience. (ac.ir)
  • There was no bleeding in the anastomotic area and renal parenchymal blood flow was normal as viewed via Doppler ultrasonography (USG), performed in the operating room. (biomedcentral.com)
  • Baseline eGFR, warm ischemia time, and RENAL nephrometry score could tell. (nih.gov)
  • 10. Association between warm ischemia time and renal parenchymal atrophy after partial nephrectomy. (nih.gov)
  • 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)
  • 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)
  • 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)
  • So, traditionally, most centers will do either clamping with cold ischemia, where the kidneys packed in ice, or clamping with warm ischemia. (urologytimes.com)
  • Results: For the Hilar Parenchymal Oversew surgery operative time was 225 min, estimated blood loss was 140 ml, warm ischemia time was 19 minutes, and there were no intraoperative complications. (elsevierpure.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)
  • Mean Warm Ischemia Time (WIT) was recorded to be 27.28 ± 5.923 minutes. (asmepress.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)
  • [ 8 ] The National Comprehensive Cancer Network (NCCN) recommends partial nephrectomy for a T1a renal mass, stating that radical nephrectomy should not be used when nephron-sparing approaches are possible. (medscape.com)
  • For T1b tumors, the NCCN guideline states that the standard of care is either radical nephrectomy or partial nephrectomy (when possible). (medscape.com)
  • None of the cases was converted to open partial/radical nephrectomy and none had positive surgical margins in the histopathology reports. (asmepress.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)
  • We prospectively collected radical nephrectomy (RN) specimens, to analyze the histological changes within peritumoral and distant parenchyma. (biomedcentral.com)
  • Our study exclusively enrolled radical nephrectomy (RN) specimens to better assess the non-neoplastic parenchyma, including the tumor pseudo-capsule (PC), peritumoral parenchyma and distant parenchyma. (biomedcentral.com)
  • 8. Will the kidney function be reduced in patients with renal cell carcinoma following laparoscopic partial nephrectomy? (nih.gov)
  • 2. Association between tumor contact surface area and parenchymal volume change in robot-assisted laparoscopic partial nephrectomy carried out using the enucleation technique. (nih.gov)
  • 6. Robot-assisted laparoscopic partial nephrectomy versus laparoscopic partial nephrectomy: A propensity score-matched comparative analysis of surgical outcomes and preserved renal parenchymal volume. (nih.gov)
  • 18. Laparoscopic Partial Nephrectomy with Precise Segmental Renal Artery Clamping for Clinical T1b Tumors. (nih.gov)
  • [ 17 ] and favorable outcomes with laparoscopic partial nephrectomy performed by experienced laparoscopic surgeons. (medscape.com)
  • 3. The volume of nonneoplastic parenchyma in a minimally invasive partial nephrectomy specimen: predictive factors and impact on renal function. (nih.gov)
  • Partial nephrectomy (open or minimally invasive) usually requires temporary renal arterial occlusion to limit intraoperative bleeding and improve access to intrarenal structures. (hindawi.com)
  • Although open partial nephrectomy is an efficacious procedure, a minimally invasive approach might be more attractive to patients [3]. (asmepress.com)
  • 5. R.E.N.A.L. Nephrometry Score Predicts Non-neoplastic Parenchymal Volume Removed During Robotic Partial Nephrectomy. (nih.gov)
  • Introduction: A renorrhaphy technique which is effective for hemostasis but does not place undue tension on the branch vessels of the renal sinus remains one of the challenging steps after hilar tumor resection during robotic partial nephrectomy (RPN). (elsevierpure.com)
  • 18 years with a renal tumour of clinical stage T1 coming for robotic partial nephrectomy. (asmepress.com)
  • The remaining exposed parenchyma is controlled using the Hilar Parenchymal Oversew technique with a #0 Vicryl on CT-1 needle. (elsevierpure.com)
  • The renal vessels may then drape over a portion of the superior infundibulum causing compression, and ultimately partial obstruction to the superior calyces. (wikipedia.org)
  • Once the diagnosis has been made, the treatment for this disorder is a partial nephrectomy involving the affected calyces. (wikipedia.org)
  • 12. Predicting Renal Parenchymal Loss after Nephron Sparing Surgery. (nih.gov)
  • 4. Parenchymal volume preservation and ischemia during partial nephrectomy: functional and volumetric analysis. (nih.gov)
  • 15. Nephrometry score is associated with volume loss and functional recovery after partial nephrectomy. (nih.gov)
  • In this video, Carlos Muñoz-Lopez and Steven C. Campbell, MD, PhD , highlight the background and findings of their study, "Parenchymal volume analysis to assess longitudinal functional decline following partial nephrectomy," for which they served as the lead and senior authors, respectively. (urologytimes.com)
  • This is a time-critical step due to the critical ischemia period of renal tissue. (hindawi.com)
  • The two key factors that contribute to postoperative loss of renal function are ischemia time and degree of parenchymal loss [ 2 ]. (hindawi.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)
  • 9. No ischemia technique, parenchymal preservation and age are the most important determinants of renal function after partial nephrectomy. (nih.gov)
  • The objective of this video is to show a novel renorrhaphy technique, Hilar Parenchymal Oversew that has been effective for such cases. (elsevierpure.com)
  • Prolonged renal ischemia may lead to irreversible nephron damage in the remaining tissue and, ultimately, chronic kidney disease. (hindawi.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)
  • 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)
  • 14. Surgeon assessment of renal preservation with partial nephrectomy provides information comparable to measurement of volume preservation with 3-dimensional image analysis. (nih.gov)
  • 1. Influence of 3D-Calculated Parenchymal Volume Loss on Renal Function After Partial Nephrectomy. (nih.gov)
  • When current literature is reviewed, it is found that factors that influence renal function after partial nephrectomy, are multifactorial. (nih.gov)
  • So, what we tried to do in this study, is we studied a large number of partial nephrectomy patients with more than 3 years follow-up, and we wanted to look at first how much progressive decline in function was there as the years went by. (urologytimes.com)
  • The question is for patients who've had a partial nephrectomy, do they decline at that same rate? (urologytimes.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)
  • We see that with the aging process, so even if you don't have a partial nephrectomy, each year, you tend to lose about .8 GFR units, and in 1 kidney, you lose half of that, .4. (urologytimes.com)
  • 13. Comparison of Renal Parenchymal Volume Preservation Between Partial Nephrectomy, Cryoablation, and Radiofrequency Ablation Using 3D Volume Measurements. (nih.gov)
  • 17. Contralateral kidney volume change as a consequence of ipsilateral parenchymal atrophy promotes overall renal function recovery after partial nephrectomy. (nih.gov)
  • Limb ischemic preconditioning (LIPC) is a strategy of applying transient, brief episodes of ischemia to induce resistance in a target organ against the oxidative stress and injury caused by a larger ischemic insult [ 8 ], and may offer a highly appealing, non-invasive, nonpharmacological and cost-effective strategy on CI-AKI prevention. (biomedcentral.com)
  • And that is, when we do a partial nephrectomy, we typically temporarily clamp the artery and the vein, because there's so much blood flow to the kidney that if we don't do that, there can be an increased risk of bleeding. (urologytimes.com)
  • The aim of this review is to highlight the techniques and drugs that target HIF-1 α and ameliorate IRI associated with renal ischemia. (hindawi.com)