Radical nephrectomyRobot-assisted partial nephrectomyMinimally invasive partial nephrectomyZero ischemiaRobotic partial nephrectomyLaparoscopic partialRenal tumorsHilarOutcomesPerioperativeSystematic review of the literatureUnderwentKidneyIschemicTransfusion ratesAcuteIntraoperativeShorterMedianAbstractOperative timesWarmBloodSurgeryOpenGreaterModelTreatmentExperienceManagementVisitFound
Radical nephrectomy4
- 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)
- He underwent right radical nephrectomy and tumor thrombectomy performed under extracorporeal circulation. (biomedcentral.com)
- Partial or radical nephrectomy may be used, depending on tumor and patient characteristics. (medscape.com)
Robot-assisted partial nephrectomy3
- Studies providing sufficient details on renorrhaphy techniques during laparoscopic or robot‐assisted partial nephrectomy and comparative studies focused on peri‐operative outcomes were included in qualitative and quantitative analyses, respectively. (bjuinternational.com)
- Perioperative outcomes following robot-assisted partial nephrectomy fo" by Gopal Sharma, Milap Shah et al. (henryford.com)
- INTRODUCTION: Outcomes of robot-assisted partial nephrectomy (RAPN) depend on tumor complexity, surgeon experience and patient profile among other variables. (henryford.com)
Minimally invasive partial nephrectomy3
- To summarize the available evidence on renorrhaphy techniques and to assess their impact on peri‐operative outcomes after minimally invasive partial nephrectomy (MIPN). (bjuinternational.com)
- Integrated overview of evidence‐based technical principles for renal reconstruction during minimally invasive partial nephrectomy and suggested standardized reporting of key renorrhaphy features in clinical studies on this topic. (bjuinternational.com)
- Background: Aim of this study was to evaluate and compare perioperative outcomes of transperitoneal (TP) and retroperitoneal (TR) approaches in a multi-institutional cohort of minimally invasive partial nephrectomy (MI-PN). (unipg.it)
Zero ischemia2
- Evaluation of renal function under controlled hypotension in zero ischemia robotic assisted partial nephrectomy. (ac.ir)
- Specialization in "zero-ischemia" partial nephrectomy. (healthtrip.com)
Robotic partial nephrectomy11
- 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)
- With the increasing use of robotics, many centres have reported their early experiences using it for nephron-sparing surgery.Objective: to review published literature comparing robotic partial nephrectomy (RPN) with laparoscopic partial nephrectomy (LPN).Evidence acquisition: an online systematic review of the literature according to Cochrane guidelines was conducted from 2000 to 2012 including studies comparing RPN and LPN. (soton.ac.uk)
Laparoscopic partial7
- 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)
- The records of the patients who underwent our modified laparoscopic partial nephrectomy technique were evaluated retrospectively. (ac.ir)
- Robotic versus laparoscopic partial nephrectomy: a systematic review and meta-analysis. (ac.ir)
- Laparoscopic partial nephrectomy without ischemia. (ac.ir)
- Running-clip renorrhaphy reducing warm ischemic time during laparoscopic partial nephrectomy. (ac.ir)
- Touma NJ, Matsumoto ED, Kapoor A. Laparoscopic partial nephrectomy: The Mc Master University experience. (ac.ir)
- Proficient in Nephron Sparing Surgery, including Robotic and Laparoscopic Partial Nephrectomy. (healthtrip.com)
Renal tumors2
- The adoption of robotic assistance has contributed to the increased utilization of partial nephrectomy for the management of renal tumors. (biomedcentral.com)
- Comparison of 1,800 laparoscopic and open partial nephrectomies for single renal tumors. (ac.ir)
Hilar2
- Specific tumour features (i.e. size, hilar location, anatomical complexity, nearness to renal sinus and/or urinary collecting system), surgeon's experience, robot‐assisted technology, as well as the aim of reducing warm ischaemia time and the amount of devascularized renal parenchyma preserved represented the key factors driving the evolution of the renorrhaphy techniques during MIPN over the past decade. (bjuinternational.com)
- Concerning intraoperative variables, no differences were found between the two groups in terms of surgical approach (lap/robot), extirpative technique (enucleation vs standard PN), hilar clamping, and ischemia time. (unipg.it)
Outcomes1
- Multivariate logistic regression was conducted to ascertain predictors of trifecta (absence of complications, negative surgical margins, and warm ischemia times [WIT]ischemia) outcomes. (henryford.com)
Perioperative1
- Whereas the perioperative complications were Clavien grades I, II, and III (74%, 23%, and 3%, respectively), mean hospital stay and fol-low-up time were 4.05 ± 1.97 and 19.67 ± 13.57 (ranges: 2-10 days and 1-44 months), respectively. (ac.ir)
Systematic review of the literature1
- A systematic review of the literature was performed in January 2018 without time restrictions, using MEDLINE, Cochrane and Web of Science databases according to the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses statement recommendations. (bjuinternational.com)
Underwent1
- The patient underwent open repair with partial sternotomy and distal balloon control. (bcl2signaling.com)
Kidney7
- 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)
- During partial nephrectomy, in which part of the kidney is removed for a renal tumor, hemorrhage can be particularly troublesome because the kidney is a well perfused organ and renal cell carcinomas are associated with increased vascularity [ 1 ]. (biomedcentral.com)
- Five weeks ago I left hospital after undergoing an open partial nephrectomy to remove a suspicious 3cm tumour from my right kidney. (adjb.net)
- 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)
- Renal ischemia-reperfusion injury (IRI) is a major cause of acute kidney injury (AKI). (mdpi.com)
- However, in Jeju, deceased donor kidney transplantation (DDKT) has been restricted due to the prolonged cold ischemia time (CIT) caused by the island's geographic disadvantages and transportation limitations. (ekjt.org)
- The geography and resulting transportation limitations of Jeju place it at risk for prolonged cold ischemia time (CIT) in deceased donor kidney transplantations, especially in marginal donor grafts. (ekjt.org)
Ischemic2
- Hemorrhage is further concerning as control can occupy valuable time during which the renal unit is ischemic due to renal vascular clamping during tumor excision. (biomedcentral.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)
Transfusion rates2
- Quantitative synthesis showed that running suture was associated with shorter operating and ischaemia time, and lower postoperative complication and transfusion rates than interrupted suture. (bjuinternational.com)
- Mean operation time, estimated blood loss, and transfusion rates were 138.62 ± 38.45 minutes (range: 90-240 min), 242.24 ± 107.12 mL (range: 100-500 mL), and 19%, respectively. (ac.ir)
Acute1
- A 58-year-old man with mRCC developed acute coronary syndrome (ischemia/infarction) associated with critical sub-occlusion of the common trunk of the left coronary artery and some of its branches, which was documented on coronary angiography. (biomedcentral.com)
Intraoperative2
- Notwithstanding longer operative times, RP seems to have a slighter intraoperative complication rate with earlier postoperative recovery when compared with TP. (unipg.it)
- 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)
Shorter1
- The single‐layer suture technique was associated with shorter operating and ischaemia time than the double‐layer technique. (bjuinternational.com)
Median1
- The median operative time, WIT, and blood loss were 173 (range 45-546) min, 21 (range 0-55) min, and 150 (range 50-3500) ml, respectively. (henryford.com)
Abstract1
- 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)
Operative times1
- There was no difference between the two groups regarding operative times ( p = 0.58), estimated blood loss ( p = 0.76), or conversion rates ( p = 0.84). (soton.ac.uk)
Warm2
- The RPN group had significantly less warm ischaemic time than the LPN group ( p = 0.0008). (soton.ac.uk)
- There was no difference regarding postoperative length of hospital stay ( p = 0.37), complications ( p = 0.86), or positive margins ( p = 0.93).Conclusions: in early experience, RPN appears to be a feasible and safe alternative to its laparoscopic counterpart with decreased warm ischaemia times noted. (soton.ac.uk)
Blood1
- Barbed suture had lower operating and ischaemia time and less blood loss than non‐barbed suture. (bjuinternational.com)
Surgery1
- 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)
Open1
- 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)
Greater3
- 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)
- Contex: centres worldwide have been performing partial nephrectomies laparoscopically for greater than a decade. (soton.ac.uk)
- Therefore, the significance of LDKT for overcoming prolonged cold ischemia time (CIT) is greater than in other South Korean provinces. (ekjt.org)
Model2
- A mode control model of counting and timing processes. (scienceopen.com)
- In the present work, a hypoxia/reoxygenation (H/R) model in NRK-52E cells and ischemia-reperfusion model in rats were used. (mdpi.com)
Treatment1
- Treatment led to an initial partial response followed by stable disease for 6 months. (biomedcentral.com)
Experience1
- Multicenter experience with nonischemic multiport laparoscopic and laparoendoscopic single-site partial nephrectomy utilizing bipolar radiofrequency ablation coagulator. (ac.ir)
Management1
- Although management of these injuries has evolved over time, it is not yet standardized in children. (medscape.com)
Visit2
- If you log out, you will be required to enter your username and password the next time you visit. (medscape.com)
- We offer convenient office visit scheduling as well as minimal wait times. (insighthack.com)
Found1
- After three weeks I found myself bounding up stairs two-at-a-time again - and now … I am almost back to normal, with only an occasional twinge to remind me of my wound. (adjb.net)