• The adoption of robotic assistance has contributed to the increased utilization of partial nephrectomy for the management of renal tumors. (biomedcentral.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)
  • 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)
  • 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)
  • 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)
  • 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)
  • Harvesting of the left-sided renal unit was performed with the patient in left-side up modified flank position with robotic ports in similar arrangement to robotic partial nephrectomy. (auanet.org)
  • I use laparoscopy with robotic assistance for most stage I tumors, which I treat with partial nephrectomy, while I use laparoscopy with or without robotic assistance whenever possible to remove large kidney tumors in stages 2 or 3. (utswmed.org)
  • This reduces the risk of leaving any part of the tumor behind and increases the amount of healthy kidney tissue I can leave in place for patients who are undergoing partial nephrectomy. (utswmed.org)
  • During partial nephrectomy, there is a period of no blood flow to the kidney during the procedure, and there's a chance of the patient developing chronic kidney disease if the kidney is cut off from its blood supply for too long. (utswmed.org)
  • Now we can use robotic surgery to remove just the part of the kidney with the tumor through a procedure called a partial nephrectomy. (utswmed.org)
  • Robot-assisted partial nephrectomy: current status, techniques, and future directions. (wakehealth.edu)
  • Does nephrometry scoring of renal tumors predict outcomes in patients selected for robot-assisted partial nephrectomy? (wakehealth.edu)
  • Near-infrared fluorescence imaging to facilitate super-selective arterial clamping during zero-ischaemia robotic partial nephrectomy. (wakehealth.edu)
  • Does infrared imaging improve partial nephrectomy for renal cell carcinoma? (wakehealth.edu)
  • Comparison of clamping technique in robotic partial nephrectomy: does unclamped partial nephrectomy improve perioperative outcomes and renal function? (wakehealth.edu)
  • Does experience in creating a robot-assisted partial nephrectomy (RAPN) programme in an academic centre impact outcomes or complication rate? (wakehealth.edu)
  • Indocyanine green cannot predict malignancy in partial nephrectomy: histopathologic correlation with fluorescence pattern in 100 patients. (wakehealth.edu)
  • Robotic and laparoscopic partial nephrectomy for T1b tumors. (wakehealth.edu)
  • Do statin medications impact renal functional or oncologic outcomes for robot-assisted partial nephrectomy? (wakehealth.edu)
  • 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)
  • 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)
  • 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)
  • 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)
  • Reevaluating Warm Ischemia Time as a Predictor of Renal Function Outcomes After Robotic Partial Nephrectomy. (wakehealth.edu)
  • If bleeding is encountered during resection, management is based on whether the bleeding is suspected to be arterial or from venous backbleeding. (biomedcentral.com)
  • Operative maneuvers that may increase the chance of success are highlighted in safety checklists for arterial and venous bleeding. (biomedcentral.com)
  • Allograft renal artery thrombosis, venous thrombosis, and arterial pseudo-aneurysms were encountered in 3, 2 and 4 recipients respectively. (lidsen.com)
  • If the chest is to be studied, images are obtained in the arterial phase of contrast enhancement, followed by a pause sufficiently long to image the abdomen and pelvis in the late arterial or early portal venous phase. (radiologykey.com)
  • Arterial and central venous pressure lines were placed, and volume resuscitation was continued. (silverchair.com)
  • VAC's scope of practice includes complete dialysis access maintenance services, limb salvage, venous and arterial disease treatment, and other related work. (insighthack.com)
  • Since that time, the authors have performed a total of over 1500 robotic partial nephrectomies. (biomedcentral.com)
  • Prior to robotic surgery, when tumors were completely within the kidney, doctors had to remove the entire kidney through a procedure called a radical nephrectomy. (utswmed.org)
  • A prospective comparison of laparoscopic and robotic radical nephrectomy for T1-2N0M0 renal cell carcinoma. (wakehealth.edu)
  • Extracted information included demographic characteristics, side of open donor nephrectomy (ODN), recipient anatomy, surgical techniques and postoperative outcomes. (lidsen.com)
  • Therapeutic Living Donor Nephrectomy For Proximal Ureteral Pathology: A Longitudinal Case Series. (ucsf.edu)
  • Purpose: To assess efficacy, complications and long-term outcome of selective arterial embolization (SAE) for treatment of symptomatic giant angiomyolipoma larger than 10 cm. (sagepub.com)
  • Comparative Analysis of Renal Functional Outcomes and Overall Survival of Elderly vs Nonelderly Patients Undergoing Radical Nephrectomy. (wakehealth.edu)
  • Oncologic outcome of 132 cases of laparoscopic radical nephrectomy with intact specimen removal for T1-2N0M0 renal cell carcinoma. (wakehealth.edu)
  • The main variable is the type of management, conservative (embolization) or interventional through nephrectomy. (bvsalud.org)
  • The number of patients treated by embolization has increased, while the number of complications and nephrectomies has decreased. (bvsalud.org)
  • In this report, we describe a case of a patient with a retroperitoneal leiomyoma requiring preoperative arterial embolization. (biomedcentral.com)
  • Significant peri-operative hemorrhage necessitating blood transfusion was experienced in 9 donors and 26 recipients. (lidsen.com)
  • Intracorporeal cold ischemia was achieved with intra-arterial irrigation of Wisconsin fluid and ice slush hypothermia performed with the use of a laparoscopic specimen bag without extracting the organ from the body. (auanet.org)
  • Following surgery, she received systemic chemotherapy combined with local intra arterial chemotherapy. (doctorsmedicalopinion.com)
  • 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)
  • Se realizó radiografía de tórax (patológica), laboratorio con aumen- to moderado de reactantes de fase aguda, PPD (negativa), esputos x 3 con bacilosco- pias negativas y tomografía de tórax con contraste i.v. que mostró imágenes de árbol en brote en todos los lóbulos y una imagen de dilatación vascular de una rama de la ar- teria pulmonar en lóbulo superior izquierdo. (bvsalud.org)
  • Surgical repair of vascular injuries is rarely successful and nephrectomy is a safer choice [6]. (ugeskriftet.dk)
  • Fibromuscular Dysplasia Fibromuscular dysplasia includes a heterogenous group of nonatherosclerotic, noninflammatory arterial changes, causing some degree of vascular stenosis, occlusion, or aneurysm. (msdmanuals.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)
  • A single institution experience of 141 cases of laparoscopic radical nephrectomy with cost-reductive measures. (wakehealth.edu)
  • Does Sarcopenia Impact Complications and Overall Survival in Patients Undergoing Radical Nephrectomy for Stage III and IV Kidney Cancer? (wakehealth.edu)
  • Similarly, the incidence of VTE in patients undergoing nephrectomy for malignancy was 2.0% compared with a value of 0.4% in noncancer patients. (mirnainhibitor.com)
  • The patient underwent renal Doppler ultrasound immediately after surgery and on the first post-operative day with good results and demonstrable renal viability. (auanet.org)
  • He was discharged home on the third post-operative day. (auanet.org)
  • Limited data has suggested that use of post-operative antibiotics following drainage of anorectal abscess may lower the risk of fistula formation . (teachmesurgery.com)
  • Operative technique involves intraperitoneal insufflation of CO 2 through a needle inserted into the abdomen via a small infraumbilical incision until intra-abdominal pressure reaches 12 to 15 mm Hg. (unboundmedicine.com)
  • A history of trauma to the back or flank or acute pain in this region with or without hematuria suggests renovascular hypertension (possibly due to arterial injury), but these findings are rare. (msdmanuals.com)
  • Purpose: To summarize the common pathological types of ureters and their clinical characteristics, which increase operative difficulties and risks during rigid ureteroscopic procedures. (sagepub.com)
  • All patients were managed non-operatively, although one patient underwent a nephrectomy at a later state due to a chronic infection. (ugeskriftet.dk)
  • Nephrectomy occurred in 41% of the patients, and 43.75% died because of a heart attack. (brieflands.com)
  • We specialize in amputation prevention and limb salvage for patients who suffer from peripheral arterial disease (PAD). (insighthack.com)
  • Anne Lejay, Nabil Chakfé, François Danion operative Candida albicans infection diagnosed on periprosthetic collection puncture and treated with Author affiliations: University Hospital of Strasbourg, Strasbourg, caspofungin on day 10. (cdc.gov)
  • Monopolar coagulation with wire electrode and insertion of a double-J-stent was performed during operative cystoscopy. (hindawi.com)
  • The results of the operative exploration were similar to the scan findings. (biomedcentral.com)
  • Background: To assess two different operative techniques in hypospadias with special emphasis on urinary flow with the help of uroflowmetry. (sagepub.com)
  • The area of the arterial lumen must be decreased by ≥ 70% and a significant poststenotic gradient must also be present before stenosis is likely to contribute to blood pressure (BP) elevation. (msdmanuals.com)
  • Clinicians must carefully adjust intravascular volume and arterial blood pressure to effectively perfuse the graft, and the time course of volume expansion seems important for adequate hydration. (intechopen.com)
  • Mean operative time was 180.8 min, mean blood loss was 207.7 ml, and mean length of hospital stay was 4.31 days. (vattikutifoundation.com)
  • The left nostril was then packed, and the arterial oxygen saturation again decreased, this time to 89%, and then no pulse wave registered. (silverchair.com)
  • Polypharmacy in the Management of Arterial Hypertension-Friend or Foe? (mdpi.com)