Open AccessFully perfused laparoscopic partial nephrectomy: surgical technique and outcomes
Author(s) -
Satit Siriboonrid,
Nattapong Binsri,
Sarayuth Karnchanatarayont,
Poonkiat Reungpoca
Publication year - 2020
Publication title -
insight urology
Language(s) - English
Resource type - Journals
ISSN - 2730-3217
DOI - 10.52786/a.12
Subject(s) - medicine , nephrectomy , creatinine , clamp , surgery , urology , blood loss , laparoscopy , kidney , ischemia , mechanical engineering , clamping , engineering
Objective: To present a surgical technique and outcome of fully perfused laparoscopic partial nephrectomy (LPN).Material and Method: Fifteen patients underwent fully perfused LPN between January 2014 and January 2018 for renal masses. We studied a subgroup of patients who underwent fully perfused LPN (non-clamp). Our technique was utilized for exophytic, non-hilar masses that had a diameter of less than 2 cm. We developed our technique to avoid ischemia reperfusion renal injury while minimizing bleeding.Results: We reviewed 15 cases of fully perfused LPN. Utilizing a non-clamp procedure resulted in an average blood loss of 100 ml, 2 days of hospital stay, and minimal change in serum creatinine.Conclusion: Fully perfused LPN is a feasible procedure for the treatment of renal masses. Benefits of this procedure are its minimal invasiveness and prevention of ischemic reperfusion kidney injury.