scholarly journals Minimally invasive treatment of complications after laparoscopic partial nephrectomy in solitary kidney

2019 ◽  
Vol 8 (4) ◽  
pp. 37-40
Author(s):  
Zaur K. Emirgaev ◽  
Oleg A. Bogomolov ◽  
Mikhail I. Shkolnik ◽  
Denis G. Prokhorov ◽  
Aleksej S. Polehin
Keyword(s):  
Minimally Invasive ◽  
Partial Nephrectomy ◽  
Solitary Kidney ◽  
Laparoscopic Partial Nephrectomy ◽  
Urine Excretion ◽  
Invasive Treatment ◽  
Selective Embolization ◽  
Clinical Observations ◽  
Segmental Renal Artery ◽  
Retroperitoneal Drainage

Clinical observations were made regarding the effectiveness of minimally invasive interventions in the treatment of complications after laparoscopic partial nephrectomy in solitary kidney, due to the presence of a tumor. On the first day after the operation, abundant bleeding from the stump of the superior segmental renal artery was noted; this was stopped by selective embolization. On the 7th day after the operation, a urinary fistula was revealed, which developed because of violation of the integrity of the pyelocaliceal kidney system. After stenting of the kidney was performed, urine excretion in the retroperitoneal drainage was stopped.

Robotic versus laparoscopic partial nephrectomy for tumor in a solitary kidney: A single institution comparative analysis

2012 ◽  
Vol 20 (5) ◽  
pp. 484-491 ◽  
Author(s):  
Kamol Panumatrassamee ◽  
Riccardo Autorino ◽  
Humberto Laydner ◽  
Shahab Hillyer ◽  
Ali Khalifeh ◽  
...  
Keyword(s):  
Comparative Analysis ◽  
Partial Nephrectomy ◽  
Solitary Kidney ◽  
Laparoscopic Partial Nephrectomy ◽  
Single Institution

Laparoscopic partial nephrectomy and minimally invasive nephronsparing surgery

2003 ◽  
Vol 4 (1) ◽  
pp. 13-20 ◽  
Author(s):  
Michael W. Phelan ◽  
Kent T. Perry ◽  
John Gore ◽  
Peter G. Schulam
Keyword(s):  
Minimally Invasive ◽  
Partial Nephrectomy ◽  
Laparoscopic Partial Nephrectomy

Laparoscopic Partial Nephrectomy in a Solitary Kidney

2009 ◽  
Vol 50 (5) ◽  
pp. 463
Author(s):  
Jea Whan Lee ◽  
Taek Lim ◽  
Ill Young Seo ◽  
Joung Sik Rim
Keyword(s):  
Partial Nephrectomy ◽  
Solitary Kidney ◽  
Laparoscopic Partial Nephrectomy

scholarly journals Guidelines of the Italian Society of Videosurgery in Infancy for the minimally invasive treatment of pediatric nephrectomy and partial nephrectomy

2019 ◽  
Vol 41 (2) ◽  
Author(s):  
Salvatore Fabio Chiarenza ◽  
Cosimo Bleve ◽  
Ciro Esposito ◽  
Maria Escolino ◽  
Fabio Beretta ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Partial Nephrectomy ◽  
Italian Society ◽  
Laparoscopic Nephrectomy ◽  
Minimally Invasive Treatment ◽  
Invasive Treatment

Throughout history, the pediatric laparoscopic nephrectomy was first described at the beginning of the Nineties by Erlich and colleagues in a child and by Koyle and colleagues in an unweaned patient. (...)

scholarly journals Safety and efficacy of retroperitoneal sutureless zero ischemia laparoscopic partial nephrectomy for low nephrometry score masses

2019 ◽  
Vol 91 (3) ◽  
Author(s):  
Emanuele Corongiu ◽  
Pietro Grande ◽  
Angelo Di Santo ◽  
Giorgio Pagliarella ◽  
Stefano Squillacciotti ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Intraoperative Complications ◽  
Functional Results ◽  
Laparoscopic Partial Nephrectomy ◽  
Tumor Diameter ◽  
Selective Embolization ◽  
Renal Masses ◽  
Nephrometry Score ◽  
Estimated Blood Loss ◽  
Zero Ischemia

Objectives: To evaluate oncological feasibility and oncological and functional results of retroperitoneal sutureless zero ischemia laparoscopic partial nephrectomy (LPN). Patients and methods: Patients with posterior renal masses with low nephrometry score (RENAL ≤ 7) treated who underwent retroperitoneal sutureless zero ischemia.in a single center from January 2016 to November 2017. Clinical, surgical and pathological data were prospectively collected. Complications were reported according to the modified Clavien classification. Results: Retroperitoneal sutureless zero ischemia laparoscopic partial nephrectomy was performed on 15 patients. The indication for nephron-sparing surgery was elective in 11 (73%) patients and imperative in 4 (27%). Median RENAL score was 5 (IQR: 5-7), median tumor diameter 25 mm (IQR: 20-35). In 11 cases, the tumor was located polar (85%), and in 2 cases hilar (15%). There were no intraoperative complications. No cases were converted to radical nephrectomy, and in no case parenchyma suture was necessary. Median operative time was 90 min (IQR:40-150), in no case clamping of the renal artery was necessary, median hospital stay was 4 days, median estimated blood loss (EBL) was 310 (180-500) ml. Pathological analysis showed renal cell carcinoma in 11 patients (85%), 9 (60%) staged T1a and 2 (13%) T1b. In 4 (27%) an oncocytoma was found. There were no positive surgical margins. One patient developed a major postoperative complication (postoperative renal bleeding requiring super-selective embolization). Trifecta rate was 93%. Conclusions: Sutureless retroperitoneal zero ischemia LPN for the treatment of low-complexity posterior renal masses showed to be safe and feasible. Longer follow-up and higher numbers of patients are, however, warranted to draw definitive conclusions on functional outcomes.

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