Bolsterless Laparoscopic Partial Nephrectomy: A Simplification of the Technique

Simforoosh, Nasser; Noor-Alizadeh, Akbar; Tabibi, Ali; Soleimani, Mohammad; Basiri, Abbas; Ziaee, Seyed Amir Mohsen; Radfar, Mohammad Hadi; Aminsharifi, Alireza

doi:10.1089/end.2008.0589

Cited by 14 publications

(7 citation statements)

References 33 publications

(46 reference statements)

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“…Knotless techniques using self-locking clips 7 , 8 and barbed self-retaining suture 9 , 10 have been introduced and popularized in most institutions to avoid knot-tying during laparoscopy and thus simplify the procedure. Sutureless techniques using hemostatic agents and modalities 11 – 13 have also been developed to avoid suturing during laparoscopy. To our knowledge, however, this is the first large-volume study to compare the safety and oncological efficacy of a sutureless technique versus a barbed suture technique.…”

Section: Introductionmentioning

confidence: 99%

Knotless retroperitoneoscopic nephron-sparing surgery for small renal masses: Comparison of bipolar sutureless technique and barbed suture technique

Zhang

Tian

et al. 2018

J Int Med Res

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ObjectiveLaparoscopic knot-tying and suturing are the most difficult steps in shortening the warm ischemia time and learning curve of laparoscopic nephron-sparing surgery. This study was performed to demonstrate the safety, oncological efficacy, and technical tips of sutureless retroperitoneal laparoscopic nephron-sparing surgery (RPNSS).MethodsThis retrospective study included 78 cases of RPNSS using a sutureless technique and 126 cases of RPNSS using a single-layer barbed self-retaining suture technique performed from December 2012 to December 2016.ResultsThe mean warm ischemia time was significantly shorter in the sutureless technique group than in the barbed self-retaining suture technique group (6.8 vs. 21.1 minutes, respectively). There was no significant difference in the mean age, body mass index, R.E.N.A.L. Nephrometry score, operative time, maximal tumor diameter, intraparenchymal depth, blood loss, operative time, transfusion rate, complication rate, or postoperative hospital stay between the two groups. No open conversion was needed. No positive margins or local recurrence were observed during follow-up.ConclusionsThe sutureless technique was proven to be safe and oncologically effective and may allow novice laparoscopic surgeons to easily and quickly master RPNSS, a technically difficult procedure.

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Section: Introductionmentioning

confidence: 99%

Knotless retroperitoneoscopic nephron-sparing surgery for small renal masses: Comparison of bipolar sutureless technique and barbed suture technique

Zhang

Tian

et al. 2018

J Int Med Res

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“…LPN was performed transperitoneally using four ports on the left side and five ports in the right side. An identical surgical technique described previously [13] was applied in all patients. After colon mobilization, renal artery and vein were dissected off the surrounding tissue.…”

Section: Methodsmentioning

confidence: 99%

Laparoscopic partial nephrectomy for tumours >4 cm compared with smaller tumours: perioperative results

et al. 2010

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“…Обязательным условием их наложения является за-хват в шов почечной капсулы, так как во всех других вариантах происходит прорезывание шва. Существует несколько вариантов узловых швов на почку: простой узловой шов [11], вертикальный и горизонтальный П-образные швы, U-образный шов, двойной узловой шов и некоторые другие [9,10].…”

Section: лигатурные методикиunclassified

“…N. Simforoosh и соавт. [11] у 33 пациентов с резекцией почки для гемостаза при-менили узловые однорядные швы, а в качестве прокладки ис-пользовали гемостатические клипсы. Осложнений в ближайшем послеоперационном периоде не было, и данная методика была рекомендована для широкого применения.…”

Section: лигатурные методикиunclassified

Hemostatic techniques for kidney resection

Safronova¹,

Krasheninnikov²,

Сергиенко³

et al. 2016

Onkol. Z. im. P.A. Gercena

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renal cell carcinoma is an urgent problem in urologic oncology practice. The wide use of radiodiagnostic methods has increased the detection rate of small localized tumors, leading to an increase in the number of patients, for whom organ-sparing surgery is indicated. Kidney resection is the most common, effective, and relatively safe treatment option in this contingent of patients. At the same time, kidney resection is related to the need for hemostasis during operations on the actively vascularized organ. Thus, adequate hemostasis is the most important surgical stage during kidney resection. hemostatic procedures are diverse and include different mechanical, physical, and chemical exposures of the vascularized parenchyma of the organ. The literature covering different hemostatic techniques during kidney resection are reviewed. The results of large-scale studies assessing different hemostatic procedures are given.

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Bolsterless Laparoscopic Partial Nephrectomy: A Simplification of the Technique

Abstract: LPN could be accomplished safely without the use of bolster. Such an approach could help simplify the procedure and consequently popularize it among urologists.

Cited by 14 publications

References 33 publications

Knotless retroperitoneoscopic nephron-sparing surgery for small renal masses: Comparison of bipolar sutureless technique and barbed suture technique

Knotless retroperitoneoscopic nephron-sparing surgery for small renal masses: Comparison of bipolar sutureless technique and barbed suture technique

Laparoscopic partial nephrectomy for tumours >4 cm compared with smaller tumours: perioperative results

Hemostatic techniques for kidney resection

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