Laparoscopic Partial Nephrectomy

Use of hemostatic agents for surgical bleeding in laparoscopic partial nephrectomy: Biomaterials perspective

“…Firstly, the surgery is prepared after a global examination of the general health status of the patient and a comprehensive study of the tumor, through imaging techniques such as computed tomography (CT) and/or magnetic resonance imaging. In this manner, a comprehensive and personalized treatment plan is delineated, and the details of the surgery are rigorously prepared and predicted (Al‐Kandari, Brandina, Stein, et al, 2018; Haber & Gill, 2006a; Klatte et al, 2015; Zhao, Leavitt, Richstone, & Kavoussi, 2018). Depending on the tumor location in the organ and the complexity of its removal, LPN can be done transperitoneally or retroperitoneoscopically (Figure 2; Haber & Gill, 2006a; Zhao et al, 2018).…”

“…LPN is a distinct therapy due to its obvious advantages, both for the surgeon and for the patient, including short periods of hospitalization (i.e., reducing the hospital costs), decreased surgical site pain, lower morbidity, positive renal function outcomes, and long‐termcancer‐specific results, and more rapid recovery (Allaf et al, 2004; Aron & Gill, 2007; Gills et al, 2003; Haber & Gill, 2006a; Zhao et al, 2018). Allaf and coworkers published an interesting work addressing the long‐term cancer‐specific outcomes of a renal tumor removal through LPN (Allaf et al, 2004).…”

“…With these and many other promissory results, various techniques and instruments have been adapted from OPN to LPN, broadening its applicability in RCC cases (Gholami, Shekarriz, Rudnick, Duh, & Stoller, 2001; Klingler et al, 2006; Mascagni, Gossetti, Negro, Daffiná, & Catarci, 1995). At the beginning, LPN was limited to patients with superficial, solitary, small, and exophytic tumors, but the advancements of laparoscopic surgery in recent years fostered the expansion of this technique to more complicated cases such as larger, central, hilar, and infiltrating tumors (Haber & Gill, 2006a; Zhao et al, 2018). Consequently, despite the undeniable impact in the patient's quality of life, the quality of healthcare, and contribution to the progress of cancer treatment options, this evolution also leads to an increased technical difficulty, and, subsequently, an increase in the occurrence of associated surgical complications (Aron & Gill, 2007; Haber & Gill, 2006b; Pruthi et al, 2004).…”

Local recurrences after laparoscopic resections for renal parenchymal cancer

“…Общемировой тенденцией последних десятилетий стало выполнение лапароскопических резекций почки (ЛРП) и робот-ассистированных вмешательств при на-личии опухолевого поражения, как моно-, так и била-терального [4][5][6], в результате чего опухоль удаляется полностью в отсутствие положительного хирургиче-ского края с максимально возможным сохранением почечной паренхимы. Выполнение ЛРП у пациентов со стадией Т1b и выше в некоторых случаях сопряжено с риском возникновения положительного хирургиче-ского края и возможным увеличением числа больных с местным рецидивом рака почки.…”