Laparoscopic Partial Nephrectomy with “On-Demand” Clamping Reduces Warm Ischemia Time

Bollens, Renaud; Rosenblatt, Alberto; Espinoza, Baldo P.; Groote, Anne De; Quackels, Thierry; Roumeguère, Thierry; Bossche, Marc Vanden; Wespes, Eric; Zlotta, Alexandre R.; Schulman, Claude

doi:10.1016/j.eururo.2007.04.011

Cited by 85 publications

(44 citation statements)

References 28 publications

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“…[62][63][64][65] The safe recommended threshold for WIT is traditionally considered to be 30 minutes; however, some have shown that WIT of less than 20 minutes has no clinically relevant adverse outcomes. 66 Multiple retrospective studies have examined the impact of warm ischemia on postoperative renal function, often with conflicting results.…”

Section: A Note On Warm Ischemia During Lpnmentioning

confidence: 99%

Laparoscopic partial nephrectomy: state of the art review

Faiena¹,

Han²,

Olweny³

2014

OAS

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Introduction:The surgical management of small renal masses (,4 cm) has greatly evolved over the last few decades, with the paradigm shifting from radical to partial nephrectomy. Laparoscopic partial nephrectomy (LPN) is increasingly utilized, and has achieved similar outcomes to open partial nephrectomy with decreased patient morbidity in experienced hands. The aim of this review was to examine the current status and future direction of LPN. Materials and methods:We performed a nonsystematic review of the literature using a free-text protocol in the PubMed database, using the terms "laparoscopic partial nephrectomy", "robotassisted partial nephrectomy", "robotic partial nephrectomy", and "laparoscopic partial nephrectomy oncologic and functional outcomes". Only English language articles were selected. Evidence synthesis: Our search results yielded 1,136. Three authors reviewed the results, and articles with information on patient and tumor selection, surgical techniques, and oncologic and functional outcomes were included. With regard to outcomes, only series with the largest cohorts and longest follow-up were selected. Conclusion: LPN has evolved rapidly over the past 2 decades, and advances in technique as well as innovations in surgical technologies have facilitated its increased adoption in urologic practice. However, limitations remain, such as inadequacy of techniques to achieve cold ischemia laparoscopically, high technical demands of intracorporeal suturing, and limited ability to assess surgical anatomy beyond the field of view. These comprise goals of research aimed at improving future surgical precision and outcomes, while further decreasing the invasiveness of LPN.

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Section: A Note On Warm Ischemia During Lpnmentioning

confidence: 99%

Laparoscopic partial nephrectomy: state of the art review

Faiena¹,

Han²,

Olweny³

2014

OAS

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“…With regards to oncologic outcomes when compared with OPN, LPN has proven to have equivalent 5 year outcomes for T1a lesions in numerous single institution and multiinstitutional studies (Porpiglia et al 2005;Permpongkosol et al 2006;Bollens et al 2007;Gill et al 2007;Lane and Gill 2007;Marszalek et al 2009;Simmons et al 2009). Rassweiler and colleagues reported a local recurrence rate of 1.41% among all the urologic malignancies treated in 1098 patients who underwent mixed urologic laparoscopic procedures over a ten year period with a median follow-up of 5 years (Rassweiler et al 2003).…”

Section: Wwwintechopencommentioning

confidence: 99%

Partial Nephrectomy for the Treatment of Renal Masses: Oncologically Sound and Functionally Prudent

Singer¹,

Gupta²,

Bratslavsky³

2011

Renal Cell Carcinoma

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“…En las publicaciones má s recientes sobre NPL, se describen un 0-1,7% de recurrencias locales, con una frecuencia de má rgenes positivos del 2,4% (1,6-2,9%) [6][7][8] . El significado de la existencia de dichos má rgenes, o la duda de sobre su existencia tiene una repercusió n incierta.…”

Section: Discusió Nunclassified

“…El las series de NPL publicadas se observa un porcentaje mayor de lesiones de cará cter benigno (26-45,6%) 6,9,10 si lo comparamos con lo publicado a cerca de la NP abierta. En nuestra serie, el porcentaje de lesiones que a la postre presenta un cará cter benigno (40%) es similar a lo publicado en las principales series de NPL (26-45,6%) 6,9,10 . No hemos realizado aun un seguimiento lo suficientemente largo como para aportar datos de supervivencia cá ncer específica.…”

Section: Discusió Nunclassified