Comparison of Off-Clamp Partial Nephrectomy and On-Clamp Partial Nephrectomy: A Systematic Review and Meta-Analysis
نویسندگان
چکیده
منابع مشابه
Comparison of off-clamp partial nephrectomy and on-clamp partial nephrectomy: a systematic review and meta-analysis.
OBJECTIVE To compare peri- and postoperative variables, surgical complications, oncological outcomes and renal outcomes of off-clamp partial nephrectomy (PN) and on-clamp PN. METHODS A systematic search of the electronic databases, including MEDLINE, Embase and Cochrane Library, was performed. The pooled estimates of tumour size, operative time, estimated blood loss, length of stay, overall c...
متن کاملRobot-assisted partial nephrectomy: off-clamp technique.
Robot-assisted partial nephrectomy (RAPN) has been established as a viable alternative to open and laparoscopic partial nephrectomy for small renal tumors. Multiple variations in surgical technique have been described to reduce warm ischemia time (WIT). We present our off-clamp technique for RAPN. From August 2007 to January 2012, off-clamp RAPN was performed on 47 tumors in 39 patients. WIT wa...
متن کاملOff-clamp robotic-assisted partial nephrectomy
BMI of 32.2±8.3kg/m2. The mean clinical tumor size was 2.9±1.6cm with a mean nephrometry score of 6.9±2.1. There was a mean operative time of 169±61 minutes and a mean estimated blood loss of 242±299mL. Positive surgical margins occurred in 2 cases (1.1%). Average hospital length of stay was 2±1.3 days, and there were 14 (7.5%) postoperative complications. Mean percent decline of eGFR was 6.8±2...
متن کاملOff-clamp robot-assisted partial nephrectomy for complex renal tumors.
BACKGROUND AND PURPOSE Considering the potential impact of warm ischemia time (WIT) on renal functional outcomes after robot-assisted partial nephrectomy (RAPN), many techniques that reduce or eliminate WIT have been studied. We present our institutional experience and progression using one such technique-off-clamp RAPN-as well as the results of this technique in the management of complex cases...
متن کاملEditorial Comment: Off-clamp Robotic-assisted Partial Nephrectomy
In this video the Wright et al. (1) demonstrate their off-clamp technique of robotic-assisted partial nephrectomy (RAPN) and subsequently report the outcomes of a cohort of patients previously treated utilizing this technique. The method of choice for haemostasis in this video is electrocautery with the compression of larger vessels with robotic fourth arms if troublesome bleeding is encountere...
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ژورنال
عنوان ژورنال: Urologia Internationalis
سال: 2014
ISSN: 0042-1138,1423-0399
DOI: 10.1159/000362799