Limit warm ischemia to 25 min during partial nephrectomy

strategies to extend warm ischemia time during laparoscopic partial nephrectomy-part ii

A novel technique to limit renal warm ischaemia time during laparoscopic partial nephrectomy.

Laparoscopic partial nephrectomy (LPN) is now accepted as a minimally invasive treatment option for small favourably located renal tumours [ 1 ] . Renal ischaemia is frequently necessary during both open PN (OPN) and LPN to facilitate tumour dissection and renal reconstruction in a bloodless fi eld. In OPN, this can often be achieved by manual compression, particularly for peripheral tumours. H...

Open Partial Nephrectomy without Ischemia; Case Series

Aims: Renal vascular clamping during partial nephrectomy can lead to renal ischemia and kidney damage due to reperfusion injuries, but a surgical technique without any ischemia can eliminate such unwanted effects on kidney function. The present study aimed to demonstrate the feasibility of partial nephrectomy in conditions where the renal artery is ready to be clamped. Patient Information: In ...

Comparison of the loss of renal function after cold ischemia open partial nephrectomy, warm ischemia laparoscopic partial nephrectomy and laparoscopic partial nephrectomy using microwave coagulation.

PURPOSE Nephron sparing surgery is an effective surgical option in patients with renal cell carcinoma. Laparoscopic partial nephrectomy involves clamping and unclamping techniques of the renal vasculature. This study compared the postoperative renal function of partial nephrectomy using an estimation of the glomerular filtration rate (eGFR) for a Japanese population in 3 procedures; open partia...

Effect of warm ischemia time during laparoscopic partial nephrectomy on early postoperative glomerular filtration rate.

PURPOSE We evaluated the effect of warm ischemia time on early postoperative renal function following laparoscopic partial nephrectomy. MATERIALS AND METHODS Of 453 patients who were surgically treated for renal tumors between May 2001 and September 2007, and who were identified in our database 128 underwent laparoscopic partial nephrectomy. Of these 128 patients 101 who were evaluable had co...