Off-clamp robotic-assisted partial nephrectomy

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Off-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...

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Editorial 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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Robot-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...

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Off-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...

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Robotic partial nephrectomy with selective parenchymal compression (Simon clamp).

OBJECTIVE To present our initial experience using selective renal parenchymal ischemia, without hilar clamping, in robotic-assisted partial nephrectomy. MATERIAL AND METHODS In four patients with T1a renal tumor we performed robotic-assisted partial nephrectomy, using the Simon's clamp (Aesculap). It provides selective parenchymal compression without the need of vascular clamping. All patient...

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ژورنال

عنوان ژورنال: International braz j urol

سال: 2016

ISSN: 1677-5538

DOI: 10.1590/s1677-5538.ibju.2015.0386