SELECTIVE PARENCHYMA CLAMPING TECHNIQUE AS AN ALTERNATIVE TO TRADITIONAL VASCULAR CLAMPING DURING PARTIAL NEPHRECTOMY

Partial clamping of the renal artery during robot-assisted laparoscopic partial nephrectomy: technique and initial outcomes.

PURPOSE We describe the feasibility of partial arterial clamping (PAC) during robot-assisted partial nephrectomy (RAPN). PATIENTS AND METHODS We undertook a retrospective study of five patients who underwent PAC vs 17 who underwent complete hilar clamping (CHC). Estimated blood loss (EBL), transfusion rate, operative/console time, warm ischemia time (WIT), pathology, and postoperative glomeru...

Laparoscopic partial nephrectomy with selective polar clamping using the simon clamp: initial experience.

OBJECTIVE To report our initial experience in 3 cases of laparoscopic partial nephrectomy with selective parenchymal clamping using a novel laparoscopic clamp. METHODS A total of 3 laparoscopic partial nephrectomies were performed using the Simon clamp (Aesculap). Mean patient age was 67 years (range 60 to 74 years), two patients were males. All patients had an ASA score of 2. Mean tumor size...

Impact of “non-clamping technique” on intra- and postoperative course after laparoscopic partial nephrectomy

INTRODUCTION The use of kidney warm ischaemia during laparoscopic partial nephrectomy (LPN) may lead to damage of renal vessels and kidney failure. Laparoscopic partial nephrectomy done without clamping the renal pedicle is feasible and may be beneficial for the postoperative course. AIM To compare intra- and postoperative course in patients undergoing LPN with and without kidney warm ischaem...

Laparoscopic Partial Nephrectomy by Diode Laser with Highly Selective Clamping of Segmental Renal Arterial

Using a Harmonic Scalpel “Drilling and Clamping” Method to Implement Zero Ischemic Robotic-assisted Partial Nephrectomy

Robot-assisted partial nephrectomy (RAPN) has gradually become a popular minimally invasive nephron-sparing surgical option for small renal tumors. Ischemic injury should be minimized because it impacts renal function outcomes following partial nephrectomy. Herein, the authors detail the technique and present initial perioperative outcomes of our novel harmonic scalpel "drilling and clamping" m...