Exploring the Role of Intracorporeal Ultrasound in Partial Nephrectomies: A Systematic Review.

Autor:	Mohsin MS; Department of Urology, University Hospitals Birmingham, Birmingham, GBR., Jess R; Department of Urology, University Hospitals Birmingham, Birmingham, GBR., Abdulrasheed H; Department of Urology, University Hospitals Birmingham, Birmingham, GBR., Almedej H; Department of Urology, University Hospitals Birmingham, Birmingham, GBR., Osman B; Department of Urology, University Hospitals Birmingham, Birmingham, GBR., Gaballa N; Department of Urology, University Hospitals Birmingham, Birmingham, GBR., Chandrasekharan S; Department of Urology, University Hospitals Birmingham, Birmingham, GBR.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Nov 08; Vol. 16 (11), pp. e73293. Date of Electronic Publication: 2024 Nov 08 (Print Publication: 2024).
DOI:	10.7759/cureus.73293
Abstrakt:	Renal cell carcinoma accounts for the sixth most common cancer in the United Kingdom. With the increasing application of cross-sectional imaging, the frequency of incidental renal masses has increased over time. Laparoscopic and robot-assisted partial nephrectomy has become the standard of care in the management of size and stage-appropriate renal masses. The objective of this systematic review was to analyse the surgical outcomes when intracorporeal ultrasound was utilised as an adjunct in partial nephrectomy. A comprehensive search in PubMed and Google Scholar was performed in July 2024 for publications in the English language. The primary endpoint was to evaluate the role of intracorporeal ultrasound as an adjunct in robotic partial nephrectomies and its impact on tumour clearance. After identifying 609 records, 52 records were screened and 44 records were sought for retrieval. Eight publications were included in this systematic review comprising 765 patients. Seven of the eight studies reported outcomes from single centres. The mean percentage of negative surgical margins was 97.6% (range = 92.1-100%). The use of intracorporeal ultrasound as an adjunct in partial nephrectomy for T1 renal cell cancer has proven to improve the rates of negative surgical margins thereby reducing the incidence of local recurrence and distant metastasis. Competing Interests: Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Mohsin et al.)
Databáze:	MEDLINE
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