Waterjet dissection for partial nephrectomy without hilar clamping in a porcine model

Autor: Zhenli Gao, Luxin Yu, Chun-hua Lin, Shengqiang Yu, Xizhi Sun, Chang-ping Men, Diandong Yang
Rok vydání: 2014
Předmět:
Zdroj: International surgery. 99(5)
ISSN: 2520-2456
Popis: Hilar clamping is typically used in partial nephrectomy to control hemorrhage, which may damage the renal tissue under warm ischemia conditions. The purpose of this study was to evaluate waterjet technology in partial nephrectomy without renal hilar vascular control in a porcine model. Bilateral partial nephrectomy using waterjet was performed in 8 pigs (16 kidneys: 8 for wedge resections, 8 for pole resections). The operations were performed successfully in all animals. The mean dissection time was 30.6 ± 2.9 minutes for pole resections and 36.5 ± 3.5 minutes for wedge resections. The mean blood loss was 51.6 ± 11.7 mL for pole resections and 38.7 ± 9.2 mL for wedge resections. The novel waterjet technique provided precise and effective hydrodissection of the kidney, avoiding damage to the vascular structures or collecting system.
Databáze: OpenAIRE