Multicenter Experience with Nonischemic Multiport Laparoscopic and Laparoendoscopic Single-Site Partial Nephrectomy Utilizing Bipolar Radiofrequency Ablation Coagulator
Autor: | Mohamad E. Allaf, Sijo J. Parekattil, Ithaar Derweesh, Jared Berkowitz, Wassim M. Bazzi, Hany Atalah |
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Jazyk: | angličtina |
Rok vydání: | 2011 |
Předmět: |
medicine.medical_specialty
lcsh:Medical technology Tumor size Article Subject business.industry medicine.medical_treatment Renal function Perioperative Ablation Nephrectomy Surgery Tumor excision lcsh:R855-855.5 Single site medicine Clinical Study Radiology Nuclear Medicine and imaging Bipolar radiofrequency business |
Zdroj: | Diagnostic and Therapeutic Endoscopy Diagnostic and Therapeutic Endoscopy, Vol 2011 (2011) |
ISSN: | 1029-0516 1070-3608 |
Popis: | Objective. To investigate feasibility of multiport and laparoendoscopic single-site (LESS) nonischemic laparoscopic partial nephrectomy (NI-LPN) utilizing bipolar radiofrequency coagulator. Methods. Multicenter retrospective review of 60 patients (46 multiport/14 LESS) undergoing NI-LPN between 4/2006 and 9/2009. Multiport and LESS NI-LPN utilized Habib 4X bipolar radiofrequency coagulator to form a hemostatic zone followed by nonischemic tumor excision and renorrhaphy. Demographics, tumor/perioperative characteristics, and outcomes were analyzed. Results. 59/60 (98.3%) successfully underwent NI-LPN. Mean tumor size was 2.35 cm. Mean operative time was 160.0 minutes. Mean estimated blood loss was 131.4 mL. Preoperative/postoperative creatinine (mg/dL) was 1.02/1.07 (). All had negative margins. 12 (20%) patients developed complications. 3 (5%) developed urine leaks. No differences between multiport and LESS-PN were noted as regards demographics, tumor size, outcomes, and complications. Conclusion. Initial experience demonstrates that nonischemic multiport and LESS-PN is safe and efficacious, with excellent short-term preservation of renal function. Long-term data are needed to confirm oncological efficacy. |
Databáze: | OpenAIRE |
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