Segmental ischemia and indocyanine green navigation: impact on perioperative parameters in laparoscopic vs. open partial nephrectomy

Autor: R.M. Molchanov, O.O. Honcharuk, G.G. Khareba, O.B. Blyuss, R.V. Duka
Jazyk: English<br />Ukrainian
Rok vydání: 2023
Předmět:
Zdroj: Medičnì Perspektivi, Vol 28, Iss 4, Pp 80-87 (2023)
Druh dokumentu: article
ISSN: 2307-0404
DOI: 10.26641/2307-0404.2023.4.294040
Popis: The aim of this study is to compare perioperative parameters of laparoscopic partial nephrectomy and open partial nephrectomy in renal tumor management, and to evaluate the effect of using novel method of indocyanine green navigation in segmental ischemia on these parameters. The prospective study included 455 patients (89 laparoscopic partial nephrectomies, 366 open partial nephrectomies). Sub-groups (n=39, 32, 18) in Laparoscopic partial nephrectomy employed diverse ischemia techniques, including full warm ischemia, segmental ischemia with indocyanine green navigation and segmental ischemia without navigation. Parameters assessed encompassed estimated blood loss, ope­rative time, warm ischemia time, and changes in estimated glomerular filtration rate. Covariate-balancing propensity scores ensured homogeneity. Statistical analysis included the Wilcoxon signed-rank test, for two matched groups. Two-sided p-values were reported for all statistical tests, a p-value
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