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学科主题: 临床医学
题名:
The Application of "Renal Pedicle Rotation" Method in Retroperitoneal Laparoscopic Partial Nephrectomy for Renal Ventral Tumors
作者: Song, Shiyu; Zhang, Hongxian; Ma, Lulin; Huang, Yi; Zhao, Lei; Wang, Guoliang; Lu, Jian; Zhang, Shudong
刊名: JOURNAL OF ENDOUROLOGY
发表日期: 2015-09-01
DOI: 10.1089/end.2015.0064
卷: 29, 期:9, 页:1038-1043
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Urology & Nephrology
研究领域[WOS]: Urology & Nephrology
关键词[WOS]: NEPHRON-SPARING SURGERY ; 10-YEAR FOLLOW-UP ; CELL CARCINOMA ; OUTCOMES
英文摘要:

Objectives: To present preliminary experience of renal pedicle rotation method in retroperitoneal laparoscopic partial nephrectomy (RLPN) for renal ventral tumors. Methods: A retrospective analysis of renal surgery database about patients undergoing RLPN was conducted. We identified 14 consecutive cases of all the surgeries from December 2013 to October 2014 with renal ventral tumors. The 14 surgeries were all in the application of renal pedicle rotation method, an intraoperative skill in which surgeons rotates the kidney on renal pedicle axis after separating renal artery and vein for a better tumor exposure. Results: A total of 14 patients underwent RLPN. All surgeries were successful without conversion to radical nephrectomy or open partial nephrectomy. The mean operative time was 171.147.2min (range 83-246), the mean warm ischemia time was 15.9 +/- 9.8min (range 7-35) and the mean estimated blood loss was 89.3 +/- 102.2mL (range 10-300). Mean postoperative hospital stay was 6.2 +/- 1.9 days (range 4-10) and mean retroperitoneal drainage was 4.2 +/- 1.4 days (range 2-8). No intraoperative complications occurred. Postoperative complications developed in four patients. All patients had negative margins and pathological examination revealed 10 (71.4%) clear cell carcinomas, two (14.2%) epithelial renal angiomyolipoma, one (7.1%) papillary carcinoma and one (7.1%) nephrotuberculosis. The review of the early oncologic outcomes revealed no local recurrence and distant metastasis. Conclusion: The renal pedicle rotation method might be a feasible and safe procedure to get a better tumor exposure for incision and suture in renal ventral tumors RLPN surgeries with acceptable postoperative outcomes.

语种: 英语
WOS记录号: WOS:000360591100011
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/61865
Appears in Collections:北京大学第三临床医学院_泌尿外科_期刊论文

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作者单位: Peking Univ, Hosp 3, Dept Urol, Beijing 100191, Peoples R China

Recommended Citation:
Song, Shiyu,Zhang, Hongxian,Ma, Lulin,et al. The Application of "Renal Pedicle Rotation" Method in Retroperitoneal Laparoscopic Partial Nephrectomy for Renal Ventral Tumors[J]. JOURNAL OF ENDOUROLOGY,2015,29(9):1038-1043.
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