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The Application of "Renal Pedicle Rotation" Method in Retroperitoneal Laparoscopic Partial Nephrectomy for Renal Ventral Tumors
Song, Shiyu; Zhang, Hongxian; Ma, Lulin; Huang, Yi; Zhao, Lei; Wang, Guoliang; Lu, Jian; Zhang, Shudong
刊名JOURNAL OF ENDOUROLOGY
2015-09-01
DOI10.1089/end.2015.0064
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
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被引频次:4[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/61865
专题北京大学第三临床医学院_泌尿外科
北京大学第二临床医学院_检验科
作者单位Peking Univ, Hosp 3, Dept Urol, Beijing 100191, Peoples R China
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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.
APA Song, Shiyu.,Zhang, Hongxian.,Ma, Lulin.,Huang, Yi.,Zhao, Lei.,...&Zhang, Shudong.(2015).The Application of "Renal Pedicle Rotation" Method in Retroperitoneal Laparoscopic Partial Nephrectomy for Renal Ventral Tumors.JOURNAL OF ENDOUROLOGY,29(9),1038-1043.
MLA Song, Shiyu,et al."The Application of "Renal Pedicle Rotation" Method in Retroperitoneal Laparoscopic Partial Nephrectomy for Renal Ventral Tumors".JOURNAL OF ENDOUROLOGY 29.9(2015):1038-1043.
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