Laparoscopic Ice Slush Renal Hypothermia for Partial Nephrectomy: The Initial Experience

Gill, Inderbir S.; Abreu, Sidney C.; Desai, Mihir; Steinberg, Andrew P.; Ramani, Anup P.; Ng, Christopher; Banks, Kevin; Novick, Andrew C.; Kaouk, Jihad

doi:10.1097/01.ju.0000072332.02529.10

Cited by 238 publications

(113 citation statements)

References 14 publications

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“…Four patients required intraoperative blood transfusion. Mean hospital stay was 8 days (range [6][7][8][9][10][11][12][13][14]. No urinary fistula or urinoma was observed.…”

Section: Resultsmentioning

confidence: 99%

“…15 Gill et al in 2003 introduced laparoscopic ice slush for renal hypothermia, with the renal artery and vein occluded en bloc with a Satinsky clamp. 13 Janetscheck et al in 2004 adopted balloon arterial catheters in the first two patients of their series. 9 However, since some arterial bleeding occurred in the second patient, they shifted to a tourniquet for arterial occlusion in the remaining patients.…”

Section: Discussionmentioning

confidence: 99%

“…8 There are no reliable and effective methods for laparoscopic renal cooling that can match the results of renal cooling achieved with ice slush in open partial nephrectomy. Renal cooling through an angiographic catheter in renal artery, 9 ureteral catheter in the pelvicalyceal system, 10,11 with coil 12 or using ice slush in a laparoscopic bag 13 for laparoscopic partial nephectomies (LPN) were reported. The initial experience with renal arterial catheterization for temporary balloon occlusion and simultaneous hypothermic perfusion during LPN is reported.…”

Section: Introductionmentioning

confidence: 99%

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Balloon occlusion and hypothermic perfusion of the renal artery in laparoscopic partial nephectomy

Shen

Chueh²,

Lai³

et al. 2008

Int J of Urology

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Objectives: We describe our initial experience with renal arterial catheterization for temporary balloon occlusion of renal artery and hypothermic perfusion during laparoscopic partial nephectomy and compare the preoperative and postoperative nephron function. Methods: Fifteen patients received laparoscopic partial nephrectomy from September 2005 to December 2006. During the operations, the balloons of the arterial catheters were filled with distilled water to achieve pedicle control. Chilled Ringers lactate was continuously infused into the catheters for renal hypothermia. Postoperative Tc-99m diethylenetriamine pentaacetic acid (DTPA) renal scintigraphies were carried out to estimate differential renal function. The volumes of the renal tumors, tumor-bearing and contralateral kidneys from CT scans were measured using commercial software. Estimated creatinine clearance was calculated with Cockroft Gault formula. Results: All procedures were successfully completed. Mean tumor size was 18.4 mL (range 2.14 to 59.0). Estimated mean intraoperative blood loss was 287 mL (range minimal to 1200). Mean estimated creatinine clearance per unit volume of functional renal parenchyma did not change statistically after the operation. Multiple regression analysis revealed that ischemic time was a significant variable which correlated with the value of lost total estimated creatinine clearance of the tumor bearing kidney. Conclusions:The initial experience shows that renal arterial catheterization for temporary balloon occlusion and hypothermic perfusion of the renal artery in laparoscopic partial nephectomy is safe, feasible and effective. The postoperative kidney function measured by mean estimated creatinine clearance per unit of functional renal volume was similar to the preoperative measurement.

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“…Four patients required intraoperative blood transfusion. Mean hospital stay was 8 days (range [6][7][8][9][10][11][12][13][14]. No urinary fistula or urinoma was observed.…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Balloon occlusion and hypothermic perfusion of the renal artery in laparoscopic partial nephectomy

Shen

Chueh²,

Lai³

et al. 2008

Int J of Urology

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“…Холодовая ишемия достигается путем охлаждения резециру-емой почки перфузией стерильными охлажденными растворами либо применением замороженных компонентов, которые поме-щают в специальный пластиковый контейнер, который распола-гают вокруг органа [4]. Способ снижения энергетической потреб-ности оперируемого органа путем перфузии охлажденными рас-творами впервые предложен Janetschek и соавт.…”

Section: холодовая ишемияunclassified

“…[4] предложили во время резекции почки ис-пользовать гибкие конструкции для компрессии. Разработанный ими турникет представляет из себя двойную петлю, которая оде-вается на паренхиму почки, обеспечивая обескровливание полю-са органа.…”

Section: лигатурные методикиunclassified

Hemostatic techniques for kidney resection

Safronova¹,

Krasheninnikov²,

Сергиенко³

et al. 2016

Onkol. Z. im. P.A. Gercena

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renal cell carcinoma is an urgent problem in urologic oncology practice. The wide use of radiodiagnostic methods has increased the detection rate of small localized tumors, leading to an increase in the number of patients, for whom organ-sparing surgery is indicated. Kidney resection is the most common, effective, and relatively safe treatment option in this contingent of patients. At the same time, kidney resection is related to the need for hemostasis during operations on the actively vascularized organ. Thus, adequate hemostasis is the most important surgical stage during kidney resection. hemostatic procedures are diverse and include different mechanical, physical, and chemical exposures of the vascularized parenchyma of the organ. The literature covering different hemostatic techniques during kidney resection are reviewed. The results of large-scale studies assessing different hemostatic procedures are given.

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