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Video-Assisted Minilaparotomy Surgery (VAMS) 부분 신절제술 시 LapSac®을 이용한 종양부위 노출법 및 저온요법

Other Titles
 Tumor Exposure and Cold Ischemia Using a LapSac® in Partial Nephrectomy by Video-Assisted Minilaparotomy Surgery (VAMS) 
 김광현  ;  전황균  ;  양승철  ;  한웅규 
 KOREAN JOURNAL OF UROLOGY, Vol.50(8) : 774-779, 2009 
Journal Title
Issue Date
Video-assisted surgery ; Laparotomy ; Nephrectomy
Purpose: We report a new method of tumor exposure through a minilaparotomy window and cold ischemia using a LapSac? during partial nephrectomy by video-assisted minilaparotomy surgery (VAMS).

Materials and Methods : Partial nephrectomy was performed by VAMS in a total of 31 patients during a period ranging from January 2004 to June 2006, and tumor exposure and cold ischemia were achieved by using a LapSac?. We investigated the tumor size and location, mean operative time, mean estimated blood loss, mean cold ischemic time, and pathologic outcomes retrospectively. We evaluated preoperative and postoperative renal function with the estimated creatinine clearance rate by the MDRD equation.

Results: The mean tumor size was 2.59±1.30 cm and mean surgical time was 182.5±44.5 minutes. Mean cold ischemic time was 31.84±8.43 minutes. Mean estimated blood loss was 445.65±202.77 ml (range, 100-800 ml), and 3 patients required transfusion. A histopathologic examination confirmed a diagnosis of renal cell carcinoma in 22 patients (71%). The surgical margin was positive in 1 patient. Twenty-one patients had a mean followup of 53±8.19 months. Nineteen patients survived without any disease recurrence, 1 patient survived with lung metastasis within 5 months, and 1 patient died of unrelated cause. There was no significant difference between the preoperative and postoperative estimated creatinine clearance rate by using the MDRD equation.

Conclusions: Tumor exposure and cold ischemia were attempted in a partial resection of the kidney by VAMS with a LapSac?. This technique for partial nephrectomy by VAMS might be an effective, safe modality
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1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Yang, Seung Choul(양승철)
Jeon, Hwang Gyun(전황균)
Han, Woong Kyu(한웅규) ORCID logo https://orcid.org/0000-0002-2527-4046
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