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Simplified Zero Ischemia in Robot Assisted Partial Nephrectomy: Initial Yonsei Experience

 Tae Young Shin  ;  Kyung Hwa Choi  ;  Sey Kiat Lim  ;  Kwang Hyun Kim  ;  Dong Hoon Lee  ;  Joo Yong Lee  ;  Young Taik Oh  ;  Dae Chul Jung  ;  Woong Kyu Han  ;  Koon Ho Rha 
 Korean Journal of Urology, Vol.54(2) : 78-84, 2013 
Journal Title
 Korean Journal of Urology 
Issue Date
PURPOSE: To evaluate the safety and feasibility of a simplified zero ischemia technique using kidney donor computed tomographic (CT) angiography and conventional laparoscopic bulldog clamps. MATERIALS AND METHODS: We conducted a review of seven robot-assisted partial nephrectomies (RAPNs) performed by a single surgeon from January 2012 to May 2012. Using a simplified protocol of 3-dimentional reconstruction, tertiary arterial branches supplying the tumor were selectively clamped prior to resection. We used conventional laparoscopic bulldog clamps instead of microsurgical vessel clamps. The patients' demographic information, perioperative outcomes, pathologic outcomes and pre- and postoperative renal functions up to 3 months follow-up were analyzed. RESULTS: RAPN were successfully performed for seven complex renal hilar tumors. There were no significant differences in the total operation time, estimated blood loss or postoperative outcomes compared with published literature on standard RAPN. Negative surgical margins were reported in all cases. CONCLUSIONS: We presented a simplified-zero ischemia technique using kidney Donor CT angiography and conventional laparoscopic bulldog clamps. We have also demonstrated its safety and feasibility in patients with complex renal hilar tumors. This modified technique can be easily adopted by most surgeons who are currently performing RAPN.
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1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
김광현(Kim, Kwang Hyun)
나군호(Rha, Koon Ho) ORCID logo https://orcid.org/0000-0001-8588-7584
신태영(Shin, Tae Young)
오영택(Oh, Young Taik) ORCID logo https://orcid.org/0000-0002-4438-8890
이동훈(Lee, Dong Hoon)
이주용(Lee, Joo Yong) ORCID logo https://orcid.org/0000-0002-3470-1767
임세이캣(Lim, Sey Kiat)
정대철(Jung, Dae Chul) ORCID logo https://orcid.org/0000-0001-5769-5083
최경화(Choi, Kyung Hwa)
한웅규(Han, Woong Kyu) ORCID logo https://orcid.org/0000-0002-2527-4046
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