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

Authors
 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 
Citation
 Korean Journal of Urology, Vol.54(2) : 78-84, 2013 
Journal Title
 Korean Journal of Urology 
ISSN
 2005-6737 
Issue Date
2013
Keywords
Kidney cancer ; Nephrectomy ; Robotics ; Three-dimensional image
Abstract
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.
Files in This Item:
T201301638.pdf Download
DOI
10.4111/kju.2013.54.2.78
Appears in Collections:
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
Kim, Kwang Hyun(김광현)
Rha, Koon Ho(나군호) ORCID logo https://orcid.org/0000-0001-8588-7584
Shin, Tae Young(신태영)
Oh, Young Taik(오영택) ORCID logo https://orcid.org/0000-0002-4438-8890
Lee, Dong Hoon(이동훈)
Lee, Joo Yong(이주용) ORCID logo https://orcid.org/0000-0002-3470-1767
Lim, Sey Kiat(임세이캣)
Jung, Dae Chul(정대철) ORCID logo https://orcid.org/0000-0001-5769-5083
Choi, Kyung Hwa(최경화)
Han, Woong Kyu(한웅규) ORCID logo https://orcid.org/0000-0002-2527-4046
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/86934
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