Application of renal‑rotation techniques in retroperitoneoscopic partial nephrectomy

Lin,Chun‑Hua; Liu,Qing‑Zuo; Wang,Ke; Yu,Sheng‑Qiang; Zhao,Hong‑Wei; Wang,Jian‑Tao; Li,Guang‑Lei; Gao,Zhen‑Li

doi:10.3892/etm.2015.2294

April-2015 Volume 9 Issue 4

Full Size Image

Journals

International Journal of Molecular Medicine

International Journal of Molecular Medicine is an international journal devoted to molecular mechanisms of human disease.

International Journal of Oncology

International Journal of Oncology is an international journal devoted to oncology research and cancer treatment.

Molecular Medicine Reports

Covers molecular medicine topics such as pharmacology, pathology, genetics, neuroscience, infectious diseases, molecular cardiology, and molecular surgery.

Oncology Reports

Oncology Reports is an international journal devoted to fundamental and applied research in Oncology.

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine is an international journal devoted to laboratory and clinical medicine.

Oncology Letters

Oncology Letters is an international journal devoted to Experimental and Clinical Oncology.

Biomedical Reports

Explores a wide range of biological and medical fields, including pharmacology, genetics, microbiology, neuroscience, and molecular cardiology.

Molecular and Clinical Oncology

International journal addressing all aspects of oncology research, from tumorigenesis and oncogenes to chemotherapy and metastasis.

World Academy of Sciences Journal

Multidisciplinary open-access journal spanning biochemistry, genetics, neuroscience, environmental health, and synthetic biology.

International Journal of Functional Nutrition

Open-access journal combining biochemistry, pharmacology, immunology, and genetics to advance health through functional nutrition.

International Journal of Epigenetics

Publishes open-access research on using epigenetics to advance understanding and treatment of human disease.

Medicine International

An International Open Access Journal Devoted to General Medicine.

April-2015 Volume 9 Issue 4

Full Size Image

Article Open Access

Application of renal‑rotation techniques in retroperitoneoscopic partial nephrectomy

Authors:
- Chun‑Hua Lin
- Qing‑Zuo Liu
- Ke Wang
- Sheng‑Qiang Yu
- Hong‑Wei Zhao
- Jian‑Tao Wang
- Guang‑Lei Li
- Zhen‑Li Gao
View Affiliations / Copyright

Affiliations: Department of Urology, Affiliated Yantai Yuhuangding Hospital of Qingdao University Medical College, Yantai, Shandong 264000, P.R. China

Copyright: © Lin et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
Pages: 1149-1152
|
Published online on: February 13, 2015

https://doi.org/10.3892/etm.2015.2294
Expand metrics +

Abstract

Retroperitoneoscopic partial nephrectomy (RPN) is one of the standard methods for treating T1‑stage renal carcinoma, which has a narrow operational space and a difficult surgical procedure. The aim of this study was to examine the safety and feasibility of renal‑rotation techniques in RPN. Between April 2012 and June 2014, the renal‑rotation technique in RPN was performed in 22 male and 16 female patients, aged between 31 and 75 years (mean, 52 years), with stage T1N0M0 renal‑cell carcinoma. In 29 cases the tumor was located at the ventral side of the kidney, including 22 cases at the renal hilum, and in nine cases the tumor was located at the inferior pole of the kidney. The tumor size was between 1.5 and 4.6 cm (mean, 2.8 cm). The results showed that, in all 38 cases, the procedure was successfully accomplished without conversion to open surgery. There were no intraoperative complications and only three cases of postoperative complications. The surgery duration was between 45 and 116 min (mean, 59 min); blood loss was between 10 and 120 ml (mean, 40 ml) and no patients required a blood transfusion. The average kidney ischemia time was 21 min (range, 15‑38 min). No patients had local recurrence or metastasis after follow‑up of between one and 26 months. In conclusion, the application of the renal‑rotation technique in RPN for tumors located at the ventral side, renal hilum or at the inferior pole of the kidney is safe and feasible and worth wider clinical application.

View Figures

View References

1	Rini BI, Rathmell WK and Godley P: Renal cell carcinoma. Curr Opin Oncol. 20:300–306. 2008. View Article : Google Scholar : PubMed/NCBI
2	Cohen HT and McGovern FJ: Renal-cell carcinoma. N Engl J Med. 353:2477–2490. 2005. View Article : Google Scholar : PubMed/NCBI
3	Campbell SC, Novick AC, Belldegrun A, et al; Practice Guidelines Committee of the American Urological Association. Guideline for the management of the clinical T1 renal mass. J Urol. 182:1271–1279. 2009. View Article : Google Scholar : PubMed/NCBI
4	Porpiglia F, Volpe A, Billia M and Scarpa RM: Laparoscopic versus open partial nephrectomy: analysis of the current literature. Eur Urol. 53:732–743. 2008. View Article : Google Scholar : PubMed/NCBI
5	Gill IS, Matin SF, Desai MM, et al: Comparative analysis of laparoscopic versus open partial nephrectomy for renal tumors in 200 patients. J Urol. 170:64–68. 2003. View Article : Google Scholar : PubMed/NCBI
6	Gill IS, Desai MM, Kaouk JH, et al: Laparoscopic partial nephrectomy for renal tumor: duplicating open surgical techniques. J Urol. 167:469–477. 2002. View Article : Google Scholar : PubMed/NCBI
7	Li M, Zhou LQ, Li NC, Zhang XC and Na YQ: Analysis of complications of retroperitoneal laparoscopic surgery (with experience of 1560 cases). Zhonghua Mi Niao Wai Ke Za Zhi. 28:810–812. 2007.(In Chinese).
8	Edge S, Byrd DR, Compton CC, Fritz AG, Greene FL and Trotti A: Kidney. AJCC Cancer Staging Manual. 7th ed. Springer Verlag; New York: pp. 479–489. 2010
9	Wang K, Zhang YL, Lin CH, et al: Application of self-retaining bidirectional barbed absorbable suture in retroperito-neoscopic partial nephrectomy. Int Braz J Urol. 40:220–224. 2014. View Article : Google Scholar : PubMed/NCBI
10	Marszalek M, Chromecki T, Al-Ali BM, et al: Laparoscopic partial nephrectomy: a matched-pair comparison of the transperitoneal versus the retroperitoneal approach. Urology. 77:109–113. 2011. View Article : Google Scholar
11	Allaf ME, Bhayani SB, Rogers C, et al: Laparoscopic partial nephrectomy: evaluation of long-term oncological outcome. J Urol. 172:871–873. 2004. View Article : Google Scholar : PubMed/NCBI
12	Kijvikai K, Viprakasit DP, Milhoua P, Clark PE and Herrell SD: A simple, effective method to create laparoscopic renal protective hypothermia with cold saline surface irrigation: clinical application and assessment. J Urol. 184:1861–1866. 2010. View Article : Google Scholar : PubMed/NCBI
13	Thompson RH, Lane BR, Lohse CM, et al: Every minute counts when the renal hilium is clamped during partial nephrectomy. Eur Urol. 58:340–345. 2010. View Article : Google Scholar : PubMed/NCBI

Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Application of renal‑rotation techniques in retroperitoneoscopic partial nephrectomy

This article is mentioned in:

Abstract

Figure 1

Figure 2

Figure 3

Related Articles