Fully perfused laparoscopic partial nephrectomy: surgical technique and outcomes
Keywords:
Full perfusion, partial nephrectomy, laparoscopic surgeryAbstract
Objective: To present a surgical technique and outcome of fully perfused laparoscopic partial nephrectomy (LPN).
Material and Method: Fifteen patients underwent fully perfused LPN between January 2014 and January 2018 for renal masses. We studied a subgroup of
patients who underwent fully perfused LPN (non-clamp). Our technique was utilized for exophytic, non-hilar masses that had a diameter of less than 2 cm.
We developed our technique to avoid ischemia reperfusion renal injury while minimizing bleeding.
Results: We reviewed 15 cases of fully perfused LPN. Utilizing a non-clamp procedure resulted in an average blood loss of 100 ml, 2 days of hospital stay,
and minimal change in serum creatinine.
Conclusion: Fully perfused LPN is a feasible procedure for the treatment of renal masses. Benefits of this procedure are its minimal invasiveness and prevention
of ischemic reperfusion kidney injury.
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