The margin strategy in laparoscopic partial nephrectomy with selective renal artery clamping: Anatomical basis, surgical technique and comparative outcomes
Summary: Objective: To evaluate the possibility and efficiency of a modified margin strategy in laparoscopic partial nephrectomy with selective renal artery clamping. Methods: Seventy-six cases of laparoscopic partial nephrectomy with segmental renal artery clamping in Shanghai Changhai Hospital be...
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doaj-44605ce3ad2547e9a8e9e53a084801d92020-11-24T22:15:12ZengElsevierAsian Journal of Surgery1015-95842020-02-01432417422The margin strategy in laparoscopic partial nephrectomy with selective renal artery clamping: Anatomical basis, surgical technique and comparative outcomesChao Zhang0Fei Guo1Taile Jing2Fubo Wang3Huiqing Wang4Chen Ye5Yue Yang6Bo Yang7Department of Urology, Shanghai Changhai Hospital, The Second Military Medical University, Shanghai, ChinaDepartment of Urology, Shanghai Changhai Hospital, The Second Military Medical University, Shanghai, ChinaDepartment of Urology, The First Affiliated Hospital, School of Medicine, Zhejiang University, ChinaDepartment of Urology, Shanghai Changhai Hospital, The Second Military Medical University, Shanghai, ChinaDepartment of Urology, Shanghai Changhai Hospital, The Second Military Medical University, Shanghai, ChinaDepartment of Urology, Shanghai Changhai Hospital, The Second Military Medical University, Shanghai, ChinaDepartment of Urology, Shanghai Changhai Hospital, The Second Military Medical University, Shanghai, ChinaDepartment of Urology, Shanghai Changhai Hospital, The Second Military Medical University, Shanghai, China; Corresponding author. Department of Urology, Shanghai Changhai Hospital, The Second Military Medical University, 168 Changhai Road, Yangpu District, Shanghai 200433, China.Summary: Objective: To evaluate the possibility and efficiency of a modified margin strategy in laparoscopic partial nephrectomy with selective renal artery clamping. Methods: Seventy-six cases of laparoscopic partial nephrectomy with segmental renal artery clamping in Shanghai Changhai Hospital between July 2014 and September 2017 were retrospectively reviewed. Relevant clinical data were recorded including baseline patient and tumor characteristics, and surgical outcomes (segmental artery mobilization time, operating time, warm ischemic time, estimated blood loss, complications, and so on). A comparative analysis between standard technique and margin strategy was performed. Results: In 38 cases, margin strategy to mobilize segmental artery was successfully performed. In the other 38 cases, the surgery was performed in traditional method. The use of new strategy led to a shortened segmental artery mobilization time (5 min vs 12 min, p < 0.001). There was no difference in terms of perioperative complications between the two techniques. Conclusions: The margin strategy is a practical method in laparoscopic partial nephrectomy with selective renal artery clamping. It provides a simplified way of finding segmental arteries. Further studies are needed to confirm these preliminary findings. Keywords: Partial nephrectomy, Laparoscopy, Segmental artery, Margin strategyhttp://www.sciencedirect.com/science/article/pii/S1015958418306377 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Chao Zhang Fei Guo Taile Jing Fubo Wang Huiqing Wang Chen Ye Yue Yang Bo Yang |
spellingShingle |
Chao Zhang Fei Guo Taile Jing Fubo Wang Huiqing Wang Chen Ye Yue Yang Bo Yang The margin strategy in laparoscopic partial nephrectomy with selective renal artery clamping: Anatomical basis, surgical technique and comparative outcomes Asian Journal of Surgery |
author_facet |
Chao Zhang Fei Guo Taile Jing Fubo Wang Huiqing Wang Chen Ye Yue Yang Bo Yang |
author_sort |
Chao Zhang |
title |
The margin strategy in laparoscopic partial nephrectomy with selective renal artery clamping: Anatomical basis, surgical technique and comparative outcomes |
title_short |
The margin strategy in laparoscopic partial nephrectomy with selective renal artery clamping: Anatomical basis, surgical technique and comparative outcomes |
title_full |
The margin strategy in laparoscopic partial nephrectomy with selective renal artery clamping: Anatomical basis, surgical technique and comparative outcomes |
title_fullStr |
The margin strategy in laparoscopic partial nephrectomy with selective renal artery clamping: Anatomical basis, surgical technique and comparative outcomes |
title_full_unstemmed |
The margin strategy in laparoscopic partial nephrectomy with selective renal artery clamping: Anatomical basis, surgical technique and comparative outcomes |
title_sort |
margin strategy in laparoscopic partial nephrectomy with selective renal artery clamping: anatomical basis, surgical technique and comparative outcomes |
publisher |
Elsevier |
series |
Asian Journal of Surgery |
issn |
1015-9584 |
publishDate |
2020-02-01 |
description |
Summary: Objective: To evaluate the possibility and efficiency of a modified margin strategy in laparoscopic partial nephrectomy with selective renal artery clamping. Methods: Seventy-six cases of laparoscopic partial nephrectomy with segmental renal artery clamping in Shanghai Changhai Hospital between July 2014 and September 2017 were retrospectively reviewed. Relevant clinical data were recorded including baseline patient and tumor characteristics, and surgical outcomes (segmental artery mobilization time, operating time, warm ischemic time, estimated blood loss, complications, and so on). A comparative analysis between standard technique and margin strategy was performed. Results: In 38 cases, margin strategy to mobilize segmental artery was successfully performed. In the other 38 cases, the surgery was performed in traditional method. The use of new strategy led to a shortened segmental artery mobilization time (5 min vs 12 min, p < 0.001). There was no difference in terms of perioperative complications between the two techniques. Conclusions: The margin strategy is a practical method in laparoscopic partial nephrectomy with selective renal artery clamping. It provides a simplified way of finding segmental arteries. Further studies are needed to confirm these preliminary findings. Keywords: Partial nephrectomy, Laparoscopy, Segmental artery, Margin strategy |
url |
http://www.sciencedirect.com/science/article/pii/S1015958418306377 |
work_keys_str_mv |
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