Early vascular unclamping reduces warm ischaemia time in robot-assisted laparoscopic partial nephrectomy.

ABSTRACT:

Introduction

The aim of this study was to assess the outcomes of early vascular release in robot-assisted laparoscopic partial nephrectomy (RAPN) to reduce warm ischaemia time (WIT) and minimise renal dysfunction. RAPN is increasingly utilised in the management of small renal masses. To this end it is imperative that WIT is kept to a minimum to maintain renal function.

Methods

RAPN was performed via a four-arm robotic transperitoneal approach. The renal artery and vein were individually clamped with robotic vascular bulldog clamps to allow cold scissor excision of the tumour. The cut surface was then sutured with one or two running 3-0 V-Loc (TM) sutures, following which the vascular clamps were released. Specific bleeding vessels were then selectively oversewn and the colle

SUBMITTER: Lah K 

PROVIDER: S-EPMC4431378 | biostudies-literature | 2015

REPOSITORIES: biostudies-literature