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Annals of Surgical Oncology
Published in: Annals of Surgical Oncology 1/2024

04-10-2023 | Nephrectomy | ASO Author Reflections

ASO Author Reflections: Microwave Ablation-Assisted Clampless and Sutureless Technique for Renal Hilar Tumors

Author: Yonghui Chen, MD

Published in: Annals of Surgical Oncology | Issue 1/2024

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Excerpt

The three major concerns during laparoscopic partial nephrectomy (LPN) are (1) complete removal of the tumor; (2) a shortened, or even no, warm ischemia time; and (3) a low complication rate.1 However, simultaneously achieving all of the above goals in patients with renal hilar tumors remains technically challenging, and therefore ongoing efforts have focused on minimizing or even eliminating renal ischemia, such as the off-clamp and zero-ischemia minimally invasive partial nephrectomy techniques.2,3 Nevertheless, these reported techniques require a longer operative time and are associated with greater estimated blood loss. …
Literature
1.
Hung AJ, Cai J, Simmons MN, Gill IS. ‘“Trifecta”’ in partial nephrectomy. J Urol. 2013;89:36–42.CrossRef
2.
Gill IS, Eisenberg MS, Aron M, et al. ‘“Zero ischemia”’ partial nephrectomy: novel laparoscopic and robotic technique. Eur Urol. 2011;59:128–34.CrossRefPubMed
3.
Dong K, Shen M, Ju G, et al. Off-clamp retroperitoneoscopic tumour evacuation for sporadic renal angiomyolipomas with high RENAL nephrometry scores: a novel surgical technique and its outcomes. Eur Urol. 2021;79(2):283–9.CrossRefPubMed
4.
5.
Huang J, Zhang J, Wang Y, et al. Comparing zero ischemia laparoscopic radio frequency ablation assisted tumor enucleation and laparoscopic partial nephrectomy for clinical t1a renal tumor: a randomized clinical trial. J Urol. 2016;195:1677–83.CrossRefPubMed
6.
Wu X, Chen W, Huang J, et al. Zero ischemia laparoscopic microwave ablation-assisted enucleation vs. laparoscopic partial nephrectomy in clinical T1a renal tumor: a randomized clinical trial. Transl Cancer Res. 2020;9:194–202.CrossRefPubMedPubMedCentral
Metadata
Title
ASO Author Reflections: Microwave Ablation-Assisted Clampless and Sutureless Technique for Renal Hilar Tumors
Author
Yonghui Chen, MD
Publication date
04-10-2023
Publisher
Springer International Publishing
Published in
Annals of Surgical Oncology / Issue 1/2024
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-023-14325-2

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