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01-09-2015 | Original Article

Robotic surgery and hemostatic agents in partial nephrectomy: a high rate of success without vascular clamping

Authors: Luca Morelli, John Morelli, Matteo Palmeri, Cristiano D’Isidoro, Emanuele Federico Kauffmann, Dario Tartaglia, Giovanni Caprili, Roberta Pisano, Simone Guadagni, Gregorio Di Franco, Giulio Di Candio, Franco Mosca

Published in: Journal of Robotic Surgery | Issue 3/2015

Abstract

Robot-assisted partial nephrectomy has been proposed as a technique to overcome technical challenges of laparoscopic partial nephrectomy. We prospectively collected and analyzed data from 31 patients who underwent robotic partial nephrectomy with systematic use of hemostatic agents, between February 2009 and October 2014. Thirty-three renal tumors were treated in 31 patients. There were no conversions to open surgery, intraoperative complications, or blood transfusions. The mean size of the resected tumors was 27 mm (median 20 mm, range 5–40 mm). Twenty-seven of 33 lesions (82 %) did not require vascular clamping and therefore were treated in the absence of ischemia. All margins were negative. The high partial nephrectomy success rate without vascular clamping suggests that robotic nephron-sparing surgery with systematic use of hemostatic agents may be a safe, effective method to completely avoid ischemia in the treatment of selected renal masses.

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Title: Robotic surgery and hemostatic agents in partial nephrectomy: a high rate of success without vascular clamping
Authors: Luca Morelli
John Morelli
Matteo Palmeri
Cristiano D’Isidoro
Emanuele Federico Kauffmann
Dario Tartaglia
Giovanni Caprili
Roberta Pisano
Simone Guadagni
Gregorio Di Franco
Giulio Di Candio
Franco Mosca
Publication date: 01-09-2015
Publisher: Springer London
Published in: Journal of Robotic Surgery / Issue 3/2015
Print ISSN: 1863-2483
Electronic ISSN: 1863-2491
DOI: https://doi.org/10.1007/s11701-015-0519-y

At a glance: The STEP trials

Springer Medicine

Robotic surgery and hemostatic agents in partial nephrectomy: a high rate of success without vascular clamping

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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