Email this article Preventive sutures in nonischemic laparoscopic partial nephrectomy. Description of S.P. Botkin City Clinical Hospital technique
- Authors: Seregin A.A.1,2, Seregin A.V.1,2, Kolontarev K.B.3, Seregin I.V.1,2, Makhmadaliev A.I.2, Loran O.B.1,2
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Affiliations:
- S.P. Botkin City Clinical Hospital, Moscow Healthcare Department
- Russian Medical Academy of Continuing Professional Education, Ministry of Health of Russia
- A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of Russia
- Issue: Vol 18, No 3 (2022)
- Pages: 35-40
- Section: DIAGNOSIS AND TREATMENT OF URINARY SYSTEM TUMORS. RENAL CANCER
- Published: 07.12.2022
- URL: https://oncourology.abvpress.ru/oncur/article/view/1602
- DOI: https://doi.org/10.17650/1726-9776-2022-18-3-35-40
- ID: 1602
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Abstract
Background. Radical removal of the tumor while maximizing sparing of the renal function are the main goals of the partial nephrectomy. Shortening of the warm ischemia time is one of the best ways to achieve good functional results of the surgery. Aim. To present our technique of non-ischemic laparoscopic kidney resection with preventive suturing around the tumor.
Materials and methods. Before tumor resection, sutures are placed around tumor spaced by 1 cm with moderate tension. Enucleoresection is performed between tumor and preplaced sutures in visually healthy plane. 30 patients underwent this technique.
Results. Median tumor size was 3.6 (1.5–7.2) cm. All patients had negative surgical margin. Warm ischemia was needed in 8 (26.7 %) patients with a median time of 9 minutes. Median operative time was 115 (65–185) minutes. There were no intra or postoperative complications. Trifecta was achieved in all patients (100 %).
Conclusion. This technique allows to perform the surgery in non-ischemic fashion, decrease bleeding and improve visualization of the resection field and achieve superior oncologic and functional results.
Keywords
About the authors
A. A. Seregin
S.P. Botkin City Clinical Hospital, Moscow Healthcare Department; Russian Medical Academy of Continuing Professional Education, Ministry of Health of Russia
Author for correspondence.
Email: sasha.seregin@gmail.com
ORCID iD: 0000-0002-6627-2266
Aleksandr Aleksandrovich Seregin
Department of Urology and Surgical Andrology
5 2nd Botkinskiy Proezd, Moscow 125284;
2/1 Barrikadnaya St., Moscow 125993
A. V. Seregin
S.P. Botkin City Clinical Hospital, Moscow Healthcare Department; Russian Medical Academy of Continuing Professional Education, Ministry of Health of Russia
Department of Urology and Surgical Andrology
5 2nd Botkinskiy Proezd, Moscow 125284;
2/1 Barrikadnaya St., Moscow 125993
K. B. Kolontarev
A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of Russia
ORCID iD: 0000-0003-4511-5998
Department of Urology
Build. 2, 21 Vucheticha St., Moscow 125206
Russian FederationI. V. Seregin
S.P. Botkin City Clinical Hospital, Moscow Healthcare Department; Russian Medical Academy of Continuing Professional Education, Ministry of Health of Russia
Department of Urology and Surgical Andrology
5 2nd Botkinskiy Proezd, Moscow 125284;
2/1 Barrikadnaya St., Moscow 125993
A. I. Makhmadaliev
Russian Medical Academy of Continuing Professional Education, Ministry of Health of Russia
Department of Urology and Surgical Andrology
2/1 Barrikadnaya St., Moscow 125993
Russian FederationO. B. Loran
S.P. Botkin City Clinical Hospital, Moscow Healthcare Department; Russian Medical Academy of Continuing Professional Education, Ministry of Health of Russia
ORCID iD: 0000-0002-7531-1511
Department of Urology and Surgical Andrology
5 2nd Botkinskiy Proezd, Moscow 125284;
2/1 Barrikadnaya St., Moscow 125993
References
- Seregin A.V., Shustitsky N.A. Nephronsparing surgery in kidney cancer: surgical technique. Consilium Medicum 2012;14(7):63–6. (In Russ.).
- Loran O.B., Seregin A.V., Shustitsky N.A. Technical peculiarities during organpreserving surgery for kidney cancer. Meditsinskiy vestnik Bashkortostana = Bashkortostan Medicine Herald 2013;8(2):197–201. (In Russ.).
- Seregin A.V., Shustitsky N.A., Indarokov T.R. et al. Partial nephrectomy with preventive sutures for renal cell carcinoma. Annaly khirurgii = Annalls of Surgery 2016;21:235–9. (In Russ.). doi: 10.18821/156095022016214235239
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