Technical features of laparoscopic kidney resection with superselective balloon embolization of the renal artery
https://doi.org/10.25789/YMJ.2019.65.09
Abstract
The article is devoted to the study of the results in the surgical treatment of patients with renal neoplasms using a new method of kidney resection, which has its own technical features.
Their essence lies in the temporary superselective embolization of the renal artery, which allows turning off the affected part of the kidney from the circulation. Embolization allows minimizing the blood loss that occurs as well as preserving blood flow in the unaffected areas of the kidney, thereby protecting the remaining part of the kidney from ischemia. As a result, the postoperative period proceeds with a more rapid recovery of kidney function.
About the Authors
R. R. VinokurovRussian Federation
Vinokurov Ruslan Ruslanovich - graduate student, Department of Urology physician of the Clinical Center
677019, Yakutsk, Sergelyakh Highway 4 Phone number 8 (4112) 395488
A. V. Tobohov
Russian Federation
Tobohov Alexander Vasilevich - holder of advanced Doctorate in Medicine, Professor, Head of the Department of Hospital Surgery and radiation diagnosis
677019, Yakutsk, Sergelyakh Highway 4 Phone number 8 (4112) 395644
A. V. Maximov
Russian Federation
Maximov Alexander Vasilevich - Head of the Department of Urology of the Clinical Center
677019, Yakutsk, Sergelyakh Highway 4, Phone number 8 (4112) 395694
V. N. Nikolaev
Russian Federation
Nikolaev Vladimir Nikolaevich - associate professor of hospital surgery and radiation diagnosis
677019, Yakutsk, Sergelyakh Highway 4
Phone number 8 (4112) 395644
References
1. Alyayev Yu.G. The kidney tumor. Past, present and future / Yu.G. Alyayev, E.V. Shpot’ // Farmateka. – 2010. – № 18-19. – P.14-19.
2. Laporoscopic kidney resection with superselective balloon embolization of the renal artery / A.V. Maksimov, A.G. Martov, L.P. Pavlov [et al.] // Urology. – 2017. – №1. – P.21-25.
3. Maksimov A.V. Functional state of kidneys under laporoscopic resection with superselective balloon ebmolization of the renal artery / A.V. Maksimov, A.G. Martov, L.P. Pavlov // Urology. – 2017. – №5. – P.31-36.
4. Alcaraz A. Nephron-sparing surgery: some considerations regarding an underused standard of care // Eur. Urol. – 2010. 58(3). – P.346–348.
5. Chow W.H., Devesa S.S., Warren J.L., Freumeni J.F.Jr. Rising incidence of renal cell carcer in the United States // JAMA. – 1999; 281:1628-31.
6. Delakas D., Karyotis I., Daskalopoulos G. [et al.] Nephron-sparing surgery for localized renal cell carcinoma with a normal contralateral kidney: a European three-center experience // J. Urol. 2002 Dec; 60(6). – P.998–1002. http://www.ncbi.nlm.nih.gov/pubmed/12475657
7. EAU Guidelines. EAU Guidelines Office, Arnhem, The Netherlands. 25th EAU Annual Congress. – P.16–20. April (2010)
8. EUA Guidelines, 2013, http://www.uroweb.org/guidelines/onlineguidelines.
9. Gill I.S, Colombo J.R. Jr, Moinzadeh A. [et al.] (2006) Laparoscopic partial nephrectomy in solitary kidney // J. Urol. 175. – P.454–458 10.
10. Haber G.P. and Gill I.S., Laparoscopic partial nephrectomy: contemporary technique and outcomes // Eur. Urol. 49 (2006). – P.660–665.
11. Huang WC, Elkin EB, Levey AS, Jang TL, Russo P. Partial nephrectomy versus radical nephrectomy in patients with small renal tumors – is there a difference in mortality and cardiovascular outcomes? // J. Urol. 181(1). – P.55–61; discussion 61–52 (2009)
12. Marszalek M., Meixl H., Polajnar M. [et al.]. Laparoscopic and open partial nephrectomy: a matched-pair comparison of 200 patients // Eur. Urol. 2009 May; 55(5): 1171–8. http://www.ncbi.nlm.nih.gov/pubmed/19232819
13. Medina-Polo J, Romero-Otero J, Rodriguez-Antolin A [et al.] Can partial nephrectomy preserve renal function and modify survival in comparison with radical nephrectomy? // Scand. J. Urol. Nephrol. 45(2). – P.143–150 (2011)
14. Minervini A, Siena G, Carini M. Roboticassisted partial nephrectomy: the next gold standard for the treatment of intracapsular renal tumors // Expert Rev. Anticancer Ther. 11(12). – P.1779–1782 (2011).
15. Nguyen M.M., Gill I.S., Ellison L.M. The evolving presentation of renal carcinoma in the United States: trends from the Surveillance, Epidemiology, and End Results program // J. Urol. 2006;176:2397-400; discussion 2400.
16. Patel A.R., Eggener S.E. Warm ischemia less than 30 minutes is not necessarily safe during partial nephrectomy: every minute matters – Urol. Oncol. – 2011. – Vol. 29, №6. – P.826-828.
17. Peycelon M., Hupertan V., Comperat E. [et al.] Long-term outcomes after nephron sparing surgery for renal cell carcinoma larger than 4 cm // J. Urol. 2009 Jan; 181(1). – P.35–41. http://www.ncbi.nlm.nih.gov/pubmed/19012929
18. Raz O., Mendlovic S., Shilo Y. [et al.] Positive surgical margins with renal cell carcinoma have a limited influence on long-term oncological outcomes of nephron sparing surgery // J. Urol. 2009 Nov 4. [Epub ahead of print]. http://www.ncbi.nlm.nih.gov/pubmed/1989617
19. Schiffmann J, Bianchi M, Sun M, Becker A. Trends in surgical management of T1 renal cell carcinoma // Curr. Urol. Rep. 15(2), 383 (2014)
20. Thompson R.H., Lane B.R., Lohse C.M. [et al.]. Every minute counts when the renal hilum is clamped during partial nephrectomy // Eur Urol. – 2010. – Vol. 58. – P.340-345.
21. Weight CJ, Larson BT, Fergany AF [et al.]. Nephrectomy induced chronic renal insufficiency is associated with increased risk of cardiovascular death and death from any cause in patients with localized cT1b renal masses // J. Urol. 183(4). – P.1317–1323 (2010)
22. Weight CJ, Lieser G, Larson BT [et al.]. Partial nephrectomy is associated with impro-ved overall survival compared with radical nephrectomy in patients with unanticipated benign renal tumours // Eur. Urol. 58(2). – P.293–298 (2010).
23. Wille A.H., Tullmann M. and Roigas J. [et al.]. Laparoscopic partial nephrectomy in renal cell cancer–results and reproducibility by different surgeons in a high volume laparoscopic center // Eur. Urol. 46 (2006). – P.337–343.
Review
For citations:
Vinokurov R.R., Tobohov A.V., Maximov A.V., Nikolaev V.N. Technical features of laparoscopic kidney resection with superselective balloon embolization of the renal artery. Yakut Medical Journal. 2019;(1):31-34. https://doi.org/10.25789/YMJ.2019.65.09