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Article: Robot‐assisted Laparoscopic Partial Nephrectomy Using The Selective Clamping Approach
Title | Robot‐assisted Laparoscopic Partial Nephrectomy Using The Selective Clamping Approach |
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Authors | |
Issue Date | 2020 |
Publisher | Wiley-Blackwell Publishing Asia. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1744-1633 |
Citation | Surgical Practice, 2020, v. 24 n. 4, p. 160-161 How to Cite? |
Abstract | Introduction and Objectives: To demonstrate the technique of robot-assisted laparoscopic partial nephrectomy (RAPN) using the selective clamping approach.
Materials and Methods: A 56-year-old man presented with a 1.9 cm middle pole anterior right renal mass. Imaging studies demonstrated it to be likely a renal cell carcinoma. Transperitoneal RAPN was performed with intraoperative identification of an arterial branch supplying the region containing the renal tumour. Selective clamping of the polar branch was achieved, resulting in zero global renal ischaemia during the procedure.
Results: Operative time was 2.5 hours with estimated blood loss 30 mL. Patient made an uneventful recovery and was discharged on postoperative day four. Pathology confirmed pT1aG2 clear cell carcinoma with clear margins.
Conclusion: The selective clamping approach is an optimal strategy during RAPN and should be adopted if possible, to avoid global renal ischaemia. Meticulous dissection of the hilar vessels is essential to identify arterial branches for selective clamping. |
Persistent Identifier | http://hdl.handle.net/10722/297170 |
ISSN | 2023 Impact Factor: 0.3 2023 SCImago Journal Rankings: 0.152 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Wong, TF | - |
dc.contributor.author | Lam, W | - |
dc.contributor.author | Tsang, CF | - |
dc.contributor.author | Ho, BSH | - |
dc.contributor.author | Ng, ATL | - |
dc.contributor.author | Tsu, JHL | - |
dc.date.accessioned | 2021-03-08T07:15:09Z | - |
dc.date.available | 2021-03-08T07:15:09Z | - |
dc.date.issued | 2020 | - |
dc.identifier.citation | Surgical Practice, 2020, v. 24 n. 4, p. 160-161 | - |
dc.identifier.issn | 1744-1625 | - |
dc.identifier.uri | http://hdl.handle.net/10722/297170 | - |
dc.description.abstract | Introduction and Objectives: To demonstrate the technique of robot-assisted laparoscopic partial nephrectomy (RAPN) using the selective clamping approach. Materials and Methods: A 56-year-old man presented with a 1.9 cm middle pole anterior right renal mass. Imaging studies demonstrated it to be likely a renal cell carcinoma. Transperitoneal RAPN was performed with intraoperative identification of an arterial branch supplying the region containing the renal tumour. Selective clamping of the polar branch was achieved, resulting in zero global renal ischaemia during the procedure. Results: Operative time was 2.5 hours with estimated blood loss 30 mL. Patient made an uneventful recovery and was discharged on postoperative day four. Pathology confirmed pT1aG2 clear cell carcinoma with clear margins. Conclusion: The selective clamping approach is an optimal strategy during RAPN and should be adopted if possible, to avoid global renal ischaemia. Meticulous dissection of the hilar vessels is essential to identify arterial branches for selective clamping. | - |
dc.language | eng | - |
dc.publisher | Wiley-Blackwell Publishing Asia. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1744-1633 | - |
dc.relation.ispartof | Surgical Practice | - |
dc.rights | Submitted (preprint) Version This is the pre-peer reviewed version of the following article: [FULL CITE], which has been published in final form at [Link to final article using the DOI]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. Accepted (peer-reviewed) Version This is the peer reviewed version of the following article: [FULL CITE], which has been published in final form at [Link to final article using the DOI]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. | - |
dc.title | Robot‐assisted Laparoscopic Partial Nephrectomy Using The Selective Clamping Approach | - |
dc.type | Article | - |
dc.identifier.email | Lam, W: lamwayne@hku.hk | - |
dc.identifier.email | Tsang, CF: tcf672@hku.hk | - |
dc.identifier.email | Ho, BSH: hobrian@hku.hk | - |
dc.identifier.email | Ng, ATL: ada5022@hku.hk | - |
dc.identifier.email | Tsu, JHL: jamestsu@hku.hk | - |
dc.identifier.authority | Lam, W=rp02305 | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1111/1744-1633.12458 | - |
dc.identifier.scopus | eid_2-s2.0-85096808534 | - |
dc.identifier.hkuros | 321492 | - |
dc.identifier.volume | 24 | - |
dc.identifier.issue | 4 | - |
dc.identifier.spage | 160 | - |
dc.identifier.epage | 161 | - |
dc.identifier.isi | WOS:000587567200001 | - |
dc.publisher.place | Australia | - |