Laparoscopic Partial Nephrectomy with Diode Laser: A Promising Technique
Identifieur interne : 000289 ( Pmc/Corpus ); précédent : 000288; suivant : 000290Laparoscopic Partial Nephrectomy with Diode Laser: A Promising Technique
Auteurs : Nikola Knezevic ; Tomislav Kulis ; Marjan Maric ; Marija Topalovic Grkovic ; Ivan Krhen ; Zeljko KastelanSource :
- Photomedicine and Laser Surgery [ 1549-5418 ] ; 2014.
Abstract
Url:
DOI: 10.1089/pho.2013.3646
PubMed: 24460067
PubMed Central: 3926155
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PMC:3926155Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Laparoscopic Partial Nephrectomy with Diode Laser: A Promising Technique</title>
<author><name sortKey="Knezevic, Nikola" sort="Knezevic, Nikola" uniqKey="Knezevic N" first="Nikola" last="Knezevic">Nikola Knezevic</name>
</author>
<author><name sortKey="Kulis, Tomislav" sort="Kulis, Tomislav" uniqKey="Kulis T" first="Tomislav" last="Kulis">Tomislav Kulis</name>
</author>
<author><name sortKey="Maric, Marjan" sort="Maric, Marjan" uniqKey="Maric M" first="Marjan" last="Maric">Marjan Maric</name>
</author>
<author><name sortKey="Grkovic, Marija Topalovic" sort="Grkovic, Marija Topalovic" uniqKey="Grkovic M" first="Marija Topalovic" last="Grkovic">Marija Topalovic Grkovic</name>
</author>
<author><name sortKey="Krhen, Ivan" sort="Krhen, Ivan" uniqKey="Krhen I" first="Ivan" last="Krhen">Ivan Krhen</name>
</author>
<author><name sortKey="Kastelan, Zeljko" sort="Kastelan, Zeljko" uniqKey="Kastelan Z" first="Zeljko" last="Kastelan">Zeljko Kastelan</name>
</author>
</titleStmt>
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<idno type="pmid">24460067</idno>
<idno type="pmc">3926155</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3926155</idno>
<idno type="RBID">PMC:3926155</idno>
<idno type="doi">10.1089/pho.2013.3646</idno>
<date when="2014">2014</date>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Laparoscopic Partial Nephrectomy with Diode Laser: A Promising Technique</title>
<author><name sortKey="Knezevic, Nikola" sort="Knezevic, Nikola" uniqKey="Knezevic N" first="Nikola" last="Knezevic">Nikola Knezevic</name>
</author>
<author><name sortKey="Kulis, Tomislav" sort="Kulis, Tomislav" uniqKey="Kulis T" first="Tomislav" last="Kulis">Tomislav Kulis</name>
</author>
<author><name sortKey="Maric, Marjan" sort="Maric, Marjan" uniqKey="Maric M" first="Marjan" last="Maric">Marjan Maric</name>
</author>
<author><name sortKey="Grkovic, Marija Topalovic" sort="Grkovic, Marija Topalovic" uniqKey="Grkovic M" first="Marija Topalovic" last="Grkovic">Marija Topalovic Grkovic</name>
</author>
<author><name sortKey="Krhen, Ivan" sort="Krhen, Ivan" uniqKey="Krhen I" first="Ivan" last="Krhen">Ivan Krhen</name>
</author>
<author><name sortKey="Kastelan, Zeljko" sort="Kastelan, Zeljko" uniqKey="Kastelan Z" first="Zeljko" last="Kastelan">Zeljko Kastelan</name>
</author>
</analytic>
<series><title level="j">Photomedicine and Laser Surgery</title>
<idno type="ISSN">1549-5418</idno>
<idno type="eISSN">1557-8550</idno>
<imprint><date when="2014">2014</date>
</imprint>
</series>
</biblStruct>
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<front><div type="abstract" xml:lang="en"><title>Abstract</title>
<p><bold><italic>Objective:</italic>
</bold>
The aim of this study was to evaluate application of diode laser in laparoscopic partial nephrectomy (LPN), and to question this technique in terms of ease of tumor excision and reduction of warm ischemia time (WIT). <bold><italic>Background data:</italic>
</bold>
LPN is the standard operative method for small renal masses. The benefits of LPN are numerous, including preserving renal function and prolonging overall survival. However, reduction of WIT remains main challenge in this operation. In order to shorten WIT, many techniques have been developed, with variable results. <bold><italic>Patients and methods:</italic>
</bold>
We performed a prospective collection and analysis of health records for patients who were operated on between March 2011 and August 2012. Inclusion criteria were single tumor ≤4 cm, predominant exophytic growth and intraparenchymal depth ≤1.5 cm, with a minimum distance of 5 mm from the urinary collecting system. <bold><italic>Results:</italic>
</bold>
We operated on 17 patients. Median operative time was 170 min. In all but two patients, we had to perform hilar clamping. Median duration of WIT was 16 min. Pathohistological evaluation revealed clear cell renal cancer and confirmed margins negative for tumor in all cases. Median size of the tumor was 3 cm. Median postoperative hospitalization was 5 days. Average follow up was 11.5 months. There were no intraoperative complications. One postoperative complication was noted: perirenal hematoma. <bold><italic>Conclusions:</italic>
</bold>
Laser LPN is feasible, and offers the benefit of shorter WIT, with effective tissue coagulation and hemostasis. With operative experience and technical advances, WIT will be reduced or even eliminated, and a solution to some technical difficulties, such as significant smoke production, will be found.</p>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Photomed Laser Surg</journal-id>
<journal-id journal-id-type="iso-abbrev">Photomed Laser Surg</journal-id>
<journal-id journal-id-type="publisher-id">pho</journal-id>
<journal-title-group><journal-title>Photomedicine and Laser Surgery</journal-title>
</journal-title-group>
<issn pub-type="ppub">1549-5418</issn>
<issn pub-type="epub">1557-8550</issn>
<publisher><publisher-name>Mary Ann Liebert, Inc.</publisher-name>
<publisher-loc>140 Huguenot Street, 3rd FloorNew Rochelle, NY 10801USA</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">24460067</article-id>
<article-id pub-id-type="pmc">3926155</article-id>
<article-id pub-id-type="publisher-id">10.1089/pho.2013.3646</article-id>
<article-id pub-id-type="doi">10.1089/pho.2013.3646</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Research</subject>
</subj-group>
</article-categories>
<title-group><article-title>Laparoscopic Partial Nephrectomy with Diode Laser: A Promising Technique</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Knezevic</surname>
<given-names>Nikola</given-names>
</name>
<degrees>MD, PhD</degrees>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Kulis</surname>
<given-names>Tomislav</given-names>
</name>
<degrees>MD, PhD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Maric</surname>
<given-names>Marjan</given-names>
</name>
<degrees>MD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Grkovic</surname>
<given-names>Marija Topalovic</given-names>
</name>
<degrees>MD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Krhen</surname>
<given-names>Ivan</given-names>
</name>
<degrees>MD, PhD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Kastelan</surname>
<given-names>Zeljko</given-names>
</name>
<degrees>MD, PhD</degrees>
</contrib>
<aff id="aff1">Department of Urology, University Hospital Center Zagreb,<institution>University of Zagreb School of Medicine</institution>
, Zagreb,<country>Croatia</country>
.</aff>
</contrib-group>
<author-notes><corresp><addr-line>Address correspondence to:</addr-line>
<addr-line><italic>Tomislav Kulis</italic>
</addr-line>
<addr-line><italic>Department of Urology</italic>
</addr-line>
<institution><italic>University Hospital Center Zagreb</italic>
</institution>
<addr-line><italic>Kispaticeva 12</italic>
</addr-line>
<addr-line><italic>10000 Zagreb</italic>
</addr-line>
<country>Croatia</country>
<break></break>
<italic>E-mail:</italic>
<email xlink:href="mailto:tkulis@gmail.com">tkulis@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><day>01</day>
<month>2</month>
<year>2014</year>
<pmc-comment>string-date: February 2014</pmc-comment>
</pub-date>
<volume>32</volume>
<issue>2</issue>
<fpage>101</fpage>
<lpage>105</lpage>
<permissions><copyright-statement>Copyright 2014, Mary Ann Liebert, Inc.</copyright-statement>
<copyright-year>2014</copyright-year>
</permissions>
<self-uri content-type="pdf" xlink:type="simple" xlink:href="pho.2013.3646.pdf"></self-uri>
<abstract><title>Abstract</title>
<p><bold><italic>Objective:</italic>
</bold>
The aim of this study was to evaluate application of diode laser in laparoscopic partial nephrectomy (LPN), and to question this technique in terms of ease of tumor excision and reduction of warm ischemia time (WIT). <bold><italic>Background data:</italic>
</bold>
LPN is the standard operative method for small renal masses. The benefits of LPN are numerous, including preserving renal function and prolonging overall survival. However, reduction of WIT remains main challenge in this operation. In order to shorten WIT, many techniques have been developed, with variable results. <bold><italic>Patients and methods:</italic>
</bold>
We performed a prospective collection and analysis of health records for patients who were operated on between March 2011 and August 2012. Inclusion criteria were single tumor ≤4 cm, predominant exophytic growth and intraparenchymal depth ≤1.5 cm, with a minimum distance of 5 mm from the urinary collecting system. <bold><italic>Results:</italic>
</bold>
We operated on 17 patients. Median operative time was 170 min. In all but two patients, we had to perform hilar clamping. Median duration of WIT was 16 min. Pathohistological evaluation revealed clear cell renal cancer and confirmed margins negative for tumor in all cases. Median size of the tumor was 3 cm. Median postoperative hospitalization was 5 days. Average follow up was 11.5 months. There were no intraoperative complications. One postoperative complication was noted: perirenal hematoma. <bold><italic>Conclusions:</italic>
</bold>
Laser LPN is feasible, and offers the benefit of shorter WIT, with effective tissue coagulation and hemostasis. With operative experience and technical advances, WIT will be reduced or even eliminated, and a solution to some technical difficulties, such as significant smoke production, will be found.</p>
</abstract>
<counts><fig-count count="4"></fig-count>
<table-count count="1"></table-count>
<ref-count count="35"></ref-count>
<page-count count="5"></page-count>
</counts>
</article-meta>
</front>
</pmc>
</record>
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