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Results of our laparoscopic partial nephrectomy without ischemia: the first ten cases

Erkan Olcucuoglu; Mine Sebnem Karakan.

Abstract
Laparoscopic partial nephrectomy (LPN) without ischemia is a new method that can only be performed in selected cases. We presented results of patients who underwent LPN without ischemia for renal mass in our clinic. The demographic characteristics, perioperative and postoperative surgical results, complications and renal functions were retrospectively reviewed for patients who underwent LPN without ischemia between March 2014 and September 2015. Renal function was assessed using the estimated glomerular filtration rate (GFR) calculated by the Modification of Diet in Renal Disease (MDRD) equation. Complications was assessed according to modified Clavien classification. Ten cases of LPN without ischemia were performed. The mean age was (year) 50.6 ± 8.6, the mean mass size (mm) 37.9 ± 23, the mean RENAL score was 6.4 ± 1.2. The mean operation time (minute) 110.5 ± 41, the mean bleeding amount (ml) 191 ± 198, the mean hemoglobilin (mg/dl) preoperative 13.86 ± 1.28, postoperative 12.2 ± 1.2, the mean creatinine (mg/dl) preoperative 0.95 ± 0.19, postoperative 0.85 ± 0.2, 1.Year 0,91±0,1, GFR (ml/min) preoperative 77.6, postoperative 1.day 79.6, 1.Year 81.2, hospitalization duration (day) 2.9 ± 0.7. Two patients underwent blood transfusion (According to modified Clavien classification grade 2). LPN without ischemia is a new method that can only be performed in selected cases in experienced clinics.

Key words: Laparoscopy;partial nephrectomy without ischemia;renal cell carcinoma



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