A new surgical technique used in the partial nephrectomy for the renal hilar tumors localizing at renal lips and its anatomical principle
Yu Hongkai
Ma Xin
Li Hongzhao
Du Qingshan
Zhang Xu
Abstract：Objective:To estimate the feasibility,efficiency,safety of a new surgical technique used in the partial nephrectomy for the renal hilar tumors localizing at renal lips.Methods:18 patients with renal hilar tumors at renal lips underwent partial nephrectomy using a new surgical technique between June 2013 and November 2014.The oper-ative time,intraoperative blood loss,time of warm ischemia,perioperative serious complications,positive margin status of the tumor specimens,hospital staying days,renal function on affected kidney of 3-12 months follow-up and status of recurrence were recorded and analyzed.Results:No surgeries were converted to open method.The mean op-erative time was 1 50 minutes.The mean warm ischemia was 25 minutes.One repair for the defect at renal vein was performed.The severe perioperative complications such as serious blood loss and urine leakage were not recorded. Thehistopathology confirmed 1 5 of renal cell carcinoma with negative margin and 3 renal angiomyolipoma.The mean hospital staying days were 8 days.No radiologicalrecurrence was found in the 3-12 months period of follow-up.The increase of the GFR on affected kidney was less than 8 mL/min.Conclusions:Our new surgical technique used in the partial nephrectomy for the renal hilar tumors localizing at renal lips was feasible,efficient,and safe.
Keywords：retrograde renal hilar resection"Furbelow" hilar suture for renal woundrenal hilar tumor
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 163-166 )