Cargando…
A comparison of renal vascular control techniques during laparoscopic nephrectomy
BACKGROUND: We compared outcomes of en bloc stapler ligation of the renal hilum with separate Hem-o-lok polymer clip ligation of the renal vessels during laparoscopic nephrectomy (LN). MATERIALS AND METHODS: Clinical data of patients who underwent LN for renal surgery from January 2009 to December 2...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8083737/ https://www.ncbi.nlm.nih.gov/pubmed/33723183 http://dx.doi.org/10.4103/jmas.JMAS_287_19 |
_version_ | 1783686025137094656 |
---|---|
author | Koc, Gokhan Ekin, Gokhan Rahmi Ergani, Batuhan Ilbey, Yusuf Ozlem |
author_facet | Koc, Gokhan Ekin, Gokhan Rahmi Ergani, Batuhan Ilbey, Yusuf Ozlem |
author_sort | Koc, Gokhan |
collection | PubMed |
description | BACKGROUND: We compared outcomes of en bloc stapler ligation of the renal hilum with separate Hem-o-lok polymer clip ligation of the renal vessels during laparoscopic nephrectomy (LN). MATERIALS AND METHODS: Clinical data of patients who underwent LN for renal surgery from January 2009 to December 2015 were collected. Operation time, estimated blood loss, device malfunction rate, open conversion rate, complications and arteriovenous fistula (AVF) formation were evaluated. RESULTS: En bloc stapler ligation and separate clip ligation were performed in 64 and 66 patients, respectively. The mean operative time was 106.8 ± 20.8 min (range: 70–165) in the en bloc stapler ligation group compared with 112.5 ± 24.1 min (range: 70–180) in the separate clip ligation group (P = 0.147). The mean estimated blood loss was 141.4 ± 124.1 ml (range: 25–600) in the en bloc stapler ligation group compared with 147.6 ± 112.4 ml (range: 25–450) in the separate clip ligation group (P = 0.767). The open conversion was required in 7/64 (10.9%) and 2/66 (3.0%) patients in the en bloc stapler ligation and separate clip ligation groups, respectively (P = 0.093). Stapler device malfunction occurred in 6 patients (9.3%). There were no statistically significant differences in overall complications (P = 0.726), minor (Grade 1–2) complications (P = 0.698) and major (Grade 3–5) complications (P = 0.716). No patient was diagnosed with AVF formation during overall median 33-month (interquartile range: 30, range: 24–96) follow-up. CONCLUSIONS: En bloc stapler ligation of the renal hilum during nephrectomy is an effective and safe technique. Although there is no reported AVF formation with en bloc stapler ligation of the renal hilum, longer follow-up is necessary. |
format | Online Article Text |
id | pubmed-8083737 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-80837372021-05-06 A comparison of renal vascular control techniques during laparoscopic nephrectomy Koc, Gokhan Ekin, Gokhan Rahmi Ergani, Batuhan Ilbey, Yusuf Ozlem J Minim Access Surg Original Article BACKGROUND: We compared outcomes of en bloc stapler ligation of the renal hilum with separate Hem-o-lok polymer clip ligation of the renal vessels during laparoscopic nephrectomy (LN). MATERIALS AND METHODS: Clinical data of patients who underwent LN for renal surgery from January 2009 to December 2015 were collected. Operation time, estimated blood loss, device malfunction rate, open conversion rate, complications and arteriovenous fistula (AVF) formation were evaluated. RESULTS: En bloc stapler ligation and separate clip ligation were performed in 64 and 66 patients, respectively. The mean operative time was 106.8 ± 20.8 min (range: 70–165) in the en bloc stapler ligation group compared with 112.5 ± 24.1 min (range: 70–180) in the separate clip ligation group (P = 0.147). The mean estimated blood loss was 141.4 ± 124.1 ml (range: 25–600) in the en bloc stapler ligation group compared with 147.6 ± 112.4 ml (range: 25–450) in the separate clip ligation group (P = 0.767). The open conversion was required in 7/64 (10.9%) and 2/66 (3.0%) patients in the en bloc stapler ligation and separate clip ligation groups, respectively (P = 0.093). Stapler device malfunction occurred in 6 patients (9.3%). There were no statistically significant differences in overall complications (P = 0.726), minor (Grade 1–2) complications (P = 0.698) and major (Grade 3–5) complications (P = 0.716). No patient was diagnosed with AVF formation during overall median 33-month (interquartile range: 30, range: 24–96) follow-up. CONCLUSIONS: En bloc stapler ligation of the renal hilum during nephrectomy is an effective and safe technique. Although there is no reported AVF formation with en bloc stapler ligation of the renal hilum, longer follow-up is necessary. Wolters Kluwer - Medknow 2021 2020-03-16 /pmc/articles/PMC8083737/ /pubmed/33723183 http://dx.doi.org/10.4103/jmas.JMAS_287_19 Text en Copyright: © 2020 Journal of Minimal Access Surgery https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Koc, Gokhan Ekin, Gokhan Rahmi Ergani, Batuhan Ilbey, Yusuf Ozlem A comparison of renal vascular control techniques during laparoscopic nephrectomy |
title | A comparison of renal vascular control techniques during laparoscopic nephrectomy |
title_full | A comparison of renal vascular control techniques during laparoscopic nephrectomy |
title_fullStr | A comparison of renal vascular control techniques during laparoscopic nephrectomy |
title_full_unstemmed | A comparison of renal vascular control techniques during laparoscopic nephrectomy |
title_short | A comparison of renal vascular control techniques during laparoscopic nephrectomy |
title_sort | comparison of renal vascular control techniques during laparoscopic nephrectomy |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8083737/ https://www.ncbi.nlm.nih.gov/pubmed/33723183 http://dx.doi.org/10.4103/jmas.JMAS_287_19 |
work_keys_str_mv | AT kocgokhan acomparisonofrenalvascularcontroltechniquesduringlaparoscopicnephrectomy AT ekingokhanrahmi acomparisonofrenalvascularcontroltechniquesduringlaparoscopicnephrectomy AT erganibatuhan acomparisonofrenalvascularcontroltechniquesduringlaparoscopicnephrectomy AT ilbeyyusufozlem acomparisonofrenalvascularcontroltechniquesduringlaparoscopicnephrectomy AT kocgokhan comparisonofrenalvascularcontroltechniquesduringlaparoscopicnephrectomy AT ekingokhanrahmi comparisonofrenalvascularcontroltechniquesduringlaparoscopicnephrectomy AT erganibatuhan comparisonofrenalvascularcontroltechniquesduringlaparoscopicnephrectomy AT ilbeyyusufozlem comparisonofrenalvascularcontroltechniquesduringlaparoscopicnephrectomy |