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Modified Laparoscopic Nephron-Sparing Surgery for Large Renal Hilar Angiomyolipoma: Dual-Center Experience

OBJECTIVE: The aim of this study is to evaluate a potential successful strategy for treating large renal hilar angiomyolipoma (RHAML) during the procedure of laparoscopic nephron-sparing surgery (NSS). METHODS: The total study population includes 12 patients with large RHAMLs who underwent laparosco...

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Autores principales: Yang, ZeSong, Wang, Fang, Lin, Deng, Li, Qiuyan, Hong, Yun, Hu, Minxiong, Zhang, Dahong, Ye, Liefu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9406811/
https://www.ncbi.nlm.nih.gov/pubmed/36034366
http://dx.doi.org/10.3389/fsurg.2022.901033
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author Yang, ZeSong
Wang, Fang
Lin, Deng
Li, Qiuyan
Hong, Yun
Hu, Minxiong
Zhang, Dahong
Ye, Liefu
author_facet Yang, ZeSong
Wang, Fang
Lin, Deng
Li, Qiuyan
Hong, Yun
Hu, Minxiong
Zhang, Dahong
Ye, Liefu
author_sort Yang, ZeSong
collection PubMed
description OBJECTIVE: The aim of this study is to evaluate a potential successful strategy for treating large renal hilar angiomyolipoma (RHAML) during the procedure of laparoscopic nephron-sparing surgery (NSS). METHODS: The total study population includes 12 patients with large RHAMLs who underwent laparoscopic NSS in the Department of Urology of Fujian Provincial hospital and People’s Hospital of Zhejiang, ranging from January 2016 to March 2020. The perioperative variables, intraoperative procedures, and postprocedure complications were all recorded. Three months later, all patients returned to the hospital to check their postoperative recovery by reviewing the computed tomography urography (CTU) image. In the follow-up, patients were asked to have their review by CT or color doppler ultrasound every year. RESULTS: Laparoscopic NSS was successfully performed in all patients. The average operation time was 113.33 ± 33.39 min; the intraoperative blood loss was about 137.50 ± 91.17 ml; the warm ischemia time was 25.25 ± 4.88 min; the drainage tube extubation time was 4.58 ± 2.07 days; and the hospital stay time was 6.42 ± 1.78 days. The average follow-up time was 14.58 ± 9.18 months. After 3 months, all CTU images showed an unobstructed urinary tract in the patient, and no tumor recurrence was found. In addition, no patients had renal atrophy and urine extravasation during follow-up. CONCLUSIONS: Laparoscopic NSS for RHAML is complex and technically demanding, but good surgical design and operation can achieve satisfactory surgical results. Modified laparoscopic NSS was a beneficial technique and may provide a reference for treating patients with RHAML.
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spelling pubmed-94068112022-08-26 Modified Laparoscopic Nephron-Sparing Surgery for Large Renal Hilar Angiomyolipoma: Dual-Center Experience Yang, ZeSong Wang, Fang Lin, Deng Li, Qiuyan Hong, Yun Hu, Minxiong Zhang, Dahong Ye, Liefu Front Surg Surgery OBJECTIVE: The aim of this study is to evaluate a potential successful strategy for treating large renal hilar angiomyolipoma (RHAML) during the procedure of laparoscopic nephron-sparing surgery (NSS). METHODS: The total study population includes 12 patients with large RHAMLs who underwent laparoscopic NSS in the Department of Urology of Fujian Provincial hospital and People’s Hospital of Zhejiang, ranging from January 2016 to March 2020. The perioperative variables, intraoperative procedures, and postprocedure complications were all recorded. Three months later, all patients returned to the hospital to check their postoperative recovery by reviewing the computed tomography urography (CTU) image. In the follow-up, patients were asked to have their review by CT or color doppler ultrasound every year. RESULTS: Laparoscopic NSS was successfully performed in all patients. The average operation time was 113.33 ± 33.39 min; the intraoperative blood loss was about 137.50 ± 91.17 ml; the warm ischemia time was 25.25 ± 4.88 min; the drainage tube extubation time was 4.58 ± 2.07 days; and the hospital stay time was 6.42 ± 1.78 days. The average follow-up time was 14.58 ± 9.18 months. After 3 months, all CTU images showed an unobstructed urinary tract in the patient, and no tumor recurrence was found. In addition, no patients had renal atrophy and urine extravasation during follow-up. CONCLUSIONS: Laparoscopic NSS for RHAML is complex and technically demanding, but good surgical design and operation can achieve satisfactory surgical results. Modified laparoscopic NSS was a beneficial technique and may provide a reference for treating patients with RHAML. Frontiers Media S.A. 2022-06-08 /pmc/articles/PMC9406811/ /pubmed/36034366 http://dx.doi.org/10.3389/fsurg.2022.901033 Text en Copyright © 2022 Yang, Wang, Lin, Li, Hong, Hu, Zhang and Ye. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Yang, ZeSong
Wang, Fang
Lin, Deng
Li, Qiuyan
Hong, Yun
Hu, Minxiong
Zhang, Dahong
Ye, Liefu
Modified Laparoscopic Nephron-Sparing Surgery for Large Renal Hilar Angiomyolipoma: Dual-Center Experience
title Modified Laparoscopic Nephron-Sparing Surgery for Large Renal Hilar Angiomyolipoma: Dual-Center Experience
title_full Modified Laparoscopic Nephron-Sparing Surgery for Large Renal Hilar Angiomyolipoma: Dual-Center Experience
title_fullStr Modified Laparoscopic Nephron-Sparing Surgery for Large Renal Hilar Angiomyolipoma: Dual-Center Experience
title_full_unstemmed Modified Laparoscopic Nephron-Sparing Surgery for Large Renal Hilar Angiomyolipoma: Dual-Center Experience
title_short Modified Laparoscopic Nephron-Sparing Surgery for Large Renal Hilar Angiomyolipoma: Dual-Center Experience
title_sort modified laparoscopic nephron-sparing surgery for large renal hilar angiomyolipoma: dual-center experience
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9406811/
https://www.ncbi.nlm.nih.gov/pubmed/36034366
http://dx.doi.org/10.3389/fsurg.2022.901033
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