Improved closure techniques for laparoscopic partial nephrectomy in moderately complex renal cell carcinoma

作     者：Qi-Wei Yang Xiu-Wu Pan Jian-Qing Ye Chuan-Min Chu Fa-Jun Qu Lin Li Wei Yang Lei Wang Si-Shun Gan Xin-Gang Cui Yang Qi-Wei;Pan Xiu-Wu;Ye Jian-Qing;Chu Chuan-Min;Qu Fa-Jun;Li Lin;Yang Wei;Wang Lei;Gan Si-Shun;Cui Xin-Gang

作者机构：Department of UrologyThe Third Affiliated Hospital of Naval Military Medical University(Eastern Hepatobiliary Surgery Hospital)Shanghai 201805China Department of UrologyGongli HospitalShanghai 200135China Department of UrologyChangzheng HospitalNaval Military Medical UniversityShanghai 200003China 

出 版 物：《Chinese Medical Journal》 (中华医学杂志（英文版）)

年 卷 期：2021年第134卷第2期

页      面：228-230页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

基　　金：supported by grants from the Shanghai Sailing Program of Young Talents of Science and Technology(No.19YF1459700) Clinical Peak Discipline Construction Project of Pudong New Area Government(No.PWYgf2018-03) the Medical Guidance(Chinese and Western Medicine)Science and Technology Support Project(No.17411960200) the Shanghai"Rising Stars of Medical Talent"Youth Development Program:Outstanding Youth Medical Talents(X.Cui)and Youth Medical Talents-Specialist Program(X.Pan) 

主　　题：anatomy operative closure 

摘      要：Laparoscopic partial nephrectomy(LPN)as a minimally invasive nephron-sparing surgery is gradually becoming the preferred surgical treatment for T1a renal carcinoma since it yields faster post-operative recovery and equivalent oncological outcomes to radical nephrectomy.[1]However,it is difficult to perform LPN for complex renal tumors,resulting in a longer warm ischemic time(WIT),which consequently affects the recovery of post-operative renal function.[2]With the development of laparoscopic instruments and techniques and the accumulating experience of surgeons,the WIT during LPN may be shortened using anatomy-based early unclamping(EUC)[1]after the placement of one or two running sutures on the tumor *** this study,we improved the closure techniques for LPN using EUC in patients with complex renal tumors and assessed their effectiveness.