Robot-assisted partial nephrectomy in difficult renal masses using isolated combined ‘drug & cold’ ischemia in situ
https://doi.org/10.21886/2308-6424-2024-12-5-96-104
Abstract
The paper presents the results of surgical treatment of 14 patients with renal masses undergone partial nephrectomy on the Da Vinci Si and Da Vinci Xi robotic systems using ‘drug & cold’ ischemia. The advantages of the original technique, such as long-term safe renal ischemia, nephron sparing, minimal blood loss with no hemotransfusions and short length of hospital stay were presented.
About the Authors
V. A. OganyanRussian Federation
Vardan A. Oganyan.
Moscow
Competing Interests:
None
N. A. Karelskaya
Russian Federation
Natalia A. Karelskaya.
Moscow
Competing Interests:
None
D. M. Monakov
Russian Federation
Dmitry M. Monakov — Cand.Sc.(Med).
Moscow
Competing Interests:
None
V. S. Demidova
Russian Federation
Valentina S. Demidova —Dr.Sc.(Biol).
Moscow
Competing Interests:
None
A. N. Lebedeva
Russian Federation
Anna N. Lebedeva — Dr.Sc.(Med).
Moscow
Competing Interests:
None
A. A. Gritskevich
Russian Federation
Alexander A. Gritskevich — Dr.Sc.(Med), Prof.
Moscow
Competing Interests:
None
References
1. Rak pochki. Klinicheskie rekomendatsii, 2023. Accessed May 06, 2024. (In Russian). URL: https://cr.minzdrav.gov.ru/schema/10_4
2. Gettman MT, Blute ML, Chow GK, Neururer R, Bartsch G, Peschel R. Robotic-assisted laparoscopic partial nephrectomy: technique and initial clinical experience with DaVinci robotic system. Urology. 2004;64(5):914-918. DOI: 10.1016/j.urology.2004.06.049
3. Li KP, Wan S, Wang CY, Chen SY, Yang L. Perioperative, functional, and oncologic outcomes of robot-assisted versus open partial nephrectomy for complex renal tumors (RENAL score ≥ 7): an evidence-based analysis. J Robot Surg. 2023;17(4):1247-1258. DOI: 10.1007/s11701-023-01565-3
4. Bahadoram S, Davoodi M, Hassanzadeh S, Bahadoram M, Barahman M, Mafakher L. Renal cell carcinoma: an overview of the epidemiology, diagnosis, and treatment. G Ital Nefrol. 2022;39(3):2022-vol3. PMID: 35819037
5. Garisto J, Bertolo R, Agudelo J, Armanyous S, Gao T, Lioudis M, Kaouk JH. Cold ischemia technique during robotic partial nephrectomy: a propensity score-matched comparison with open approach. MINERVA Urol Nefrol. 2019;71(2):127-135. DOI: 10.23736/S0393-2249.18.03276-9
6. Canda AE, Ozkan A, Arpali E, Koseoglu E, Kiremit MC, Kordan Y, Kocak B, Balbay MD, Esen T. Robotic assisted partial nephrectomy with cold ischemia applying ice pieces and intraoperative frozen section evaluation of the mass: complete replication of open approach with advantages of minimally invasive surgery. Cent European J Urol. 2020;73(2):234-235. DOI: 10.5173/ceju.2020.0064
7. Nelson RJ, Dagenais J, Maurice MJ, Chavalia JSS, Ramirez D, Caputo PA, Babbar P, Yerram NK, Kaouk JH. Robotic cold ischemia achieves comparable functional outcomes to open cold ischemia during partial nephrectomy for complex kidney tumors. Urol Ann. 2018;10(4):386-390. DOI: 10.4103/UA.UA_91_17
8. Lu Q, Zhao X, Ji C, Guo S, Qiu X, Liu G, Zhang S, Li X, Zhang G, Zhang X, Guo H. Functional and oncologic outcomes of robot-assisted simple enucleation with and without renal arterial cold perfusion in complex renal tumors: a propensity score-matched analysis. BMC Urol. 2021;21(1):2. DOI: 10.1186/s12894-020-00771-7
9. Teplov A.A., Grickevich A.A., P’yanikin S.S., Zotikov A.E., Adyrhaev Z.A., Kozhanova A.V., Askerova A.N., Vetsheva N.N., Timina I.E., Stepanova A.Yu., Karmazanovskiy G.G., Pokrovskiy A.V., Kubyshkin V.A. Extracorporeal resection of the kidney in the setting of the pharmacological and cold temperature ischemia with orthotopic replantation of the vessels without ureter transaction in patients with renal cell carcinoma. Experimental and clinical urology. 2015;(2):52-63. (In Russian). eLIBRARY ID: 24073623, EDN: UGUWRT
10. Gritskevitch A., Il’in S., Timina I., Zotikov A., Karmazanovskiy G., Teplov A., Pokrovskiy A., Kubyshkin V. Technique of extracorporeal partial nephrectomy in terms of pharmaco-cold ischemia without crossing the ureter with renal vessels orthotopic replantation in patients with renal cell carcinoma. Urology Herald. 2015;(3):3-33. (In Russian). DOI: 10.21886/2308-6424-2015-0-3-3-33
11. Gritskevich A.A., Miroshkina I.V., Baitman Т.P., Morozova M.V., Stepanova Yu.A., Teplov A.A. Extracorporeal partial nephrectomy during pharmaco-cold ischemia in patients with renal cell carcinoma: history and current problems. Experimental and clinical urology. 2019;(4):32-39. (In Russian). DOI: 10.29188/2222-8543-2019-11-4-32-39
12. Patent RF № 2812295 C1, MPK A61B 17/94, A61K 31/405, A61K 31/417. Gritskevich A.A., Oganyan V.A., Chevina A.A., Karel’skaya N.A. Sposob organosokhranyayushchei robot-assistirovannoi intrakorporal’noi rezektsii pochki s primeneniem izolirovannoi farmako-kholodovoi ishemii kardioplegicheskim rastvorom : № 2023116207 : zayavl. 20.06.2023 : opubl. 29.01.2024. (In Russian). https://elibrary.ru/download/elibrary_60787021_88208596.PDF
Review
For citations:
Oganyan V.A., Karelskaya N.A., Monakov D.M., Demidova V.S., Lebedeva A.N., Gritskevich A.A. Robot-assisted partial nephrectomy in difficult renal masses using isolated combined ‘drug & cold’ ischemia in situ. Urology Herald. 2024;12(5):96-104. (In Russ.) https://doi.org/10.21886/2308-6424-2024-12-5-96-104