Clinical application of superselective transarterial embolization of renal tumors in zero ischaemia robotic-assisted laparoscopic partial nephrectomy

Frontiers in Oncology

Oncology

Hanbo Liu¹  Xinyu Zhang²  Haichang Li²  Cenchao Yao²  Dongning Lu²  Qijun Wo²  Dahong Zhang²  Yuning Hu²  Yixuan Mou²  Feng Liu²  Zhida Wang²  Jingyun Wang²  Heng Wang²  Yanze Lin²  Xugang Zhong² 

[1] Cancer Center, Department of Interventional Medicine, Zhejiang Provincial People’s Hospital, Affiliated People’s Hospital, Hangzhou Medical College, Hangzhou, China;Urology & Nephrology Center, Department of Urology, Zhejiang Provincial People’s Hospital (Affiliated People’s Hospital, Hangzhou Medical College), Hangzhou, Zhejiang, China;

关键词: superselective renal artery embolization;    zero ischemia;    partial nephrectomy;    nephron-sparing surgery (NSS);    robotic-assisted;   

DOI  :  10.3389/fonc.2023.1212696

 received in 2023-04-26, accepted in 2023-07-31,  发布年份 2023

来源: Frontiers

【 摘 要 】

ObjectiveTo assess the feasibility and safety of zero ischaemia robotic-assisted laparoscopic partial nephrectomy (RALPN) after preoperative superselective transarterial embolization (STE) of T1 renal cancer.MethodsWe retrospectively analyzed the data of 32 patients who underwent zero ischaemia RALPN after STE and 140 patients who received standard robot-assisted laparoscopic partial nephrectomy (S-RALPN). In addition, we selected 35 patients treated with off-clamp RALPN (O-RALPN) from September 2017 to March 2022 for comparison. STE was performed by the same interventional practitioner, and zero ischaemia laparoscopic partial nephrectomy (LPN) was carried out by experienced surgeon 1-12 hours after STE. The intraoperative data and postoperative complications were recorded. The postoperative renal function, routine urine test, urinary Computed Tomography (CT), and preoperative and postoperative glomerular filtration rate (GFR) data were analyzed.ResultsAll operations were completed successfully. There were no cases of conversion to opening and no deaths. The renal arterial trunk was not blocked. No blood transfusions were needed. The mean operation time was 91.5 ± 34.28 minutes. The mean blood loss was 58.59 ± 54.11 ml. No recurrence or metastasis occurred.ConclusionFor patients with renal tumors, STE of renal tumors in zero ischaemia RALPN can preserve more renal function, and it provides a safe and feasible surgical method.

【 授权许可】

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Copyright © 2023 Li, Hu, Lu, Wang, Lin, Zhong, Mou, Yao, Wang, Zhang, Wo, Liu, Liu, Zhang and Wang