Category: Laparoscopic/ Robotic: Other

MP25-8 - Comparison of renal functional results of partial nephrectomy with warm ischemia, cold ischemia and clampless technique

Sun, Sep 23
10:00 AM - 12:00 PM

Introduction & Objective :

We aimed to compare short-term renal functions in patients who underwent partial nephrectomy (PN) with several clamping techniques.


Methods :

We retrospectively analyzed the perioperative data of 123 patients (n:25 warm ischemia - group 1, n: 43 cold ischemia – group 2 and n:55 clampless – group 3) who underwent open or laparoscopic PN in a single institution. Patients’ demographic characteristics, perioperative data and postoperative renal functional outcomes were recorded. Our main outcome parameters were the postoperative serum creatinine, eGFR and its change from baseline, which were studied at postoperative 3rd and 6th months.


Results :

Demographic (age, BMI) and tumor characteristics (tumor size, R.E.N.A.L. score) were similar between the 3 groups. In perioperative outcomes estimated blood loss and operation time were significantly higher in group 1. Mean clamping time was 18.36 minutes in group 1 and 14.01 min in group 2, respectively. Length of hospital stay was similar between the 3 groups. In postoperative outcomes, renal deterioration was statistically similar between the 3 groups in 3rd and 6th months after the PN.


Conclusions :

PN with warm ischemia, cold ischemia and also clampless technique are feasible treatment options for patients with renal tumor that suitable for PN. All of the 3 techniques have similar renal deterioration results in short term and can be perform safely in experienced hands.

Özgür Kazan

resident
istanbul medeniyet university goztepe training and research hospital
Istanbul, Istanbul, Turkey

NAME: Ozgur Kazan
Date of Birth: 27.02.1990
Language: English and German
Faculty: Istanbul Medeniyet University Goztepe Research and Training Hospital
Graduated Faculty and year of graduation: Ege University-2015
E-Mail: ozgurkazan@hotmail.com
Phone: 00905362283837

Turhan Caskurlu

Istanbul, Istanbul, Turkey

Taha Ucar

Istanbul, Istanbul, Turkey

Gokhan Atis

İstanbul, Istanbul, Turkey

Meftun Culpan

Sirnak, Sirnak, Turkey

Turgay Turan

Istanbul, Istanbul, Turkey

Asif Yildirim

Istanbul, Istanbul, Turkey