Objective To assess the feasibility and safety of zero ischemia robotic-assisted laparoscopic partial nephrectomy(RALPN)after preoperative superselective transarterial embolization(STE)of T1 renal cancer.Methods The clinical data of 207 patients undergoing robot-assisted laparoscopic partial nephrectomy(RALPN)were retrospectively analysed,and they were divided into 32 cases in the STE+RALPN group,35 cases in the Off-clamp RALPN group,and 140 cases in the S-RALPN group according to the different interventions in the preoperative period.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.Results Comparison of the mean operation time,mean blood loss,postoperative 24 h hemoglobin drop,mean drain clearance time,and the drop in GFR before and after the operation among the three groups of patients showed statistically significant differences(P<0.05).There were no treatment-related adverse reactions such as urinary leakage,hypothermia,fever,etc,in the patients in the STE+RALPN group.No recurrence or metastasis occurred.Conclusion STE of renal tumors in zero ischemia RALPN can preserve more renal function,and it provides a safe and feasible surgical method.
Superselective renal artery embolizationZero ischemiaPartial nephrectomyRobot-assisted laparoscopic surgery
万方数据
维普
