TY - JOUR
T1 - Robot-assisted partial nephrectomy
T2 - Off-clamp technique
AU - Sandhu, Gurdarshan S.
AU - Kim, Eric H.
AU - Tanagho, Youssef S.
AU - Bhayani, Sam B.
AU - Figenshau, R. Sherburne
PY - 2013/1/1
Y1 - 2013/1/1
N2 - Robot-assisted partial nephrectomy (RAPN) has been established as a viable alternative to open and laparoscopic partial nephrectomy for small renal tumors. Multiple variations in surgical technique have been described to reduce warm ischemia time (WIT). We present our off-clamp technique for RAPN. From August 2007 to January 2012, off-clamp RAPN was performed on 47 tumors in 39 patients. WIT was 0 minutes in all cases. The mean operative time was 147 minutes (SD=58); the mean and median estimated blood loss were 219 mL (SD=253) and 150 mL (range 50-1500), respectively; the mean length of stay was 1.9 days (SD=1.1). There were no intraoperative complications, and results for all surgical margins were negative. In experienced hands, our off-clamp technique for RAPN is a safe and feasible technique that eliminates WIT.
AB - Robot-assisted partial nephrectomy (RAPN) has been established as a viable alternative to open and laparoscopic partial nephrectomy for small renal tumors. Multiple variations in surgical technique have been described to reduce warm ischemia time (WIT). We present our off-clamp technique for RAPN. From August 2007 to January 2012, off-clamp RAPN was performed on 47 tumors in 39 patients. WIT was 0 minutes in all cases. The mean operative time was 147 minutes (SD=58); the mean and median estimated blood loss were 219 mL (SD=253) and 150 mL (range 50-1500), respectively; the mean length of stay was 1.9 days (SD=1.1). There were no intraoperative complications, and results for all surgical margins were negative. In experienced hands, our off-clamp technique for RAPN is a safe and feasible technique that eliminates WIT.
UR - http://www.scopus.com/inward/record.url?scp=84872308918&partnerID=8YFLogxK
U2 - 10.1089/end.2012.0170
DO - 10.1089/end.2012.0170
M3 - Article
C2 - 22957660
AN - SCOPUS:84872308918
SN - 0892-7790
VL - 27
SP - 4
EP - 8
JO - Journal of Endourology
JF - Journal of Endourology
IS - 1
ER -