Is intraoperative ultrasonography necessary in laparoscopic partial nephrectomy for exophytic tumours?

IF 1.7 4区医学 Q2 SURGERY

Minimally Invasive Therapy & Allied Technologies Pub Date : 2023-12-01 Epub Date: 2023-08-01 DOI:10.1080/13645706.2023.2233611

Samet Senel, Antonios Koudonas, Javid Ahmadzada, Jens Rassweiler, Ali Serdar Gözen

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引用次数: 0

Abstract

Introduction: The value of IOUS has been proven especially for endophytic kidney tumours, but has not been assessed critically for exophytic kidney tumours. We aimed to evaluate the value of IOUS for exophytic kidney tumours.

Material and methods: The data of LPN cases were collected prospectively between 2000 and 2022. Thirty-two of 535 patients who underwent laparoscopic retroperitoneal partial nephrectomy without IOUS were matched with the IOUS applied cases according to tumour size, tumour localization and PADUA score.

Results: There were no differences between the two groups in terms of the matching parameters. The average warm ischemia time was 14 min for the IOUS group (range 9-32 min) and 20 min for the non-IOUS group (range 7-52 min) (p = 0.01). Also, the average cutting time was shorter in the IOUS group (6 min vs 9 min) (p = 0.046). There was no difference between the two groups in terms of suturing times (8 min vs 8.5 min) (p = 0.66). The average tumour size was 3.5 cm and pathologically-proven residual tumour was detected in one patient in each group.

Conclusion: The use of IOUS in laparoscopic retroperitoneal partial nephrectomy for exophytic kidney tumours may shorten the warm ischemia time by reducing the cutting time.

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腹腔镜肾部分切除术中超声检查是否有必要治疗系外肿瘤？

引言：IOUS的价值已被证明，尤其是对内生肾肿瘤，但尚未对外生肾肿瘤进行严格评估。我们的目的是评估IOUS对外源性肾脏肿瘤的价值。材料和方法：前瞻性收集2000年至2022年间LPN病例的数据。535例未经IOUS的腹腔镜腹膜后部分肾切除术患者中，有32例根据肿瘤大小、肿瘤定位和PADUA评分与IOUS应用病例相匹配。结果：两组在匹配参数方面无差异。平均热缺血时间为14 IOUS组的最小值（范围9-32 最小值）和20 非IOUS组的最小值（范围7-52 min）（p = 0.01）。此外，IOUS组的平均切割时间更短（6 分钟vs 9 min）（p = 0.046）。两组在缝合次数方面没有差异（8 最小值vs 8.5 min）（p = 0.66）。平均肿瘤大小为3.5 cm，并且在每组中的一名患者中检测到经病理证实的残余肿瘤。结论：IOUS在腹腔镜腹膜后部分肾切除术中应用，可通过缩短切取时间缩短温缺血时间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Minimally Invasive Therapy & Allied Technologies 医学-外科

CiteScore

3.80

自引率

5.90%

发文量

审稿时长

6-12 weeks

期刊介绍： Minimally Invasive Therapy and Allied Technologies (MITAT) is an international forum for endoscopic surgeons, interventional radiologists and industrial instrument manufacturers. It is the official journal of the Society for Medical Innovation and Technology (SMIT) whose membership includes representatives from a broad spectrum of medical specialities, instrument manufacturing and research. The journal brings the latest developments and innovations in minimally invasive therapy to its readers. What makes Minimally Invasive Therapy and Allied Technologies unique is that we publish one or two special issues each year, which are devoted to a specific theme. Key topics covered by the journal include: interventional radiology, endoscopic surgery, imaging technology, manipulators and robotics for surgery and education and training for MIS.