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Safety of En Bloc Ligation of the Renal Hilum During Laparoscopic Radical Nephrectomy for Renal Cell Carcinoma: A Randomized Controlled Trial.
- Source :
-
Journal of Laparoendoscopic & Advanced Surgical Techniques . Jun2013, Vol. 23 Issue 6, p489-494. 6p. 2 Black and White Photographs, 1 Diagram, 4 Charts. - Publication Year :
- 2013
-
Abstract
- Aim: To evaluate the safety of en bloc stapler ligation of the renal vascular pedicle during laparoscopic radical nephrectomy for renal cell carcinoma. Subjects and Methods: Clinical data were collected prospectively from 70 patients who underwent either en bloc stapling of the renal hilum ( n=35) (Group A) or the separate ligation method ( n=35) (Group B) to treat renal cell carcinoma. To evaluate the incidence of arteriovenous fistula (AVF), blood pressure and heart rate were measured, and abdominal auscultation was performed at 1 month, 3 months, 6 months, and 12 months post-surgery. Abdominal computed tomography was also performed at 6 and 12 months post-surgery. In addition, preoperative characteristics and postoperative outcomes (such as operation time and estimated blood loss [EBL]) were examined. Results: Both operation time and EBL were lower for Group A: operative time, Group A versus Group B, 60.26±10.94 minutes versus 67.51±10.49 minutes ( P=.007); EBL, Group A versus Group B, 33.53±13.46 mL versus 49.14±32.21 mL ( P=.011). No statistically significant differences were noted in either of the postoperative variables (blood pressure and heart rate), and there was no clinical evidence of bruit or AVF at 12 months post-surgery. Conclusions: No AVF was observed after en bloc ligation upon clinical follow-up or on radiological evaluation. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 10926429
- Volume :
- 23
- Issue :
- 6
- Database :
- Academic Search Index
- Journal :
- Journal of Laparoendoscopic & Advanced Surgical Techniques
- Publication Type :
- Academic Journal
- Accession number :
- 87950851
- Full Text :
- https://doi.org/10.1089/lap.2012.0444