Laparoscopic transmesenteric partial nephrectomy - first results
Abstract
Background. It was suggested a way of laparoscopic left partial nephrectomy performed through a ‘window’ in the mesentery of the colon. Methods. It was conducted an analysis of treatment results of 40 patients with renal tumors (TjN0M0), after laparoscopic left partial nephrectomy, 19 of them was operated transmesentricaly. Results. Conversions, post-surgical complications, and deaths were not registered. In one case during the traditional laparoscopic surgery the splenic capsule was damaged and caused bleeding, the complication was corrected conservatively. The duration of renal ischemia, duration of surgery and time of hospital stay between the two groups had no statistically significant difference. Conclusions. Transmesentric partial nephrectomy access has a number of advantages and can be considered as an alternative to standard laparoscopic nephrectomy.
About the Authors
A. D. Kochkin
Road clinical hospital at Gorkiy station JCS 'Russian
Russian Federation
Russian Federation
A. G. Martov
57 Moscow City Clinical Hospital
Russian Federation
Russian Federation
F. A. Sevryukov
Road clinical hospital at Gorkiy station JCS 'Russian
Russian Federation
Russian Federation
E. A. Gallyamov
A.I. Evdokimov Moscow State University of Medicine and Dentistry
Russian Federation
Russian Federation
V. P. Sergeev
62 Moscow City Oncological Hospital
Russian Federation
Russian Federation
A. B. Novikov
Multi-field Medical Center of Bank of Russia
Russian Federation
Russian Federation
K. S. Presnov
Multi-field Medical Center of Bank of Russia
Russian Federation
Russian Federation
D. V. Semenychev
Road clinical hospital at Gorkiy station JCS 'Russian
Russian Federation
Russian Federation
A. V. Knutov
Road clinical hospital at Gorkiy station JCS 'Russian
Russian Federation
Russian Federation
A. E. Sanzharov
40 City Clinical Hospital
Russian Federation
Russian Federation
I. N. Orlov
St. Luca City Clinical Hospital
Russian Federation
Russian Federation
I. V. Meschankin
Treatment and Rehabilitation Center of MOH Russia
Russian Federation
Russian Federation
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Review
For citations:
Kochkin A.D., Martov A.G., Sevryukov F.A., Gallyamov E.A., Sergeev V.P., Novikov A.B., Presnov K.S., Semenychev D.V., Knutov A.V., Sanzharov A.E., Orlov I.N., Meschankin I.V. Laparoscopic transmesenteric partial nephrectomy - first results. Pacific Medical Journal. 2016;(1):76-78. (In Russ.)
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