Download presentation
Presentation is loading. Please wait.
1
Volume 59, Issue 1, Pages 128-134 (January 2011)
“Zero Ischemia” Partial Nephrectomy: Novel Laparoscopic and Robotic Technique Inderbir S. Gill, Manuel S. Eisenberg, Monish Aron, Andre Berger, Osamu Ukimura, Mukul B. Patil, Vito Campese, Duraiyah Thangathurai, Mihir M. Desai European Urology Volume 59, Issue 1, Pages (January 2011) DOI: /j.eururo Copyright © 2010 European Association of Urology Terms and Conditions
2
Fig. 1 Preoperative computed tomography scans showing examples of renal tumors treated with zero ischemia laparoscopic or robot-assisted partial nephrectomy. Note: Significant portions of these tumors extend intrarenally. (a) 43-yr-old male with left 4.3-cm hilar mid-pole renal mass; (b) 57-yr-old male with a right 4.5-cm hilar mass. European Urology , DOI: ( /j.eururo ) Copyright © 2010 European Association of Urology Terms and Conditions
3
Fig. 2 Intraoperative picture of parenchymal suturing during zero ischemia robotic-assisted partial nephrectomy. The partial nephrectomy bed is dry as normotension is resumed during parenchymal suturing. European Urology , DOI: ( /j.eururo ) Copyright © 2010 European Association of Urology Terms and Conditions
4
Fig. 3 Intraoperative laparoscopic color Doppler ultrasonography performed during nadir hypotension demonstrates continued arterial blood flow in the intrarenal lobar arteries. The measured resistive index of the arterial wave-form tracing, displayed along the bottom of the ultrasound picture, was 0.76. European Urology , DOI: ( /j.eururo ) Copyright © 2010 European Association of Urology Terms and Conditions
5
Fig. 4 Fresh partial nephrectomy specimen. Parenchymal charring from electrocautery incision is mainly present along the anterior resection edge of the excised specimen, while the areas of the central sinus fat and posterior edge are devoid of any charring. European Urology , DOI: ( /j.eururo ) Copyright © 2010 European Association of Urology Terms and Conditions
Similar presentations
© 2024 SlidePlayer.com. Inc.
All rights reserved.