Cryotherapy-Assisted Robotic Partial Nephrectomy: Description Of A Novel Selective Ischemia Technique

You have accessJournal of UrologyRenal Oncology II (V11)1 Sep 2021V11-08 CRYOTHERAPY-ASSISTED ROBOTIC PARTIAL NEPHRECTOMY: DESCRIPTION OF A NOVEL SELECTIVE ISCHEMIA TECHNIQUE Eusebio Luna, Luanda Perez, Edward Gheiler, Ariel Kaufman, Dailianys Barrios, and Fernando Bianco Eusebio LunaEusebio Luna More articles by this author , Luanda PerezLuanda Perez More articles by this author , Edward GheilerEdward Gheiler More articles by this author , Ariel KaufmanAriel Kaufman More articles by this author , Dailianys BarriosDailianys Barrios More articles by this author , and Fernando BiancoFernando Bianco More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002073.08AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Warm or cold ischemia can be deleterious at the time of partial nephrectomy. Selective ischemia approaches have been proposed to ameliorate potential adverse events. Herein, we present a novel technique using cryoablation probes as means of selective ischemia at the time of robotic partial nephrectomy. METHODS: 11 patients participated in URN20-011 protocol between September and December 2020. Inclusion criteria called for renal tumors between 2.5 and 5 cm with an exophytic component and GFR greater than 45. The video shows the procedure conducted on a 77-year-old-male with a 4.2 cm mass. The mass is isolated, cryoprobes are placed at its base, upon freezing, enucleation takes place and the margins on the renal side are frozen as shown. RESULTS: Median surgical time and EBL for the 11 patients was 68’ and 80cc, respectively. One patient has a 500cc blood loss. The histological results are shown on the video. No transfusions were required. All patients were discharged at POD1. Two patients attended ER within 7 days, one was admitted for ileus. CONCLUSIONS: Cryotherapy-assisted partial nephrectomy is feasible and safe. Notwithstanding, longer follow up is necessary, pathological outcomes are encouraging. Source of Funding: none © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e860-e860 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Eusebio Luna More articles by this author Luanda Perez More articles by this author Edward Gheiler More articles by this author Ariel Kaufman More articles by this author Dailianys Barrios More articles by this author Fernando Bianco More articles by this author Expand All Advertisement PDF downloadLoading ...