COMPARISON OF LAPAROSCOPIC RESECTION OF THE KIDNEY IN RENAL TUMORS WITH AND WITHOUT THE APPLICATION OF A HEMOSTATIC SUTURE

ORIGINAL ARTICLES. A. PROTOCOLS OF CLINICAL RESEARCH

https://doi.org/10.37469/0507-3758-2017-63-2-281-286

Published 01.02.2017

Sergey Petrov⁺⁻
Andrey Mishchenko⁺⁻
A. Nosov⁺⁻
P. Lushina⁺⁻
A. Vorobev⁺⁻
P. Kalinin⁺⁻

Sergey Petrov

N.N. Petrov Research Institute of Oncology

Andrey Mishchenko

N.N. Petrov Research Institute of Oncology

A. Nosov

N.N. Petrov Research Institute of Oncology

P. Lushina

N.N. Petrov Research Institute of Oncology

A. Vorobev

N.N. Petrov Research Institute of Oncology, I.I. Mechnikov North-West State Medical University

P. Kalinin

N.N. Petrov Research Institute of Oncology

PDF (Русский)

Keywords

KIDNEY CANCER
LAPAROSCOPY
RESECTION

How to Cite

Petrov, S., Mishchenko, A., Nosov, A., Lushina, P., Vorobev, A., & Kalinin, P. (2017). COMPARISON OF LAPAROSCOPIC RESECTION OF THE KIDNEY IN RENAL TUMORS WITH AND WITHOUT THE APPLICATION OF A HEMOSTATIC SUTURE. Voprosy Onkologii, 63(2), 281–286. https://doi.org/10.37469/0507-3758-2017-63-2-281-286

Abstract

There is proposed to refuse from the sealing of the parenchyma since the ligature method of hemostasis is an additional factor damaging the parenchyma of the kidney. In our opinion it is sufficient to perform electrohemostasis with the addition of local adhesive compositions. In the analysis of data from 2015 to 2016 on the basis of the Department of Urology of the N.N. Petrov Research Institute of Oncology there were performed 90 laparoscopic resections without ischemia and without a hemostatic suture applied to the resection area. The volume of blood loss, the duration of the operation, the volume of the functioning parenchyma of the kidney, before and after surgery, postoperative complications were estimated. With a comparative evaluation of the volume of the functioning parenchyma of the kidney before and after the operation, according to data of CT and CT-perfusion, the volume of functioning parenchyma of the resected kidney decreased only by the volume of the removed tumor. Resection of the kidney without applying a hemostatic suture to the area of resection, in conditions of hypotension, allowed improving the results of surgery relatively to kidney function in comparison with resection with the classical ligature method of hemostasis.

https://doi.org/10.37469/0507-3758-2017-63-2-281-286

PDF (Русский)

References

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COMPARISON OF LAPAROSCOPIC RESECTION OF THE KIDNEY IN RENAL TUMORS WITH AND WITHOUT THE APPLICATION OF A HEMOSTATIC SUTURE

Keywords

How to Cite

Abstract

References

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