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2015 ; 56
(11
): 762-8
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The clinical application of the sliding loop technique for renorrhaphy during
robot-assisted laparoscopic partial nephrectomy: Surgical technique and outcomes
#MMPMID26568794
Kim HS
; Lee YJ
; Ku JH
; Kwak C
; Kim HH
; Jeong CW
Korean J Urol
2015[Nov]; 56
(11
): 762-8
PMID26568794
show ga
PURPOSE: To report the initial clinical outcomes of the newly devised sliding
loop technique (SLT) used for renorrhaphy in patients who underwent
robot-assisted laparoscopic partial nephrectomy (RALPN) for small renal mass.
MATERIALS AND METHODS: We reviewed the surgical videos and medical charts of 31
patients who had undergone RALPN with the SLT renorrhaphy performed by two
surgeons (CWJ and CK) between January 2014 and October 2014. SLT renorrhaphy was
performed after tumor excision and renal parenchymal defect repair. Assessed
outcomes included renorrhaphy time (RT), warm ischemic time, perioperative
complications, and perioperative renal function change. RT was defined as
interval from the end of bed suture to the renal artery declamping. RESULTS: In
all patients, sliding loop renorrhaphy was successfully conducted without
conversions to radical nephrectomy or open approaches. Mean renorrhaphy and warm
ischemic time were 9.0 and 22.6 minutes, respectively. After completing
renorrhaphy, there were no adverse events such as dehiscence of approximated
renal parenchyma, renal parenchymal tearing, or significant bleeding.
Furthermore, no postoperative complications or significant renal function decline
were observed as of the last follow-up for all patients. The limitations of this
study include the small volume case series, the retrospective nature of the
study, and the heterogeneity of surgeons. CONCLUSIONS: From our initial clinical
experience, SLT may be an efficient and safe renorrhaphy method in real clinical
practice. Further large scale, prospective, long-term follow-up, and direct
comparative studies with other techniques are required to confirm the clinical
applicability of SLT.