Journal of Capital Medical University ›› 2013, Vol. 34 ›› Issue (3): 376-379.doi: 10.3969/j.issn.1006-7795.2013.03.011

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Renovascular management in laparoscopic partial nephrectomy

JIN Xunbo, ZHANG Hui   

  1. Minimally Invasive Urology Center, Shandong Provincial Hospital, Shandong University, Jinan 250021, China
  • Received:2013-01-20 Online:2013-06-21 Published:2013-06-17

Abstract:

Ischemia-reperfusion injury caused by vascular clamping contributes to the decline in glomerular filtration rate following laparoscopic partial nephrectomy (LPN). Warm ischemia time (WIT) is the most important and main modifiable factor that determines postoperative renal function. Nowadays LPN with or without clamping renal vessels or clamping segmental renal artery are the three main methods in dealing with renal vessels. They all have their own advantages and disadvantages on WIT and renal function. Surgery should design a detailed operation plan according to the patients' condition, surgeries' surgical skills and the local medical levels.

Key words: laparoscopic, partial nephrectomy, warm ischemia time, renovascular

CLC Number: