Modified Laparoscopic Nephron-Sparing Surgery for Large Renal Hilar Angiomyolipoma: Dual-Center Experience
ObjectiveThe aim of this study is to evaluate a potential successful strategy for treating large renal hilar angiomyolipoma (RHAML) during the procedure of laparoscopic nephron-sparing surgery (NSS).MethodsThe total study population includes 12 patients with large RHAMLs who underwent laparoscopic N...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-06-01
|
| Series: | Frontiers in Surgery |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.901033/full |
| _version_ | 1818084967899463680 |
|---|---|
| author | ZeSong Yang Fang Wang Deng Lin Qiuyan Li Yun Hong Minxiong Hu Dahong Zhang Liefu Ye |
| author_facet | ZeSong Yang Fang Wang Deng Lin Qiuyan Li Yun Hong Minxiong Hu Dahong Zhang Liefu Ye |
| author_sort | ZeSong Yang |
| collection | DOAJ |
| description | ObjectiveThe aim of this study is to evaluate a potential successful strategy for treating large renal hilar angiomyolipoma (RHAML) during the procedure of laparoscopic nephron-sparing surgery (NSS).MethodsThe total study population includes 12 patients with large RHAMLs who underwent laparoscopic NSS in the Department of Urology of Fujian Provincial hospital and People’s Hospital of Zhejiang, ranging from January 2016 to March 2020. The perioperative variables, intraoperative procedures, and postprocedure complications were all recorded. Three months later, all patients returned to the hospital to check their postoperative recovery by reviewing the computed tomography urography (CTU) image. In the follow-up, patients were asked to have their review by CT or color doppler ultrasound every year.ResultsLaparoscopic NSS was successfully performed in all patients. The average operation time was 113.33 ± 33.39 min; the intraoperative blood loss was about 137.50 ± 91.17 ml; the warm ischemia time was 25.25 ± 4.88 min; the drainage tube extubation time was 4.58 ± 2.07 days; and the hospital stay time was 6.42 ± 1.78 days. The average follow-up time was 14.58 ± 9.18 months. After 3 months, all CTU images showed an unobstructed urinary tract in the patient, and no tumor recurrence was found. In addition, no patients had renal atrophy and urine extravasation during follow-up.ConclusionsLaparoscopic NSS for RHAML is complex and technically demanding, but good surgical design and operation can achieve satisfactory surgical results. Modified laparoscopic NSS was a beneficial technique and may provide a reference for treating patients with RHAML. |
| first_indexed | 2024-12-10T20:02:18Z |
| format | Article |
| id | doaj.art-5f28f098c3974b619a0eb49f0837ef9c |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-12-10T20:02:18Z |
| publishDate | 2022-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-5f28f098c3974b619a0eb49f0837ef9c2022-12-22T01:35:30ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-06-01910.3389/fsurg.2022.901033901033Modified Laparoscopic Nephron-Sparing Surgery for Large Renal Hilar Angiomyolipoma: Dual-Center ExperienceZeSong Yang0Fang Wang1Deng Lin2Qiuyan Li3Yun Hong4Minxiong Hu5Dahong Zhang6Liefu Ye7Shengli Clinical Medical College of Fujian Medical University, Department of Urology, Fujian Provincial Hospital, Fuzhou, ChinaDepartment of Clinical Medicine, Fujian Health College, Fuzhou, ChinaShengli Clinical Medical College of Fujian Medical University, Department of Urology, Fujian Provincial Hospital, Fuzhou, ChinaShengli Clinical Medical College of Fujian Medical University, Department of Urology, Fujian Provincial Hospital, Fuzhou, ChinaShengli Clinical Medical College of Fujian Medical University, Department of Urology, Fujian Provincial Hospital, Fuzhou, ChinaShengli Clinical Medical College of Fujian Medical University, Department of Urology, Fujian Provincial Hospital, Fuzhou, ChinaDepartment of Urology, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, ChinaShengli Clinical Medical College of Fujian Medical University, Department of Urology, Fujian Provincial Hospital, Fuzhou, ChinaObjectiveThe aim of this study is to evaluate a potential successful strategy for treating large renal hilar angiomyolipoma (RHAML) during the procedure of laparoscopic nephron-sparing surgery (NSS).MethodsThe total study population includes 12 patients with large RHAMLs who underwent laparoscopic NSS in the Department of Urology of Fujian Provincial hospital and People’s Hospital of Zhejiang, ranging from January 2016 to March 2020. The perioperative variables, intraoperative procedures, and postprocedure complications were all recorded. Three months later, all patients returned to the hospital to check their postoperative recovery by reviewing the computed tomography urography (CTU) image. In the follow-up, patients were asked to have their review by CT or color doppler ultrasound every year.ResultsLaparoscopic NSS was successfully performed in all patients. The average operation time was 113.33 ± 33.39 min; the intraoperative blood loss was about 137.50 ± 91.17 ml; the warm ischemia time was 25.25 ± 4.88 min; the drainage tube extubation time was 4.58 ± 2.07 days; and the hospital stay time was 6.42 ± 1.78 days. The average follow-up time was 14.58 ± 9.18 months. After 3 months, all CTU images showed an unobstructed urinary tract in the patient, and no tumor recurrence was found. In addition, no patients had renal atrophy and urine extravasation during follow-up.ConclusionsLaparoscopic NSS for RHAML is complex and technically demanding, but good surgical design and operation can achieve satisfactory surgical results. Modified laparoscopic NSS was a beneficial technique and may provide a reference for treating patients with RHAML.https://www.frontiersin.org/articles/10.3389/fsurg.2022.901033/fullmodifiedlaparoscopic nephron-sparing surgerylarge angiomyolipomarenal hilumexperience |
| spellingShingle | ZeSong Yang Fang Wang Deng Lin Qiuyan Li Yun Hong Minxiong Hu Dahong Zhang Liefu Ye Modified Laparoscopic Nephron-Sparing Surgery for Large Renal Hilar Angiomyolipoma: Dual-Center Experience Frontiers in Surgery modified laparoscopic nephron-sparing surgery large angiomyolipoma renal hilum experience |
| title | Modified Laparoscopic Nephron-Sparing Surgery for Large Renal Hilar Angiomyolipoma: Dual-Center Experience |
| title_full | Modified Laparoscopic Nephron-Sparing Surgery for Large Renal Hilar Angiomyolipoma: Dual-Center Experience |
| title_fullStr | Modified Laparoscopic Nephron-Sparing Surgery for Large Renal Hilar Angiomyolipoma: Dual-Center Experience |
| title_full_unstemmed | Modified Laparoscopic Nephron-Sparing Surgery for Large Renal Hilar Angiomyolipoma: Dual-Center Experience |
| title_short | Modified Laparoscopic Nephron-Sparing Surgery for Large Renal Hilar Angiomyolipoma: Dual-Center Experience |
| title_sort | modified laparoscopic nephron sparing surgery for large renal hilar angiomyolipoma dual center experience |
| topic | modified laparoscopic nephron-sparing surgery large angiomyolipoma renal hilum experience |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.901033/full |
| work_keys_str_mv | AT zesongyang modifiedlaparoscopicnephronsparingsurgeryforlargerenalhilarangiomyolipomadualcenterexperience AT fangwang modifiedlaparoscopicnephronsparingsurgeryforlargerenalhilarangiomyolipomadualcenterexperience AT denglin modifiedlaparoscopicnephronsparingsurgeryforlargerenalhilarangiomyolipomadualcenterexperience AT qiuyanli modifiedlaparoscopicnephronsparingsurgeryforlargerenalhilarangiomyolipomadualcenterexperience AT yunhong modifiedlaparoscopicnephronsparingsurgeryforlargerenalhilarangiomyolipomadualcenterexperience AT minxionghu modifiedlaparoscopicnephronsparingsurgeryforlargerenalhilarangiomyolipomadualcenterexperience AT dahongzhang modifiedlaparoscopicnephronsparingsurgeryforlargerenalhilarangiomyolipomadualcenterexperience AT liefuye modifiedlaparoscopicnephronsparingsurgeryforlargerenalhilarangiomyolipomadualcenterexperience |