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• W2023953589 abstract "You have accessJournal of UrologyTrauma/Robotics1 Apr 2014V7-12 EVOLUTION OF REGIONAL HYPOTHERMIA IN ROBOTIC KIDNEY SURGERY Craig Rogers, Deepansh Dalela, Ramesh Kumar, Wooju Jeong, Mani Menon, Mahesh Desai, and Arvind Ganpule Craig RogersCraig Rogers More articles by this author , Deepansh DalelaDeepansh Dalela More articles by this author , Ramesh KumarRamesh Kumar More articles by this author , Wooju JeongWooju Jeong More articles by this author , Mani MenonMani Menon More articles by this author , Mahesh DesaiMahesh Desai More articles by this author , and Arvind GanpuleArvind Ganpule More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.2042AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Renal hypothermia has been used during open partial nephrectomy to help preserve renal function. Several techniques have been described to achieve renal hypothermia using a minimally invasive approach, but technical challenges have prevented widespread use. In this video, we demonstrate the evolution of a reproducible technique for achieving renal hypothermia during robotic kidney surgery. METHODS Ice-cold saline irrigation and topical ice slush application were used to achieve renal hypothermia. A GelPOINT access port was used for ice delivery. Following hilar clamping, ice slush was introduced through a GelPOINT and applied over the kidney surface using modified disposable syringes, a sigmoidoscope, and a custom made ice syringe. An endoscopic bag placed over the kidney helped contain the ice slush during transperitoneal procedures. Renal parenchymal and core body temperatures were monitored by using thermal probes. RESULTS A total of 10 patients underwent robotic renal procedures using ice slush hypothermia (partial nephrectomy n=7, anatrophic nephrolithotomy n=3). The results are summarized in Table 1. There were no intraoperative or postoperative complications. Renal parenchymal temperatures of <10°C were achieved within 10 minutes of cold ischemia and there was no drop of >1°C in the core body temperature during any procedures. CONCLUSIONS Cold ischemia during complex robotic kidney procedures is feasible and reproducible. Perioperative outcomes for patients undergoing robotic kidney surgery using regional hypothermia. Robotic partial nephrectomy (n=7) Robotic anatrophic nephrolithotomy (n=3) Mean Age (yr.) (Range) 60 (48-69) 39 (32-45) Mean R.E.N.A.L. Nephrometry score (Range) 8 (6-10) n/a Mean Pre-op Creatinine (mg/dL) (Range) 0.93 (0.7-1.3) 0.72 (0.66-0.75) Median operative time (min) (IQR) 253 (44) 224 (31) Mean cold ischemia time (min) (Range) 19.6 (8-37) 56.7 (39-67) Median blood loss (ml) (IQR) 250 (175) 100 (50) Mean post-op creatinine at 1 month (mg/dL) (Range) 1.03 (0.67-1.52) 0.65 (0.63-0.66) (IQR= Interquartile Range) © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e738-e739 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Craig Rogers More articles by this author Deepansh Dalela More articles by this author Ramesh Kumar More articles by this author Wooju Jeong More articles by this author Mani Menon More articles by this author Mahesh Desai More articles by this author Arvind Ganpule More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ..." @default.
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• W2023953589 title "V7-12 EVOLUTION OF REGIONAL HYPOTHERMIA IN ROBOTIC KIDNEY SURGERY" @default.
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