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• W2321830663 abstract "You have accessJournal of UrologyRenal & Ureter Oncology1 Apr 2012V400 OPEN PARTIAL NEPHRECTOMY IN THE CENTRAL-HILAR RENAL MASSES TECHNICAL REFINEMENTS THAT FACILITATE THE PROCESS Sinasi Yavuz Onol, Cevper Ersoz, Mehmet Remzi Erdem, Abdulkadir Tepeler, Ramazan Topaktas, Emre Can Polat, Ismail Basibuyuk, Fatih Elbir, Abdullah Armagan, and Tolga Akman Sinasi Yavuz OnolSinasi Yavuz Onol Istanbul, Turkey More articles by this author , Cevper ErsozCevper Ersoz Istanbul, Turkey More articles by this author , Mehmet Remzi ErdemMehmet Remzi Erdem Istanbul, Turkey More articles by this author , Abdulkadir TepelerAbdulkadir Tepeler Istanbul, Turkey More articles by this author , Ramazan TopaktasRamazan Topaktas Istanbul, Turkey More articles by this author , Emre Can PolatEmre Can Polat Istanbul, Turkey More articles by this author , Ismail BasibuyukIsmail Basibuyuk Istanbul, Turkey More articles by this author , Fatih ElbirFatih Elbir Istanbul, Turkey More articles by this author , Abdullah ArmaganAbdullah Armagan Istanbul, Turkey More articles by this author , and Tolga AkmanTolga Akman Istanbul, Turkey More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.465AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Partial removal of the central hilar renal masses is quite difficult. The results and facilitative technical refinements are presented in this study. METHODS Between 2004 and 2011, 13 patients (8 male, 5 female) with central hilar renal mass underwent open partial nephrectomy. Mean size of the renal mass was 5 cm (range; 3-8 cm). Three patients had solitary kidney. Thoracoabdominal incision with the removal of 9, 10 or 11 ribs and extrapleural- extraperitoneal approach applied to all patients. After the liberalization of the kidney, partial nephrectomy was performed with cold and warm ischemia in 5 and 8 patients, respectively. Tumor was dissected with 5- 10 mm healthy parenchyma, and segmental arteries encountered during parenchymal dissection instantly stitched and cut. Bleeding control by stitching segmenter arteries was simultaneously performed with dissection of the tumor. Renal pelvis immediately repaired. Parenchyma was attached by continuous or U suture with no:1 vicryl. Operation time, amount of blood loss, preoperative and postoperative creatinine values, perioperative and postoperative complications and recurrence of the tumor was recorded. RESULTS Average warm and cold ischemia time was 13 and 37 minutes, respectively. Mean blood loss was 300 cc (range: 70-600). DJ stent was placed to 7 patients in whom pelvicalyceal system was repaired. Average hospital stay was 4.8 days (range: 2-7). Pathology results were reported as renal cell carcinoma, angiomyolipoma and oncocytoma in 11, 1 and 1 patients, respectively. Local recurrence or systemic metastasis were not detected during a mean of 25 months (range: 9-50) follow-up. Creatinine level did not exceed 1.9md/dl during postoperative controls. CONCLUSIONS Immediate stitching of segmenter arteries during dissection of central hilar tumor is a facilitative technique in difficult cases. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e164 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Sinasi Yavuz Onol Istanbul, Turkey More articles by this author Cevper Ersoz Istanbul, Turkey More articles by this author Mehmet Remzi Erdem Istanbul, Turkey More articles by this author Abdulkadir Tepeler Istanbul, Turkey More articles by this author Ramazan Topaktas Istanbul, Turkey More articles by this author Emre Can Polat Istanbul, Turkey More articles by this author Ismail Basibuyuk Istanbul, Turkey More articles by this author Fatih Elbir Istanbul, Turkey More articles by this author Abdullah Armagan Istanbul, Turkey More articles by this author Tolga Akman Istanbul, Turkey More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ..." @default.
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• W2321830663 title "V400 OPEN PARTIAL NEPHRECTOMY IN THE CENTRAL-HILAR RENAL MASSES TECHNICAL REFINEMENTS THAT FACILITATE THE PROCESS" @default.
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