Novosti
Khirurgii
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Year 2012 Vol. 20 No 2

LECTURES, REVIEWS

V.M. POPKOV, D.YU. POTAPOV, A.N. PONUKALIN

HEMOSTASIS METHODS AT KIDNEY RESECTION

SBEE HPE Saratov State Medical University named after V.I. Razumovsky,
The Russian Federation

The indications for performing the kidney resection at various pathologies have recently been expanding. The key point of the operation is assurance of reliable final bleeding stoppage from the dissected organ parenchyma. There are many methods of hemostasis. The general advantages and disadvantages of each group are viewed in the article. It has been concluded that it is necessary to apply ligature methods of hemostasis at the middle kidney segment resection as well as at all operations with opening of the cavitary kidney system.

Keywords: kidney resection, bleeding stoppage, hemostasis techniques
p. 85 95 of the original issue
References

1. Aliaev IuG, Krapivin AA. Rezektsiia pochki pri rake [Partial nephrectomy for cancer]. Moscow, RF: Meditsina; 2001. 224 p.
2. Popov VA. Gemostaz i germetizatsiia shvov (operatsii na vnutrennikh organakh) [Hemostasis and suture sealing (operations on the internal organs). Moscow, RF: GEOTAR-Media; 2008. 320 p.
3. Matsui Y, Fujikawa K, Iwamura H, Oka H, Fukuzawa S, Takeuchi H.Application of the microwave tissue coagulator: is it beneficial to partial nephrectomy? Urol Int. 2002;69(1):2732.
4. Sengupta S, Webb DR. Use of a computer-controlled bipolar diathermy system in radical prostatectomies and other open urological surgery. ANZ J Surg. 2001 Sep;71(9):53840.
5. Fujimoto K, Tanaka N, Hirao Y. Partial nephrectomy for renal cell carcinoma using a microwave tissue coagulator-postoperative recurrence and renal function. Hinyokika Kiyo. 2005 Aug;51(8):51115. [Article in Japanese]
6. Hamasaki T, Kondo Y, Matuzawa I, Tsuboi N, Nishimura T. Laparoscopic partial nephrectomy using microwave tissue coagulator for treating small peripheral renal tumors. J Nippon Med Sch. 2004 Dec;71(6):39298.
7. Nanri M, Udo K, Kawasaki M, Tokuda Y, Fujiyama C, Uozumi J, Toda S. Nanri M. Microwave tissue coagulator induces renal apoptotic damage to preserved normal renal tissue following partial nephrectomy. Clin Exp Nephrol. 2009 Oct;13(5):42429.
8. Satoh Y, Uozumi J, Nanri M, Nakashima K, Kanou T, Tokuda Y, Fujiyama C, Masaki Z. Renal-tissue damage induced by laparoscopic partial nephrectomy using microwave tissue coagulator. J Endourol. 2005 Sep;19(7):81822.
9. Sprunger J, Herrell SD. Partial laparoscopic nephrectomy using monopolar saline-coupled radiofrequency device: animal model and tissue effect characterization. J Endourol. 2005 May;19(4):51319.
10. Yao P, Gunasegaram A, Ladd LA, Morris DL. InLine bipolar radiofrequency ablation device-assisted partial nephrectomy in a porcine model. ANZ J Surg. 2008 Jul;78(7):56467.
11. Coleman J, Singh A, Pinto P, Phillips J, Pritchard W, Wray-Cahen D, Wood BJ. Radiofrequency-assisted laparoscopic partial nephrectomy: clinical and histologic results. J Endourol. 2007 Jun;21(6):600605.
12. Mattioli S, Munoz R, Recasens R, Berbegal C, Teichmann H. Mattioli S. What does Revolix laser contribute to partial nephrectomy? Arch Esp Urol. 2008 Nov;61(9):112629. [Article in Spanish]
13. Moinzadeh A, Gill IS, Rubenstein M, Ukimura O, Aron M, Spaliviero M, Nahen K, Finelli A, Magi-Galluzzi C, Desai M, Kaouk J, Ulchaker JC. Potassium-titanyl-phosphate laser laparoscopic partial nephrectomy without hilar clamping in the survival calf model. J Urol. 2005 Sep;174(3):111014.
14. Anderson JK, Baker MR, Lindberg G, Cadeddu JA. Large-volume laparoscopic partial nephrectomy using the potassium-titanyl-phosphate (KTP) laser in a survival porcine model. Eur Urol. 2007 Mar;51(3):74954.
15. Nishiwaki Y, Daikuzono N, Joffe SN. Nd:YAG laser bipolar dissector--preliminary results. Lasers Surg Med. 1992;12(2):18489.
16. Johnson DE, Wishnow KI, von Eschenbach AC, Grignon D, Ayala AG. Partial nephrectomy using the Nd:YAG laser: a comparison of the 1.06 mu and 1.32 mu lasers employing different delivery systems. Lasers Surg Med. 1988;8(3):24147.
17. Eret V, Hora M, Sykora R, Hes O, Urge T, Klecka J, Matejovic M. GreenLight (532 nm) laser partial nephrectomy followed by suturing of collecting system without renal hilar clamping in porcine model. Urology. 2009 May;73(5):111518.
18. Shanberg AM, Zagnoev M, Clougherty TP. Tension pneumothorax caused by the argon beam coagulator during laparoscopic partial nephrectomy. J Urol. 2002 Nov;168(5):2162.
19. Jackman SV, Cadeddu JA, Chen RN, Micali S, Bishoff JT, Lee BR, Moore RG, Kavoussi LR. Utility of the harmonic scalpel for laparoscopic partial nephrectomy. J Endourol. 1998 Oct;12(5):44144.
20. Lafon C, Bouchoux G, Murat FJ, Birer A, Theillere Y, Chapelon JY, Cathignol D. High intensity ultrasound clamp for bloodless partial nephrectomy: In vitro and in vivo experiments. Ultrasound Med Biol. 2007 Jan;33(1):10512.
21. Murat FJ, Lafon C, Cathignol D, Theillere Y, Gelet A, Chapelon JY, Martin X. Bloodless partial nephrectomy with a new high-intensity collimated ultrasonic coagulating applicator in the porcine model. Urology. 2006 Jul;68(1):22630.
22. Basting RF, Djakovic N, Widmann P. Use of water jet resection in organ-sparing kidney surgery. J Endourol. 2000 Aug;14(6):5015.
23. Ponukalin NM. Operativnoe lechenie vetvistykh kamnei pochek [The surgical treatment of branched kidney stones]. In: Materialy molodykh nauch rabotnikov [Saratov? RF; 1967. p. 32426.
24. Makhovskii VZ, Nikolaev AV, Makhovskaia VV, Botasheva VS. Zakrytie ranevoi i rezetsirovannoi poverkhnosti pochki loskutom naruzhnoi kosoi myshtsy zhivota [Closure of the wound and the resected surfaces of the kidney by the graft of external oblique abdominal muscle]. Khirurgiia. 1996;(5):4851.
25. O'connor R.C., 3rd Harding J.N., Steinberg G.D. Novel modification of partial nephrectomy technique using porcine small intestine submucosa. Urology. 2002 Nov;60(5):9069.
26. Hidas G, Kastin A, Mullerad M, Shental J, Moskovitz B, Nativ O. Sutureless nephron-sparing surgery: use of albumin glutaraldehyde tissue adhesive (BioGlue). Urology. 2006 Apr;67(4):697700; discussion 700.
27. Schips L, Dalpiaz O, Cestari A, Lipsky K, Gidaro S, Zigeuner R, Petritsch P. Autologous fibrin glue using the Vivostat system for hemostasis in laparoscopic partial nephrectomy. Eur Urol. 2006 Oct;50(4):8015.
28. Shekarriz B, Stoller ML. The use of fibrin sealant in urology. J Urol. 2002 Mar;167(3):121825.
29. Bak JB, Singh A, Shekarriz B. Use of gelatin matrix thrombin tissue sealant as an effective hemostatic agent during laparoscopic partial nephrectomy. J Urol. 2004 Feb;171(2 Pt 1):78082.
30. Richter F, Tullmann ME, Turk I, Deger S, Roigas J, Wille A, Schnorr D. Improvement of hemostasis in laparoscopic and open partial nephrectomy with gelatin thrombin matrix (FloSeal). Urologe A. 2003 Mar;42(3):33846. [Article in German]
31. Aivazian A.V. Gemostaz pri operatsiiakh na pochke [Hemostasis in kidney surgery]. 2-e dop. izd. Moscow, RF: Nauka; 1982. 280 p.
32. Ramakumar S, Roberts WW, Fugita OE, Colegrove P, Nicol TM, Jarrett TW, Kavoussi LR, Slepian MJ. Local hemostasis during laparoscopic partial nephrectomy using biodegradable hydrogels: initial porcine results. J Endourol. 2002 Sep;16(7):48994.
33. Sabino L, Andreoni C, Faria EF, Ferreira PS, Paz AR, Kalil W, De Figueiredo LP, Ortiz V. Evaluation of renal defect healing, hemostasis, and urinary fistula after laparoscopic partial nephrectomy with oxidized cellulose. J Endourol. 2007 May;21(5):55156.
34. Xie H. Khajanchee YS, Teach JS, Shaffer BS. Use of a chitosan-based hemostatic dressing in laparoscopic partial nephrectomy. J Biomed Mater Res B Appl Biomater. 2008 Apr;85(1):26771.
35. Verhoest G, Manunta A, Bensalah K, Vincendeau S, Rioux-Leclercq N, Guille F, Patard JJ. Laparoscopic partial nephrectomy with clamping of the renal parenchyma: initial experience. Eur Urol. 2007 Nov;52(5):134046.
36. Rodriguez-Covarrubias F, Gabilondo B, Borgen JL, Gabilondo F. Partial nephrectomy for renal tumors using selective parenchymal clamping. Int Urol Nephrol. 2007;39(1):4346.
37. Simon J, Bartsch G Jr, Finter F, Hautmann R, de Petriconi R. Laparoscopic partial nephrectomy with selective control of the renal parenchyma: initial experience with a novel laparoscopic clamp. BJU Int. 2009 Mar;103(6):8058.
38. Hatano T. Sugaya K, Morozumi M, Naito A, Hokama S, Ogawa Y. Partial nephrectomy using a vascular sealing system. J Urol. 2002 Jan;167(1):23233.
39. Selikowitz SM, Curtis MR. Hemostatic control with flexible compression tape used during partial nephrectomy and organ salvage. J Urol. 1999 Aug;162(2):45859.
40. Gill IS, Munch LC, Clayman RV, McRoberts JW, Nickless B, Roemer FD. A new renal tourniquet for open and laparoscopic partial nephrectomy. J Urol. 1995 Sep;154(3):111316.
41. Khalid M. Mekhanicheskii tantalovyi shov pri rezektsii pochki [Mechanical tantalum suture in kidney resection]. Urologiia. 1981;(3):4952.
42. Enfendzhiev MN. O nefrolitotomii [On nephrolithotomy]. Urologiia. 1961;(2):1117.
43. Simforoosh N, Noor-Alizadeh A, Tabibi A, Soleimani M, Basiri A, Ziaee SA, Radfar MH, Aminsharifi A. Bolsterless laparoscopic partial nephrectomy: a simplification of the technique. J Endourol. 2009 June; 23(6):96569.
44. Taneja S, Dakwar G, Godoy G. Simplified reconstruction after laparoscopic partial nephrectomy using a single-pass suturing technique. J Endourol. 2009 April; 23(4): 58992.
45. Cariou G, Cussenot O. Hemostasis technics in partial nephrectomy. Prog Urol. 1996 Aug-Sep;6(4):6056.
46. Pavlov VN, Kazikhinurov AA, Galimzianov VZ. Klinicheskoe primenenie allogennogo transplantata dlia gemostaza pri operatsiiakh na pochke [Clinical application of allogenic transplant for hemostasis in kidney resection]. Zdravookhranenie Bashkortostana. 2001;(5):11315.
47. Petrov SB, Shpilenia ES, Kukushkin AV, Shkarupa DD. Usovershenstvovannaia tekhnika dostizheniia gemostaza pri rezektsii pochki s novoobrazovaniem [Advanced technique of achieving hemostasis in kidney resection for tumors]. Onkourologiia. 2009;(1):1419.
48. Cozar JM, Tallada M. Open partial nephrectomy in renal cancer: a feasible gold standard technique in all hospitals. Adv Urol. 2008. Article ID916463.
49. Rubinstein M, Colombo JR, Finelli A, Gill IS. Laparoscopic partial nephrectomy for cancer: techniques and outcomes. Int Braz J Urol. 2005 Mar-Apr;31(2):1004.
50. L'esperance JO, Marguet CG, Walters RC, Sung JC, Auge BK, Stroup SP, L'esperance AH, Albala DM. Do nonspecific deep corticomedullary sutures performed during partial nephrectomy adequately control major vascular and collecting system injury? BJU Int. 2010 Feb;105(3):41115.
51. Zincke H, Ruckle HC. Use of exogenous material to bolster closure of the parenchymal defect following partial nephrectomy. Urology. 1995 Jul;46(1):968.
52. Tsivian A, Sidi AA. A simple and reliable hemostatic technique during partial nephrectomy. Urology. 2004 May;63(5):97678.
53. Shikanov S, Wille M, Large M, Lifshitz DA, Zorn KC, Shalhav AL, Eggener SE. Knotless closure of the collecting system and renal parenchyma with a novel barbed suture during laparoscopic porcine partial nephrectomy. J Endourol. 2009 Jul;23(7):115760.

Address for correspondence:
410012, Rossiiskaia Federatsiia, g. Saratov, ul. Bol'shaia kazach'ia, d. 112, GBOU VPO Saratovskii gosudarstvennyi meditsinskii universitet, kafedra urologii,
e-mail: potapovmed@rambler.ru,
Potapov Dmitrii Iur'evich
Information about the authors:
Popkov V.M., candidate of medical sciences, assistant professor, a head of the urology chair of SBEE HPE Saratov State
Medical University named after V.I.Razumovsky, Ministry of health and social development of Russia
Potapov D.Yu., a post-graduate student of the urology chair of SBEE HPE Saratov State
Medical University named after V.I.Razumovsky, Ministry of health and social development of Russia
Ponukalin A.N., candidate of medical sciences, assistant professor of the urology chair of SBEE HPE Saratov State Medical University named after V.I.Razumovsky, Ministry of health and social development of Russia.
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