Laparoscopic Partial Nephrectomy Using a Water (Hydro)-Jet System: A Case Report.
- Author:
Sin Woo LEE
1
;
Hyun Hwan SUNG
;
Hwang Gyun JEON
;
Byong Chang JEONG
;
Seong Soo JEON
;
Hyun Moo LEE
;
Han Yong CHOI
;
Seong Il SEO
Author Information
1. Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. siseo@skku.edu
- Publication Type:Case Report
- Keywords:
Laparoscopic surgery;
Nephrectomy;
Dissection
- MeSH:
Constriction;
Female;
Humans;
Kidney;
Laparoscopy;
Male;
Nephrectomy*;
Renal Artery;
Water*
- From:Korean Journal of Urological Oncology
2015;13(3):138-142
- CountryRepublic of Korea
- Language:English
-
Abstract:
The water-jet system (WJS) can be used for selective dissection of kidney parenchyma without renal artery clamping in laparoscopic partial nephrectomy (LPN). We report our experiences regarding LPN with a WJS. The first case was a 59 year old male with a 1.8 cm solid mass in the Rt. mid-lateral area (R.E.N.A.L score: 5a). The second case was a 24 year old female with a 2.3cm solid mass in the Lt. mid-lateral area (R.E.N.A.L score: 7x). We successfully finished non-clamping LPN using a WJS without perioperative complications. Surgical margins were negative (7mm and 1mm for cases 1 and 2, respectively). Post-operative renal function was not decreased significantly. LPN using a WJS is a feasible and safe technique which can be performed for small renal masses without ischemic damage.
