Sutureless partial nephrectomy
Introduction. A century and a half of experience in renal surgery has shown the clinical feasibility of preserving a functioning renal parenchyma and the pathogenetic validity of nephron-sparing surgery (NSS) in renal cell carcinoma (RCC).Objective. To analyze the available scientific publications o...
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| Format: | Article |
| Language: | Russian |
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Ministry of Health of Russian Federation, Rostov State Medical University, State Budget Educational Institute of Higher Professional Education
2022-10-01
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| Series: | Вестник урологии |
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| Online Access: | https://www.urovest.ru/jour/article/view/587 |
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| author | S. V. Shkodkin Yu. B. Idashkin M. Z. A. A. Zubaidi A. D. Kravets A. F. Khuseinzoda Zh. K. Askari E. G. Ponomarev V. Y. Nechiporenko K. S. Shkodkin |
| author_facet | S. V. Shkodkin Yu. B. Idashkin M. Z. A. A. Zubaidi A. D. Kravets A. F. Khuseinzoda Zh. K. Askari E. G. Ponomarev V. Y. Nechiporenko K. S. Shkodkin |
| author_sort | S. V. Shkodkin |
| collection | DOAJ |
| description | Introduction. A century and a half of experience in renal surgery has shown the clinical feasibility of preserving a functioning renal parenchyma and the pathogenetic validity of nephron-sparing surgery (NSS) in renal cell carcinoma (RCC).Objective. To analyze the available scientific publications on nephron-sparing sutureless kidney surgery or without so-called renorrhaphy.Materials and methods. We have searched the eLibrary, PubMed, Сochrane Library and Scopus databases without time limits. A total of 19365 publications were found in the databases, including 71 randomized controlled clinical trials, 987 reviews of which 168 were systematic and 2 were performed based on data from the Cochrane Library. This review includes publications on the sutureless NSS technique in patients with RCC; clinical cases and abstracts were excluded from the formal analysis of publications. Thus, 132 publications were selected for the analysis, which are presented in the following independently or included in previous literature reviews. The studies available for analysis were quite heterogeneous in terms of patient groups, inclusion criteria, and control points, which did not allow for a meta-analysis of the data presented.Results. An attempt to abandon the principle of kidney suturing after partial nephrectomy was implemented using methods of hemostasis based on the action of physical factors. At the same time, the value of any one of the methods that seemed at first glance did not show obvious unequivocal advantages in the NSS, the achievement of which would unequivocally reduce the severity of the problematic issue at the present stage. Significant prerequisites for such a state of the problem should be considered the monocentric nature of most studies and relatively little experience in the application of certain methods or their combinations. In the aspect of the foregoing, it is difficult to disagree with the statement that many different methods of hemostasis used during NSS appear not only to be the result of the tireless search for new opportunities by clinicians, but also the real lack of universal technologies.Conclusion. An analysis of the advantages and disadvantages of the final hemostasis methods during NSS in patients with localized RCC indicates that this problem has not been solved and requires further research. |
| format | Article |
| id | doaj-art-7bf401ce651e473c812f52bfd31bd1b5 |
| institution | Kabale University |
| issn | 2308-6424 |
| language | Russian |
| publishDate | 2022-10-01 |
| publisher | Ministry of Health of Russian Federation, Rostov State Medical University, State Budget Educational Institute of Higher Professional Education |
| record_format | Article |
| series | Вестник урологии |
| spelling | doaj-art-7bf401ce651e473c812f52bfd31bd1b52025-08-20T03:43:33ZrusMinistry of Health of Russian Federation, Rostov State Medical University, State Budget Educational Institute of Higher Professional EducationВестник урологии2308-64242022-10-0110312213210.21886/2308-6424-2022-10-3-122-132392Sutureless partial nephrectomyS. V. Shkodkin0Yu. B. Idashkin1M. Z. A. A. Zubaidi2A. D. Kravets3A. F. Khuseinzoda4Zh. K. Askari5E. G. Ponomarev6V. Y. Nechiporenko7K. S. Shkodkin8Belgorod State National Research University; St. Joasaph Belgorod Regional Clinical HospitalSt. Joasaph Belgorod Regional Clinical HospitalBelgorod State National Research UniversityUfa City Clinical Hospital No. 21Belgorod State National Research UniversityBelgorod State National Research UniversityBelgorod State National Research UniversityBelgorod State National Research UniversityBelgorod State National Research UniversityIntroduction. A century and a half of experience in renal surgery has shown the clinical feasibility of preserving a functioning renal parenchyma and the pathogenetic validity of nephron-sparing surgery (NSS) in renal cell carcinoma (RCC).Objective. To analyze the available scientific publications on nephron-sparing sutureless kidney surgery or without so-called renorrhaphy.Materials and methods. We have searched the eLibrary, PubMed, Сochrane Library and Scopus databases without time limits. A total of 19365 publications were found in the databases, including 71 randomized controlled clinical trials, 987 reviews of which 168 were systematic and 2 were performed based on data from the Cochrane Library. This review includes publications on the sutureless NSS technique in patients with RCC; clinical cases and abstracts were excluded from the formal analysis of publications. Thus, 132 publications were selected for the analysis, which are presented in the following independently or included in previous literature reviews. The studies available for analysis were quite heterogeneous in terms of patient groups, inclusion criteria, and control points, which did not allow for a meta-analysis of the data presented.Results. An attempt to abandon the principle of kidney suturing after partial nephrectomy was implemented using methods of hemostasis based on the action of physical factors. At the same time, the value of any one of the methods that seemed at first glance did not show obvious unequivocal advantages in the NSS, the achievement of which would unequivocally reduce the severity of the problematic issue at the present stage. Significant prerequisites for such a state of the problem should be considered the monocentric nature of most studies and relatively little experience in the application of certain methods or their combinations. In the aspect of the foregoing, it is difficult to disagree with the statement that many different methods of hemostasis used during NSS appear not only to be the result of the tireless search for new opportunities by clinicians, but also the real lack of universal technologies.Conclusion. An analysis of the advantages and disadvantages of the final hemostasis methods during NSS in patients with localized RCC indicates that this problem has not been solved and requires further research.https://www.urovest.ru/jour/article/view/587renal cancerrenal cell carcinomapartial nephrectomynephron-sparing surgerybleedingcomplications |
| spellingShingle | S. V. Shkodkin Yu. B. Idashkin M. Z. A. A. Zubaidi A. D. Kravets A. F. Khuseinzoda Zh. K. Askari E. G. Ponomarev V. Y. Nechiporenko K. S. Shkodkin Sutureless partial nephrectomy Вестник урологии renal cancer renal cell carcinoma partial nephrectomy nephron-sparing surgery bleeding complications |
| title | Sutureless partial nephrectomy |
| title_full | Sutureless partial nephrectomy |
| title_fullStr | Sutureless partial nephrectomy |
| title_full_unstemmed | Sutureless partial nephrectomy |
| title_short | Sutureless partial nephrectomy |
| title_sort | sutureless partial nephrectomy |
| topic | renal cancer renal cell carcinoma partial nephrectomy nephron-sparing surgery bleeding complications |
| url | https://www.urovest.ru/jour/article/view/587 |
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