Technical improvement using a three-dimensional video system for laparoscopic partial nephrectomy

Akari Komatsuda, Kazuhiro Matsumoto, Akira Miyajima, Gou Kaneko, Ryuichi Mizuno, Eiji Kikuchi, Mototsugu Oya

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: Laparoscopic partial nephrectomy is one of the major surgical techniques for small renal masses. However, it is difficult to manage cutting and suturing procedures within acceptable time periods. To overcome this difficulty, we applied a three-dimensional (3D) video system with laparoscopic partial nephrectomy, and evaluated its utility. Materials and Methods: We retrospectively enrolled 31 patients who underwent laparoscopic partial nephrectomy between November 2009 and June 2014. A conventional two-dimensional (2D) video system was used in 20 patients, and a 3D video system in 11. Patient characteristics and video system type (2D or 3D) were recorded, and correlations with perioperative outcomes were analyzed. Results: Mean age of the patients was 55.8±12.4, mean body mass index was 25.7±3.9 kg/m2, mean tumor size was 2.0±0.8 cm, mean R.E.N.A.L nephrometry score was 6.9±1.9, and clinical stage was T1a in all patients. There were no significant differences in operative time (p=0.348), pneumoperitoneum time (p=0.322), cutting time (p=0.493), estimated blood loss (p=0.335), and Clavien grade of > II complication rate (p=0.719) between the two groups. However, warm ischemic time was significantly shorter in the 3D group than the 2D group (16.1 min vs. 21.2min, p=0.021), which resulted from short suturing time (9.1 min vs. 15.2 min, p=0.008). No open conversion occurred in either group. Conclusions: A 3D video system allows the shortening of warm ischemic time in laparoscopic partial nephrectomy and thus may be useful in improving the procedure.

Original languageEnglish
Pages (from-to)2475-2478
Number of pages4
JournalAsian Pacific Journal of Cancer Prevention
Volume17
Issue number5
DOIs
Publication statusPublished - 2016 Jun 1

Keywords

  • Laparoscopic partial nephrectomy
  • Suturing time
  • Three-dimensional
  • Video system
  • Warm ischemic time

ASJC Scopus subject areas

  • Oncology
  • Cancer Research
  • Public Health, Environmental and Occupational Health
  • Epidemiology

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