Laparoscopic transmesenteric partial nephrectomy – first results

Written by Kochkin A.D., Martov A.G., Sevryukov F.A., Gallyamov E.A., Sergeev V.P., Novikov A.B., Presnov K.S., Semenychev D.V., Knutov A.V., Sanzharov A.E., Orlov I.N., Meschankin I.V.

  UDK: 616.61-089.87-072.1 | Pages: 76–78 | Full text PDF | Open PDF 


Background. It was suggested a way of laparoscopic left partial nephrectomy performed through a ‘window’ in the mesentery of the colon.
Methods. It was conducted an analysis of treatment results of 40 patients with renal tumors (T1N0M0), after laparoscopic left partial nephrectomy, 19 of them was operated transmesentricaly.
Results. Conversions, post-surgical complications, and deaths were not registered. In one case during the traditional laparoscopic surgery the splenic capsule was damaged and caused bleeding, the complication was corrected conservatively. The duration of renal ischemia, duration of surgery and time of hospital stay between the two groups had no statistically significant difference.
Conclusions. Transmesentric partial nephrectomy access has a number of advantages and can be considered as an alternative to standard laparoscopic nephrectomy.

Links to authors:

A.D. Kochkin1, A.G. Martov2, F.A. Sevryukov1, E.A. Gallyamov3, V.P. Sergeev4, A.B. Novikov5, K.S. Presnov5, D.V. Semenychev1, A.V. Knutov1, A.E. Sanzharov6, I.N. Orlov7, I.V. Meschankin8
1 Road clinical hospital at Gorkiy station JCS ‘Russian (8v Tallinskaya St. Nizhniy Novgorod 603033 Russian Federation),
2 57 Moscow City Clinical Hospital (32 11th Parkovaya St. 105077 Russian Federation),
3 A.I. Evdokimov Moscow State University of Medicine and Dentistry (20/1 Delegatskaya St. Moscow 127473 Russian Federation),
4 62 Moscow City Oncological Hospital (27 Istra Settl. Stepanovskoye, Krasnogorskiy Dist. Moscow region 143423 Russian Federation),
5 Multi-field Medical Center of Bank of Russia (66 Sevastopolskiy Ave. Moscow 117593 Russian Federation),
6 40 City Clinical Hospital (189 Volgogradskaya St. Ekaterinburg 620102 Russian Federation),
7 St. Luca City Clinical Hospital (46 Chugunnaya St. St. Petersburg 194044 Russian Federation),
8 Treatment and Rehabilitation Center of MOH Russia (3 Ivankovskoe RW Moscow 125367 Russian Federation)

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