Optimization of renal function preservation during robotic partial nephrectomy
| العنوان: | Optimization of renal function preservation during robotic partial nephrectomy |
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| المؤلفون: | Natalie R. Swavely, Riccardo Autorino, Maria Carmen Mir, Uzoma A. Anele, Francesco Porpiglia, Lance J. Hampton |
| المساهمون: | Swavely, Natalie R., Anele, Uzoma A., Porpiglia, Francesco, Mir, Maria C., Hampton, Lance J., Autorino, Riccardo |
| المصدر: | Therapeutic Advances in Urology Therapeutic Advances in Urology, Vol 11 (2019) |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Thesaurus (information retrieval), medicine.medical_specialty, business.industry, Urology, General surgery, medicine.medical_treatment, preservation, renal function, 030232 urology & nephrology, Renal function, Review, lcsh:Diseases of the genitourinary system. Urology, lcsh:RC870-923, Nephrectomy, 03 medical and health sciences, 0302 clinical medicine, 030220 oncology & carcinogenesis, Medicine, In patient, business, robotic partial nephrectomy |
| الوصف: | Over the past few years, the role of robotic-assisted partial nephrectomy (RPN) has exponentially grown. Multiple recognized factors contribute to postoperative renal function in patients undergoing RPN. The aim of this review is to identify these potential factors, and to evaluate strategies that may help optimize the goal of renal function preservation. A nonsystematic literature review was performed to retrieve the most recent evidence on factors contributing to renal function post-RPN. Analyzed elements include baseline factors (tumor complexity and patient characteristics), intraoperative (surgical) factors (control of the renal hilum and type of ischemia, resection technique, renorrhaphy technique), and pharmacotherapeutics. In conclusion, the advantages of robotic surgery in the setting of partial nephrectomy (PN) are becoming well established. Maximal preservation of renal function remains a priority goal of the procedure, and it is influenced by a plethora of factors. Adequate patient selection using radiomics, control of comorbidities, utilization of evidence-based intraoperative techniques/strategies, and postoperative care are key components of postoperative preservation of renal function. Further investigations regarding these factors and their effects on long-term renal function are necessary and will continue to aid in guiding appropriate patient care. |
| تدمد: | 1756-2872 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7c6ca6a0668161e63f414d36f35911d3Test https://pubmed.ncbi.nlm.nih.gov/30671138Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....7c6ca6a0668161e63f414d36f35911d3 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 17562872 |
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