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Related Experiment Videos

[Non-ischemic partial nephrectomy using microwave tissue coagulator].

Toshikazu Okaneya1, Shuji Nishizawa, Tsuneo Ueki

  • 1Department of Urology, Nagano Municipal Hospital, Nagano, Japan.

Nihon Hinyokika Gakkai Zasshi. the Japanese Journal of Urology
|December 16, 2003
PubMed
Summary

The microwave tissue coagulator is effective for non-ischemic partial nephrectomy in patients with renal tumors and kidney stones. Careful technique is needed to avoid complications like thermal injury and urine leakage.

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[THE EFFECT OF LOW-DOSE INTRAVESICAL BACILLUS CALMETTE-GUÉRIN (BCG) INFUSION THERAPY FOR NON-MUSCLE INVASIVE BLADDER CANCER].

Nihon Hinyokika Gakkai zasshi. The japanese journal of urology·2021

Area of Science:

  • Urology
  • Surgical Technology

Context:

  • Partial nephrectomy is a standard procedure for renal tumors and some kidney stones.
  • Minimally invasive techniques are continually being explored to improve patient outcomes.
  • Microwave tissue coagulation offers a method for precise tissue ablation and hemostasis.

Purpose:

  • To evaluate the indications and safety of non-ischemic partial nephrectomy using a microwave tissue coagulator.
  • To assess the efficacy of this technique in managing renal tumors and complicated kidney stones.

Summary:

  • Non-ischemic partial nephrectomy was performed on 17 kidneys using a microwave tissue coagulator for renal tumors (n=11) and stones (n=5).
  • Tumor excision involved localized microwave coagulation followed by sharp dissection.
  • Postoperative complications included urine leakage in two patients, which resolved spontaneously. One patient experienced renal parenchyma atrophy.

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Impact:

  • The microwave tissue coagulator is a useful tool for non-ischemic partial nephrectomy in select cases.
  • The study highlights the need to avoid non-protruding tumors in solitary kidneys and to meticulously manage potential thermal injury and urine leakage.
  • Renal function was preserved in most patients, demonstrating the potential safety and efficacy of the technique.