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5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats
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Partial nephrectomy without hilar control or cooling: longitudinal data over 5 years.

Anthony T Corcoran1, Matthew H Hayn, Erin P Gibbons

  • 1Department of Urology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213, USA.

The Canadian Journal of Urology
|October 3, 2009
PubMed
Summary
This summary is machine-generated.

Partial nephrectomy without hilar control or cooling is safe for small renal tumors. This technique demonstrates comparable renal function and oncologic outcomes to traditional methods.

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Last Updated: Jun 19, 2026

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5/6th Nephrectomy in Combination with High Salt Diet and Nitric Oxide Synthase Inhibition to Induce Chronic Kidney Disease in the Lewis Rat
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Published on: July 3, 2013

Area of Science:

  • Urology
  • Surgical Oncology
  • Nephrology

Background:

  • Partial nephrectomy is a standard treatment for small renal masses.
  • Contemporary evidence supports its safety and efficacy in select patients.
  • This study evaluates partial nephrectomies performed without hilar control or parenchymal cooling.

Purpose of the Study:

  • To assess the safety and efficacy of partial nephrectomy without hilar control or renal cooling.
  • To compare outcomes between elective and imperative partial nephrectomy cases.
  • To evaluate oncologic and functional renal outcomes.

Main Methods:

  • Retrospective review of 124 partial nephrectomies (1995-2003).
  • Analysis focused on 105 cases without hilar control or cooling.
  • Patient follow-up included radiographic and laboratory studies, with serum creatinine monitoring renal function.

Main Results:

  • 105 patients (78 elective, 27 imperative) analyzed.
  • Mean specimen size: 2.8 cm (elective), 3.3 cm (imperative).
  • Comparable baseline and follow-up serum creatinine levels observed in both groups; complication rates were 5.7% intraoperative and 4.7% postoperative.

Conclusions:

  • Partial nephrectomy without hilar control or cooling is a safe and reliable oncologic procedure for small renal tumors.
  • While intraoperative blood loss may be higher than historical series, transfusion rates, complications, renal function, and oncologic outcomes are comparable.
  • This approach offers a viable alternative to traditional methods involving vascular control and cooling.