Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Management of High-Risk Non-Muscle-Invasive Bladder Cancer.

The Urologic clinics of North America·2026
Same author

End to end AI system for surgical gesture sequence recognition and clinical outcome prediction.

NPJ digital medicine·2026
Same author

AI model predicts patient outcomes from surgical gestures and provides insights into explainability.

npj digital surgery·2026
Same author

The first United States prospective trial using the Hugo™ robot-assisted surgery system.

BJU international·2026
Same author

AI-BLADE toolbox: AI-powered BLADdEr multiparametric MRI analysis for clinical application.

BJR artificial intelligence·2026
Same author

Urinary Biomarkers Objectively Measure Minimal Residual Disease in Non-Muscle-Invasive Bladder Cancer.

Clinical cancer research : an official journal of the American Association for Cancer Research·2026

Related Experiment Video

Updated: May 25, 2026

Orthotopic Rat Kidney Transplantation: A Novel and Simplified Surgical Approach
09:15

Orthotopic Rat Kidney Transplantation: A Novel and Simplified Surgical Approach

Published on: May 7, 2019

Zero ischemia anatomical partial nephrectomy: a novel approach.

Inderbir S Gill1, Mukul B Patil, Andre Luis de Castro Abreu

  • 1Center for Advanced Robotic & Laparoscopic Surgery, USC Institute of Urology, Keck School of Medicine, University of Southern California, Los Angeles, California 90089, USA. gillindy@gmail.com

The Journal of Urology
|January 18, 2012
PubMed
Summary
This summary is machine-generated.

Zero ischemia partial nephrectomy using anatomical microdissection avoids kidney clamping for most complex tumors. This innovative technique preserves renal function and minimizes complications in robotic and laparoscopic procedures.

More Related Videos

5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats
05:34

5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats

Published on: April 4, 2025

Multilevel Microdissection and Functional-Structural Profiling of Human Renal Arterial Branches
06:51

Multilevel Microdissection and Functional-Structural Profiling of Human Renal Arterial Branches

Published on: September 5, 2025

Related Experiment Videos

Last Updated: May 25, 2026

Orthotopic Rat Kidney Transplantation: A Novel and Simplified Surgical Approach
09:15

Orthotopic Rat Kidney Transplantation: A Novel and Simplified Surgical Approach

Published on: May 7, 2019

5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats
05:34

5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats

Published on: April 4, 2025

Multilevel Microdissection and Functional-Structural Profiling of Human Renal Arterial Branches
06:51

Multilevel Microdissection and Functional-Structural Profiling of Human Renal Arterial Branches

Published on: September 5, 2025

Area of Science:

  • Urology
  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • Partial nephrectomy is standard for renal tumors, but often requires renal hilum clamping, leading to ischemia.
  • Achieving zero ischemia during partial nephrectomy, especially for complex tumors, remains a challenge.

Purpose of the Study:

  • To present a novel technique for zero ischemia anatomical robotic and laparoscopic partial nephrectomy.
  • To evaluate the feasibility and outcomes of this approach for complex renal tumors.

Main Methods:

  • Anatomical vascular microdissection with preemptive control of tumor-specific renal arterial branches using micro-bulldog clamps.
  • Application in 58 consecutive patients with a high proportion of complex tumors (central, hilar, intrarenal, pT1b, solitary kidney).

Main Results:

  • 98% of cases completed without hilar clamping, demonstrating successful zero ischemia.
  • Low rates of low-grade (19.3%) and high-grade (3.5%) postoperative complications.
  • All patients achieved negative surgical margins (100%), with preserved renal function post-surgery.

Conclusions:

  • Zero ischemia anatomical partial nephrectomy is a viable and effective technique for complex renal tumors.
  • This approach minimizes or eliminates the need for global renal ischemia during robotic and laparoscopic partial nephrectomy.