Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Kidney Transplant II: Surgical Procedure

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 authorSame journal

Robot-Assisted Partial Nephrectomy in a High-Complexity Renal Tumor in a Horseshoe Kidney.

International braz j urol : official journal of the Brazilian Society of Urology·2026

Same author

Safety and tolerability of a novel implantable neurostimulator to improve erectile function: a pilot study in patients with spinal cord injury.

The journal of sexual medicine·2026

Same author

3D tomographic reconstruction in complex ventral hernias. Does it make a difference? Subjective evaluation of surgeons.

Hernia : the journal of hernias and abdominal wall surgery·2025

Same author

Impact of Active Surveillance on Nephrometric Scores of Bosniak III and IV Renal Cysts.

International journal of general medicine·2025

Same author

Recommendations and optimal approaches to robotic-assisted partial nephrectomy: A consensus of Brazilian experts.

Frontiers in urology·2025

Same author

Synergistic Efficacy of WST11-VTP and P-Selectin-Targeted Nanotherapy in a Preclinical Prostate Cancer Model.

Cancers·2025

Search research articles

Related Experiment Video

Updated: May 13, 2026

Robot-Assisted Kidney Transplantation

Robot-Assisted Kidney Transplantation

Published on: July 19, 2021

Alternative techniques to reduce warm ischemia time in laparoscopic partial nephrectomy.

Alexandre Stievano Carlos¹, Marcos Tobias-Machado, Eduardo Simão Starling

¹Department of Urology, ABC Medical, Santo Andre, SP, Brazil. ale_carlos@uol.com.br

International Braz J Urol : Official Journal of the Brazilian Society of Urology

|March 16, 2013

Summary

Reducing warm ischemia time during laparoscopic partial nephrectomy is achievable with early unclamping or on-demand clamping techniques, preserving renal function. These methods offer viable alternatives for kidney tumor surgery.

More Related Videos

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

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

Published on: April 4, 2025

Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver

Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver

Published on: June 16, 2023

Related Experiment Videos

Last Updated: May 13, 2026

Robot-Assisted Kidney Transplantation

Robot-Assisted Kidney Transplantation

Published on: July 19, 2021

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

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

Published on: April 4, 2025

Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver

Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver

Published on: June 16, 2023

Area of Science:

Urology
Minimally Invasive Surgery
Surgical Oncology

Background:

Laparoscopic partial nephrectomy (LPN) is a standard treatment for renal tumors.
Minimizing warm ischemia time (WIT) is crucial for preserving renal function during LPN.
Traditional LPN often involves prolonged clamping of the renal artery, leading to potential ischemia.

Observation:

This study presents two alternative techniques for WIT reduction during LPN: early unclamping with continuous suturing and no-clamping resection.
The early unclamping technique involved continuous suturing with hem-o-lock clips.
The no-clamping technique involved detailed dissection, elevated pneumoperitoneum, and spiral excavation around the tumor.

Findings:

The early unclamping technique in 15 prior cases had a mean clamp time of 15 minutes and mean blood loss of 285 mL.
The on-demand clamping approach in 15 prior cases required clamping in 3 instances, with a mean ischemia time of 11 minutes and mean blood loss of 390 mL.
Both techniques demonstrated preservation of renal function, with comparable rates of positive surgical margins and no recurrence during follow-up.

Implications:

Selective application of early unclamping or on-demand clamping can significantly reduce WIT during LPN.
These techniques allow for effective renal tumor resection while maintaining oncological safety and renal function.
The findings support the adoption of these strategies to optimize outcomes in LPN.