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[Hybrid operating room: For what?]

M Benoit1, A Bouvier2, P Bigot1

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Summary
This summary is machine-generated.

Hybrid operating rooms enable a novel partial nephrectomy technique for kidney cancer, avoiding renal pedicle clamping and ischemia. This minimally invasive approach combines interventional radiology and surgery for improved patient outcomes.

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Area of Science:

  • Urology
  • Interventional Radiology
  • Surgical Innovation

Background:

  • Renal cancer is often diagnosed at a localized stage, with nephron-sparing surgery being the primary treatment.
  • Partial nephrectomy typically requires renal pedicle clamping, which can have long-term effects on kidney function and carries risks like pseudoaneurysm.
  • Hybrid operating rooms (HOR) integrate interventional radiology and surgical equipment, facilitating advanced minimally invasive procedures.

Purpose of the Study:

  • To develop and evaluate a new laparoscopic partial nephrectomy technique for localized renal cancer.
  • To eliminate the need for renal pedicle clamping and associated ischemia during partial nephrectomy.
  • To leverage the capabilities of hybrid operating rooms for combined endovascular and surgical interventions.

Main Methods:

  • Developed a novel technique involving selective embolization of tumor vessels via an endovascular route immediately before surgery.
  • Utilized hybrid operating rooms to simultaneously perform endovascular embolization and laparoscopic partial nephrectomy.
  • Employed tumor staining with Patent Blue to enhance visualization and surgical precision.

Main Results:

  • Successfully performed partial nephrectomy without clamping or approaching the renal pedicle, thus avoiding ischemia.
  • Demonstrated the feasibility of combining endovascular embolization and laparoscopic surgery within a hybrid operating room setting.
  • Highlighted the potential of this technique to mitigate complications associated with traditional renal pedicle clamping.

Conclusions:

  • Hybrid operating rooms offer a new paradigm for managing localized renal cancer by integrating interventional radiology and surgery.
  • This innovative partial nephrectomy technique represents a significant advancement, potentially applicable to other urological surgeries.
  • The combination of expertise and technology in HORs paves the way for more minimally invasive and effective cancer treatments.