A low RENAL Nephrometry Score can avoid the need for the intraoperative insertion of a ureteral catheter in robot-assisted partial nephrectomy.

Journal: World journal of surgical oncology
Published Date: Feb 4, 2021

Abstract

BACKGROUND: Intraoperative urinary collecting system entry (CSE) in robot-assisted partial nephrectomy (RAPN) may cause postoperative urinary leakage and extend the hospitalization. Therefore, identifying and firmly closing the entry sites are important for preventing postoperative urine leakage. In RAPN cases expected to require CSE, we insert a ureteral catheter and inject dye into the renal pelvis to identify the entry sites. We retrospectively analyzed the factors associated with intraoperative CSE in RAPN and explored the indications of intraoperative ureteral catheter indwelling in RAPN.

Authors

  • Kenichi Nishimura
    Department of Urology, Ehime University Graduate school of Medicine, Shitsukawa, Toon, Matsuyama, Ehime, 791-0295, Japan. nishimura.kenichi.vx@ehime-u.ac.jp.
  • Yuichiro Sawada
    Department of Urology, Ehime University Graduate school of Medicine, Shitsukawa, Toon, Matsuyama, Ehime, 791-0295, Japan.
  • Naoya Sugihara
    Department of Urology, Ehime University Graduate school of Medicine, Shitsukawa, Toon, Matsuyama, Ehime, 791-0295, Japan.
  • Keisuke Funaki
    Department of Urology, Ehime University Graduate school of Medicine, Shitsukawa, Toon, Matsuyama, Ehime, 791-0295, Japan.
  • Kanae Koyama
    Department of Urology, Ehime University Graduate school of Medicine, Shitsukawa, Toon, Matsuyama, Ehime, 791-0295, Japan.
  • Terutaka Noda
    Department of Urology, Ehime University Graduate school of Medicine, Shitsukawa, Toon, Matsuyama, Ehime, 791-0295, Japan.
  • Tetsuya Fukumoto
    Department of Urology, Ehime University Graduate school of Medicine, Shitsukawa, Toon, Matsuyama, Ehime, 791-0295, Japan.
  • Noriyoshi Miura
    Department of Urology, Ehime University Graduate school of Medicine, Shitsukawa, Toon, Matsuyama, Ehime, 791-0295, Japan.
  • Yuki Miyauchi
    Department of Urology, Ehime University Graduate school of Medicine, Shitsukawa, Toon, Matsuyama, Ehime, 791-0295, Japan.
  • Tadahiko Kikugawa
    Department of Urology, Ehime University Graduate school of Medicine, Shitsukawa, Toon, Matsuyama, Ehime, 791-0295, Japan.
  • Takashi Saika
    Department of Urology, Ehime University Graduate school of Medicine, Shitsukawa, Toon, Matsuyama, Ehime, 791-0295, Japan.

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