Abstract:Objective To summarize the research progress of “zero ischemia” technique in nephron sparing surgery(NSS) for kidney neoplasms by reviewing literatures.Methods Using“renal cell carcinoma(RCC)” “kidney neoplasms” “zero ischemic” “off-clamp partial nephrectomy”“nephron sparing surgery(NSS)” “embolization” “laser” “water jet” “microwave” and “frequency ablation”as the key words to identify the articles about zero ischemia related technologies and applied in NSS in CNKI Data, WanFang Data, SinoMed and PubMed Data from January 2002 to August 2018. A total of 1 482 literatures were searched, and 42 literatures were finally included after excluding the literatures that did not conform to the content, could not obtain the full text, repeated studies or which had design defects.Results “Zero ischemia” is a method to block the specific artery supplying the renal tumor segments based on the anatomy, or to remove the tumor without clamping the renal pedicle vessels, which can extremely protect the renal function while curing the kidney neoplasms. It plays an important role in the treatment of the early kidney neoplasms due to the operability, but postoperative complications can not be ignored.Conclusions “Zero ischemia” technique shows brilliant application prospects in the treatment of the early kidney neoplasms, but the safety, practicability and clinical application value still need further discussion.
朱鹏,葛余正,贾瑞鹏. “零缺血”技术在肾肿瘤保留肾单位手术中的研究进展[J]. 中华解剖与临床杂志, 2019, 24(2): 192-195.
Zhu Peng, Ge Yuzheng, Jia Ruipeng. The research progress of zero ischemic technique in nephron-sparing surgery for kidney neoplasms. Chinese Journal of Anatomy and Clinics, 2019, 24(2): 192-195.
Gill IS, Eisenberg MS, Aron M, et al. “Zero ischemia” partial nephrectomy: novel laparoscopic and robotic technique[J]. Eur Urol, 2011, 59(1): 128-134. DOI:10.1016/j.eururo.2010.10.002.
[6]
Zhao H, Alam A, Soo AP, et al. Ischemia-reperfusion injury reduces long term renal graft survival: mechanism and beyond[J]. EBioMedicine, 2018, 28: 31-42. DOI:10.1016/j.ebiom.2018.01.025.
[7]
Thompson RH, Lane BR, Lohse CM, et al. Every minute counts when the renal hilum is clamped during partial nephrectomy[J]. Eur Urol, 2010, 58(3): 340-345. DOI:10.1016/j.eururo.2010.05.047.
[8]
Pouliot F, Pantuck A, Imbeault A, et al. Multivariate analysis of the factors involved in loss of renal differential function after laparoscopic partial nephrectomy: a role for warm ischemia time[J]. Can Urol Assoc J, 2011, 5(2): 89-95. DOI:10.5489/cuaj.10044.
[9]
Thompson RH, Lane BR, Lohse CM, et al. Renal function after partial nephrectomy: effect of warm ischemia relative to quantity and quality of preserved kidney[J]. Urology, 2012, 79(2): 356-360. DOI:10.1016/j.urology.2011.10.031.
[10]
Gill IS, Patil MB, Abreu AL, et al. Zero ischemia anatomical partial nephrectomy: a novel approach[J]. J Urol, 2012, 187(3): 807-814. DOI:10.1016/j.juro.2011.10.146.
[11]
Gill IS, Kamoi K, Aron M, et al. 800 laparoscopic partial nephrectomies: a single surgeon series[J]. J Urol, 2010, 183(1): 34-41. DOI:10.1016/j.juro.2009.08.114.
[12]
Benoit M, Bouvier A, Panayotopoulos P, et al. Laparoscopic partial nephrectomy after selective embolization and robot-assisted partial nephrectomy: a comparison of short-term oncological and functional outcomes[J]. Clin Genitourin Cancer, 2018. pii: S1558-7673(18)30428-2. DOI:10.1016/j.clgc.2018.07.005.
[13]
D'Urso L, Simone G, Rosso R, et al. Benefits and shortcomings of superselectivetransarterial embolization of renal tumors before zero ischemia laparoscopic partial nephrectomy[J]. Eur J Surg Oncol, 2014, 40(12): 1731-1737. DOI:10.1016/j.ejso.2014.08.484.
[14]
Qin C, Wang Y, Li P, et al. Super-selective artery embolization before laparoscopic partial nephrectomy in treating renal angiomyolipoma[J]. Urol Int, 2017, 99(3): 277-282. DOI:10.1159/000472261.
[15]
Panayotopoulos P, Bouvier A, Besnier L, et al. Laparoscopic partial nephrectomy following tumor embolization in a hybrid room. Feasibility and clinical outcomes[J]. Surg Oncol, 2017, 26(4): 377-381. DOI:10.1016/j.suronc.2017.07.012.
[16]
Gao Y, Chen L, Ning Y, et al. Hydro-Jet-assisted laparoscopic partial nephrectomy with no renal arterial clamping: a preliminary study in a single center[J]. Int Urol Nephrol, 2014, 46(7): 1289-1293. DOI:10.1007/s11255-014-0670-9.
[17]
Kamiyama Y, Yamashita S, Nakagawa A, et al. The piezoactuator-driven pulsed water jet system for minimizing renal damage after off-clamp laparoscopic partial nephrectomy[J]. Tohoku J Exper Med, 2017, 243(1): 57-65. DOI:10.1620/tjem.243.57.
[18]
Thomas AZ, Smyth L, Hennessey D, et al. Zero ischemia laparoscopic partial thulium laser nephrectomy[J]. J Endourol, 2013, 27(11): 1366-1370. DOI:10.1089/end.2012.0527.
[19]
Browne C, Lonergan PE, Bolton EM, et al. A single centre experience of zero-ischaemia laparoscopic partial nephrectomy in Ireland[J]. Ir J Med Sci, 2017, 186(4): 1023-1026. DOI:10.1007/s11845-017-1562-7.
Knudsen BE, Chew BH, Tan AH, et al. Assessment of hydrodissection, holmium: YAG laser vaporization of renal tissue, and both combined to facilitate laparoscopic partial nephrectomy in porcine model[J]. Urology, 2010, 75(5): 1209-1212. DOI:10.1016/j.urology.2008.09.023.
[22]
Moinzadeh A, Gill IS, Rubenstein M, et al. Potassium-titanyl-phosphate laser laparoscopic partial nephrectomy without hilar clamping in the survival calf model[J]. J Urol, 2005, 174(3): 1110-1114. DOI:10.1097/01.ju.0000168620.36893.6c.
[23]
Anderson JK, Baker MR, Lindberg G, et al. Large-volume laparoscopic partial nephrectomy using the potassium-titanyl-phosphate (KTP) laser in a survival porcine model[J]. Eur Urol, 2007, 51(3): 749-754. DOI:10.1016/j.eururo.2006.05.023.
[24]
Rioja J, Morcillo E, Novalbos JP, et al. Laparoscopic partial nephrectomy with potassium-titanyl-phosphate laser versus conventional laparoscopic partial nephrectomy: an animal randomized controlled trial[J]. Urology, 2017, 99: 123-130. DOI:10.1016/j.urology.2016.03.043.
Simon CJ, Dupuy DE, Mayo-Smith WW. Microwave ablation: principles and applications[J]. Radiographics, 2005, 25 Suppl 1: S69-S83. DOI:10.1148/rg.25si055501.
[27]
Guan W, Bai J, Liu J, et al. Microwave ablation versus partial nephrectomy for small renal tumors: intermediate-term results[J]. J Surg Oncol, 2012, 106(3): 316-321. DOI:10.1002/jso.23071.
[28]
Nozaki T, Asao Y, Katoh T, et al.Hand-assisted, conventional and laparoendoscopic single-site surgery for partial nephrectomy without ischemia using a microwave tissue coagulator[J].Urol J,2014, 11(3):1595-1601.DOI:10.22037/uj.v11i3.2068.
[29]
Marcovich R, AldanaJP, Morgenstern N, et al. Optimal lesion assessment following acute radio frequency ablation of porcine kidney: cellular viability or histopathology?[J]. J Urol, 2003, 170(4 Pt 1): 1370-1374. DOI:10.1097/01.ju.0000073846.32015.45.
[30]
Huang J, Zhang J, Wang Y, et al. Comparing zero ischemia laparoscopic radio frequency ablation assisted tumor enucleation and laparoscopic partial nephrectomy for clinical t1a renal tumor:a randomized clinical trial[J]. J Urol, 2016, 195(6): 1677-1683. DOI:10.1016/j.juro.2015.12.115.
[31]
Ito K, Soga S, Seguchi K, et al. Clinical outcomes of percutaneous radiofrequency ablation for small renal cancer[J]. Oncol Lett, 2017, 14(1): 918-924. DOI:10.3892/ol.2017.6262.
[32]
Rimar K, Khambati A, McGuire BB, et al. Radiofrequency ablation-assisted zero-ischemia robotic laparoscopic partial nephrectomy: oncologic and functional outcomes in 49 patients[J]. Adv Urol, 2016, 2016: 8045210. DOI:10.1155/2016/8045210.
[33]
Lu J, Zu Q, Du Q, et al. Zero ischaemia laparoscopic nephron-sparing surgery by re-suturing[J]. Contemp Oncol (Pozn), 2014, 18(5): 355-358. DOI:10.5114/wo.2014.41385.
[34]
S nmez MG, Kara C. The effect of zero-ischaemia laparoscopic minimally invasive partial nephrectomy using the modified sequential preplaced suture renorrhaphy technique on long-term renal functions[J]. Wideochir Inne Tech Maloinwazyjne, 2017, 12(3): 257-263. DOI:10.5114/wiitm.2017.67136.
[35]
Rizkala ER, Khalifeh A, Autorino R, et al. Zero ischemia robotic partial nephrectomy: sequential preplaced suture renorrhaphy technique[J]. Urology, 2013, 82(1): 100-104. DOI:10.1016/j.urology.2013.03.042.
[36]
Smith GL, Kenney PA, Lee Y, et al. Non-clamped partial nephrectomy: techniques and surgical outcomes[J]. BJU Int, 2011, 107(7): 1054-1058. DOI:10.1111/j.1464-410X.2010.09798.x.
[37]
Forbes E, Cheung D, Kinnaird A, et al. Zero ischemia robotic-assisted partial nephrectomy in alberta: initial results of a novel approach[J]. Can Urol Assoc J, 2015, 9(3-4): 128. DOI:10.5489/cuaj.2448.
[38]
Ener K, Canda AE, Altinova S, et al. Impact of robotic partial nephrectomy with and without ischemia on renal functions: experience in 34 cases[J]. Turk J Urol, 2016, 42(4): 272-277. DOI:10.5152/tud.2016.67790.
[39]
Desai MM, de Castro Abreu AL, Leslie S, et al. Robotic partial nephrectomy with superselective versus main artery clamping: a retrospective comparison[J]. Eur Urol, 2014, 66(4): 713-719. DOI:10.1016/j.eururo.2014.01.017.
[40]
Zhao X, Zhang S, Liu G, et al. Zero ischemia laparoscopic radio frequency ablation assisted enucleation of renal cell carcinoma: experience with 42 patients[J]. J Urol, 2012, 188(4): 1095-1101. DOI:10.1016/j.juro.2012.06.035.
[41]
Abboud SE, Patel T, Soriano S, et al. Long-term clinical outcomes following radiofrequency and microwave ablation of renal cell carcinoma at a single VA medical center[J]. Curr Probl Diagn Radiol, 2018, 47(2): 98-102. DOI:10.1067/j.cpradiol.2017.05.006.
[42]
Peyronnet B, Khene ZE, Pradère B, et al. Off-clamp versus on-clamp robotic partial nephrectomy: a multicenter match-paired case-control study[J]. Urol Int, 2017, 99(3): 272-276. DOI:10.1159/000471772.