Retroperitoneoscopic kidney resection with preoperative selective embolization and fluorescent visualization of renal vessels. Analysis of postoperative Complications

Authors

  • U. V. Dumanskiy Institute of Experimental Pathology, Oncology and Radiobiology, NAS of Ukraine, Kyiv, Dnipro Regional Oncological Centre, Dnipro
  • O. I. Balashova Institute of Experimental Pathology, Oncology and Radiobiology, NAS of Ukraine, Kyiv, Dnipro Regional Oncological Centre, Dnipro
  • S. O. Reshetniak Institute of Experimental Pathology, Oncology and Radiobiology, NAS of Ukraine, Kyiv, Dnipro Regional Oncological Centre, Dnipro
  • R. E. Kavetsky Institute of Experimental Pathology, Oncology and Radiobiology, NAS of Ukraine, Kyiv, Dnipro Regional Oncological Centre, Dnipro

DOI:

https://doi.org/10.11603/2414-4533.2020.3.11214

Keywords:

localized kidney cancer, retroperitoneoscopic kidney resection, indocyanine green, superselective X-ray vascular emboliza-tion of the kidney

Abstract

The aim of the work: to analyze postoperative complications in patients with local kidney cancer after retroperitoneoscopic resection of the kidney with preoperative selective embolization and fluorescent imaging of renal vessels.

Materials and Methods. We operated on 25 patients with local kidney cancer and performed an analysis of registered postoperative complications.

Results and Discussion. All patients with local renal cell carcinoma of the kidney underwent resection of the kidney (ZERO ishemia) using intraoperative fluorescent imaging in the infrared region of the spectrum using Indocyanine green. At the preoperative stage, all patients underwent superselective X-ray vascular embolization. Complications were analyzed using the generally accepted Clavien-Dindo postoperative complications scale.

No complications were reported during surgery. One complication was registered at the preoperative stage, and only 3 complications (12 %) were registered in the postoperative stage. All complications were of degrees 1–2, and did not require re-surgical correction and did not affect the length of stay in the intensive care unit and surgical hospital, did not require additional manipulations and procedures such as blood transfusions, endoscopic and interventional radiological interventions.

The analysis of the registered postoperative complications after retroperitoneoscopic resection using preoperative X-ray vascular embolization and intraoperative fluorescent imaging in the infrared region of the spectrum with indoctanine and postoperative complications, recommend the benefits of this surgical technique.

These data suggest that the use of superselective X-ray vascular embolization and intraoperative fluorescent imaging in the surgical treatment of localized kidney cancer has significant advantages over the "standard" method of surgical treatment. The authors of this publication see the prospects for further study and implementation of the proposed algorithm for examination and treatment of patients with local kidney cancer.

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Published

2020-10-23

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Dumanskiy, U. V., Balashova, O. I., Reshetniak, S. O., & Kavetsky, R. E. (2020). Retroperitoneoscopic kidney resection with preoperative selective embolization and fluorescent visualization of renal vessels. Analysis of postoperative Complications. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (3), 55–62. https://doi.org/10.11603/2414-4533.2020.3.11214

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No. 3 (2020)

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