Positive impact of new treatment strategy of renal pedicle on shortening the learning curve of retroperitoneoscopic radical nephrectomy

doi:10.3877/cma.j.issn.1674-3253.2022.02.012

Abstract

Abstract:

Objective

To explore the learning curve of using new treatment strategy of renal pedicle in retroperitoneoscopic radical nephrectomy.

Methods

The clinical data of 40 cases of renal carcinoma treated by new treatment strategy of pedicle vessels during retroperitoneoscopic radical nephrectomy for beginners from Jan. 2018 to Apr.2020 were analyzed. The contents of observation included the number of transferation rate to skilled director, the correlation between the operation time and number of cases, and the incidence of complications.

Results

All operations were successfully completed, with no conversion to open surgery. 3 cases were transfered to skilled director, all of which were found in the first 8 patients, renal artery was not found in 1 case, renal vessel was damaged in 1 case, and perirenal adhesion was observed in 1 case. After the beginners undertook 16 cases, they could perform the procedures stably without any serious complications.

Conclusion

New surgeons in the learning curve could independently complete retroperitoneoscopic radical nephrectomy by the new pedicled vascular treatment strategy, without obvious complications. After 16 cases, the technique was mature and stable.

Key words: Laparoscope, Renal carcinoma, Renal pedicle vascular, Learning curve

Heqian Liu, Lingsong Tao, Jiawei Wang, Yisheng Chen, Bin Zou, Xudong Shen. Positive impact of new treatment strategy of renal pedicle on shortening the learning curve of retroperitoneoscopic radical nephrectomy[J]. Chinese Journal of Endourology(Electronic Edition), 2022, 16(02): 147-150.

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URL: https://zhqjmnmwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-3253.2022.02.012

https://zhqjmnmwkzz.cma-cmc.com.cn/EN/Y2022/V16/I02/147

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References 14

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