Electrocoagulation with greased lidocaine gel 2% as hemostatic maneuver after minimally invasive partial nephrectomy: Experimental and preliminary clinical results
Open Access
- 29 April 2020
- journal article
- Published by Heighten Science Publications Corporation in Archives of Cancer Science and Therapy
- Vol. 4 (1), 019-023
- https://doi.org/10.29328/journal.acst.1001017
Abstract
Methods: Experimental phase: Performed a partial nephrectomy off clamp in pig model followed by cauterization of lidocaine gel 2% with different power (control, 30W, 50W and 100W) in the kidney resection bed to evaluate efficacy and deep injury extension. Clinical phase: 20 patients submitted to laparoscopic or partial nephrectomy for low risk RENAL score were utilized greased lidocaine gel 2% with 50W in cautery scalpel to hemostasis of renal parenchima to validate efficacy and safety. Results: Experimental study shows that this technique is effective and promote better hemostasis with 50W and 100W, with deep injury of less than 3 mm. Clinical study confirm efficacy, good control of hemorrage, few complications and no transfusion. Minimal changes in hematocrit, haemoglobin and creatinine were observed. Conclusion: In this preliminary experience the use of this new alternative to hemostasis for low risk partial nephrectomy was satisfactory and with good intra and postoperative results. The best advantages were safety in terms of the depth thermal injury, low cost and absence of artifacts over the resection area observed at CT scan postoperatively.Keywords
This publication has 13 references indexed in Scilit:
- Oncological and functional outcomes of salvage renal surgery following failed primary intervention for renal cell carcinomaInternational braz j urol, 2015
- Robot-assisted partial nephrectomy in contemporary practiceFrontiers in Oncology, 2013
- End Stage and Chronic Kidney Disease: Associations with Renal CancerFrontiers in Oncology, 2012
- Hemostasis of the liver, spleen, and bone achieved by electrocautery greased with lidocaine gelSurgery Today, 2011
- Management of bleeding following major trauma: an updated European guidelineCritical Care, 2010
- Hemostasia hepática utilizando eletrocautério seco ou emplastrado com lidocaína ou neomicina ou glicerina ou vaselina, em coelhoRevista do Colégio Brasileiro de Cirurgiões, 2009
- The R.E.N.A.L. Nephrometry Score: A Comprehensive Standardized System for Quantitating Renal Tumor Size, Location and DepthJournal of Urology, 2009
- Optimal management of localized renal cell carcinoma: Surgery, Ablation or Active SurveillanceJournal of the National Comprehensive Cancer Network, 2009
- Clamping of the Renal Artery in Laparoscopic Partial Nephrectomy: An Old Device for a New TechniqueEuropean Urology, 2005
- Surgical exploration of the injured kidney: current indications and techniquesInternational braz j urol, 2003