Intraoperative Ultrasound: Bridging the Gap between Laparoscopy and Surgical Precision during 3D Laparoscopic Partial Nephrectomies

Author:

Mihai Ionela1,Dura Horatiu1,Teodoru Cosmin Adrian1,Todor Samuel Bogdan1,Ichim Cristian1ORCID,Grigore Nicolae1,Mohor Cosmin Ioan1,Mihetiu Alin1ORCID,Oprinca George1,Bacalbasa Nicolae2,Tanasescu Denisa1,Bratu Dan Georgian1ORCID,Boicean Adrian1ORCID,Oros Bogdan3,Hasegan Adrian1ORCID

Affiliation:

1. Faculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, Romania

2. Surgery Department, University of Medicine and Pharmacy “Carol Davila” Bucharest, 020021 Bucharest, Romania

3. County Clinical Emergency Hospital of Sibiu, 550245 Sibiu, Romania

Abstract

The use of 3D laparoscopic partial nephrectomy has emerged as a cornerstone in the surgical arsenal for addressing renal tumors, particularly in managing challenging cases characterized by deeply seated tumors embedded within the renal parenchyma. In these intricate scenarios, the utilization of intraoperative ultrasound (IOUS) acquires paramount importance, serving as an indispensable tool for guiding and meticulously monitoring the surgical process in real time. To further explore the efficacy of IOUS-guided techniques, we conducted a retrospective study comparing outcomes in patients who underwent partial nephrectomy with IOUS guidance (n = 60) between 2020 and 2022 with a cohort from 2018 to 2019 without IOUS guidance (n = 25). Our comprehensive analysis encompassed various post-operative parameters, including the duration until food resumption, analgesia requirements, and length of the hospital stay. While these parameters exhibited comparable outcomes between the two groups, notable distinctions emerged in the intraoperative metrics. The IOUS-guided cohort demonstrated significantly reduced blood loss, a shorter median operative duration, and diminished ischemia time (p = 0.001). These compelling findings underscore the undeniable benefits of IOUS-guided techniques in not only facilitating the attainment of negative surgical margins but also in enhancing procedural safety and precision, thereby contributing to improved patient outcomes in the management of renal tumors.

Publisher

MDPI AG

Reference52 articles.

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