Robot-assisted Partial Nephrectomy Using Intra-arterial Renal Hypothermia for Highly Complex Endophytic or Hilar Tumors: Case Series and Description of Surgical Technique

Ljungberg, 2022, European Association of Urology guidelines on renal cell carcinoma: the 2022 update, Eur Urol, 82, 399, 10.1016/j.eururo.2022.03.006 Hung, 2013, “Trifecta” in partial nephrectomy, J Urol, 189, 36, 10.1016/j.juro.2012.09.042 Ingels, 2022, Comparison of open and robotic-assisted partial nephrectomy approaches using multicentric data (UroCCR-47 study), Sci Rep, 12, 18981, 10.1038/s41598-022-22912-8 Porpiglia, 2012, The effects of warm ischaemia time on renal function after laparoscopic partial nephrectomy in patients with normal contralateral kidney, World J Urol, 30, 257, 10.1007/s00345-011-0729-5 Becker, 2009, Assessing the impact of ischaemia time during partial nephrectomy, Eur Urol, 56, 625, 10.1016/j.eururo.2009.07.016 Lane, 2011, Limited warm ischemia during elective partial nephrectomy has only a marginal impact on renal functional outcomes, J Urol, 185, 1598, 10.1016/j.juro.2010.12.046 Rod, 2016, Impact of ischaemia time on renal function after partial nephrectomy: a systematic review, BJU Int, 118, 692, 10.1111/bju.13580 Thompson, 2010, Every minute counts when the renal hilum is clamped during partial nephrectomy, Eur Urol, 58, 340, 10.1016/j.eururo.2010.05.047 Antonelli, 2022, Is off-clamp robot-assisted partial nephrectomy beneficial for renal function? Data from the CLOCK trial, BJU Int, 129, 217, 10.1111/bju.15503 Antonelli, 2023, The role of warm ischemia time on functional outcomes after robotic partial nephrectomy: a radionuclide renal scan study from the clock randomized trial, World J Urol, 41, 1337, 10.1007/s00345-023-04366-3 Menon, 2014, Robotic kidney transplantation with regional hypothermia: a step-by-step description of the Vattikuti Urology Institute-Medanta technique (IDEAL phase 2a), Eur Urol, 65, 991, 10.1016/j.eururo.2013.12.006 Gill, 2003, Laparoscopic ice slush renal hypothermia for partial nephrectomy: the initial experience, J Urol, 170, 52, 10.1097/01.ju.0000072332.02529.10 Taylor, 1975, Kidney cooling in partial nephrectomy. Evaluation of a technique, Urology, 5, 456, 10.1016/0090-4295(75)90066-7 Canda, 2020, Robotic assisted partial nephrectomy with cold ischemia applying ice pieces and intraoperative frozen section evaluation of the mass: complete replication of open approach with advantages of minimally invasive surgery, Cent European J Urol, 73, 234 Kijvikai, 2010, A simple, effective method to create laparoscopic renal protective hypothermia with cold saline surface irrigation: clinical application and assessment, J Urol, 184, 1861, 10.1016/j.juro.2010.06.100 Crain, 2004, Transureteral saline perfusion to obtain renal hypothermia: potential application in laparoscopic partial nephrectomy, JSLS, 8, 217 Janetschek, 2004, Laparoscopic partial nephrectomy in cold ischemia: renal artery perfusion, J Urol, 171, 68, 10.1097/01.ju.0000101040.13244.c4 Liu, 2019, Application of hypothermic perfusion via a renal artery balloon catheter during robot-assisted partial nephrectomy and effect on renal function, Acad Radiol, 26, e196, 10.1016/j.acra.2018.09.024 Hruby, 2013, Cooling mechanisms in laparoscopic partial nephrectomy: are really necessary?, Arch Esp Urol, 66, 139 Marberger, 1980, Regional hypothermia of the kidney: surface or transarterial perfusion cooling? A functional study, J Urol, 124, 179, 10.1016/S0022-5347(17)55363-X Yin, 2002, Different patterns of renal cell killing after warm and cold ischemia, Ren Fail, 24, 147, 10.1081/JDI-120004092 Steffens, 2005, Partial nephrectomy with perfusion cooling for imperative indications: a 24-year experience, BJU Int, 96, 608, 10.1111/j.1464-410X.2005.05693.x Gschwend, 1995, Continuous in situ cold perfusion with histidine tryptophan ketoglutarate solution in nephron sparing surgery for renal tumors, J Urol, 154, 1307, 10.1016/S0022-5347(01)66844-7 Simon, 2008, Novel technique for in situ cold perfusion in laparoscopic partial nephrectomy, Surg Endosc, 22, 2184, 10.1007/s00464-008-0020-z Herrmann, 2011, Transperitoneal in situ intraarterial cooling in laparoscopic partial nephrectomy, World J Urol, 29, 337, 10.1007/s00345-010-0597-4 Van Praet, 2020, Total intracorporeal robot kidney autotransplantation: case report and description of surgical technique, Front Surg, 7, 65, 10.3389/fsurg.2020.00065 Breda, 2022, Intracorporeal versus extracorporeal robot-assisted kidney autotransplantation: experience of the ERUS RAKT Working Group, Eur Urol, 81, 168, 10.1016/j.eururo.2021.07.023 Verbakel I, Wirtz M, De Backer P, et al. Pushing boundaries in extracorporeal robot-assisted kidney autotransplantation (eRAKAT): bench surgery for an oncologic partial nephrectomy in a patient with a solitary kidney. A joint meeting of the EAU Section for Urotechnology and the EAU Section of Urolithiasis. Vol. 39, biblio.ugent.be; 2022. p. S44–5. Nahar, 2019, Does every minute of renal ischemia still count in 2019? Unlocking the chains of a flawed thought process over five decades, Eur Urol Focus, 5, 939, 10.1016/j.euf.2019.03.019 De Backer, 2023, A novel three-dimensional planning tool for selective clamping during partial nephrectomy: validation of a perfusion zone algorithm, Eur Urol, 83, 413, 10.1016/j.eururo.2023.01.003 Decaestecker, 2018, Robot-assisted kidney autotransplantation: a minimally invasive way to salvage kidneys, Eur Urol Focus, 4, 198, 10.1016/j.euf.2018.07.019 West, 2022, Clinical outcomes of low-pressure pneumoperitoneum in minimally invasive urological surgery, J Robot Surg, 16, 1183, 10.1007/s11701-021-01349-7 Streeter, 2002, The urological complications of renal transplantation: a series of 1535 patients, BJU Int, 90, 627, 10.1046/j.1464-410X.2002.03004.x De Backer, 2023, Improving augmented reality through deep learning: real-time instrument delineation in robotic renal surgery, Eur Urol, 84, 86, 10.1016/j.eururo.2023.02.024 Sternbach, 1990, Sven Ivar Seldinger: catheter introduction on a flexible leader, J Emerg Med, 8, 635, 10.1016/0736-4679(90)90462-5 Benway, 2009, Robotic partial nephrectomy with sliding-clip renorrhaphy: technique and outcomes, Eur Urol, 55, 592, 10.1016/j.eururo.2008.12.028 Dindo, 2004, Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey, Ann Surg, 240, 205, 10.1097/01.sla.0000133083.54934.ae Hasson, 1974, Open laparoscopy: a report of 150 cases, J Reprod Med, 12, 234