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KMID : 1001020150130030138
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Korean Journal of Urological Oncology
2015 Volume.13 No. 3 p.138 ~ p.142
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Laparoscopic Partial Nephrectomy Using a Water(Hydro)-Jet System: A Case Report
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:Lee Sin-Woo
:Sung Hyun-Hwan/:Jeon Hwang-Gyun/:Jeong Byong-Chang/:Jeon Seong-Soo/:Lee Hyun-Moo/:Choi Han-Yong/:Seo Seong-Il
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Abstract
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The water-jet system(WJS) can be used for selective dissection of kidney parenchyma without renal artery clamping in laparoscopic partial nephrectomy(LPN). We report our experiences regarding LPN with a WJS. The first case was a 59 year old male with a 1.8 cm solid mass in the Rt. mid-lateral area(R.E.N.A.L score: 5a). The second case was a 24 year old female with a 2.3cm solid mass in the Lt. mid-lateral area(R.E.N.A.L score: 7x). We successfully finished non-clamping LPN using a WJS without perioperative complications. Surgical margins were negative(7mm and 1mm for cases 1 and 2, respectively). Post-operative renal function was not decreased significantly. LPN using a WJS is a feasible and safe technique which can be performed for small renal masses without ischemic damage.
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KEYWORD
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Laparoscopic surgery, Nephrectomy, Dissection
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