Review Article Role of Agarwal Sliding-Clip Renorrhaphy in the Expansion of Partial Nephrectomy
Role of Agarwal Sliding-Clip Renorrhaphy in the Expansion of Partial Nephrectomy
Abstract
The evolution of renorrhaphy technique has continuously change the landscape of partial nephrectomy, pushing boundaries to further improve patients’ oncological and functional outcomes. The introduction of Agarwal sliding-clip technique is a prominent example, initially allowing for better closure and reducing the risk of parenchymal injury. In addition, the technique has served as a stepping stone, allowing for improved operating experience during robot-assisted partial nephrectomy. This review will revisit the milestones and adaptations of the Agarwal sliding-clip renorrhaphy techniques for partial nephrectomies.
References
Ljungberg B, Albiges L, Abu-Ghanem Y, Bensalah K, Dabestani S, Fernández-Pello S, et al. European association of urology guidelines on renal cell carcinoma: the 2019 update. European urology. 2019;75(5):799-810.
Campbell S, Uzzo RG, Allaf ME, Bass EB, Cadeddu JA, Chang A, et al. Renal mass and localized renal cancer: AUA guideline. The Journal of urology. 2017;198(3):520-9.
Silagy A, Young R, Kelly B, Reeves F, Furrer M, Costello A, et al. Surgical innovation revisited: a historical narrative of the minimally invasive “Agarwal sliding‐clip renorrhaphy” technique for partial nephrectomy and its application to an Australian cohort. BJUI compass. 2021;2(3):211-8.
Agarwal D, O’Malley P, Clarke D, Rao R. Modified technique of renal defect closure following laparoscopic partial nephrectomy. BJU international. 2007;100(4):967-70.
Bertolo R, Campi R, Klatte T, Kriegmair MC, Mir MC, Ouzaid I, et al. Suture techniques during laparoscopic and robot‐assisted partial nephrectomy: a systematic review and quantitative synthesis of peri‐operative outcomes. BJU international. 2019;123(6):923-46.
Gill IS, Desai MM, Kaouk JH, Meraney AM, Murphy DP, Sung GT, et al. Laparoscopic partial nephrectomy for renal tumor: duplicating open surgical techniques. The Journal of urology. 2002;167(2 Part 1):469-76.
Orvieto MA, Chien GW, Tolhurst SR, Rapp DE, Steinberg GD, Mikhail AA, et al. Simplifying laparoscopic partial nephrectomy: technical considerations for reproducible outcomes. Urology. 2005;66(5):976-80.
Heinrich E, Egner T, Noe M, Schiefelbein F, Schoen G. Organ-preserving endoscopic kidney cancer resection. european urology. 2006;50(4):732-7.
Kim KS, Choi SW, Kim JH, Bae WJ, Cho HJ, Lee JY, et al. Running-clip renorrhaphy reducing warm ischemic time during laparoscopic partial nephrectomy. Journal of Laparoendoscopic & Advanced Surgical Techniques. 2015;25(1):50-4.
Gorin MA, Ramanathan R, Leveillee RJ. Laparoscopic techniques applied to open surgery: sliding-clip renorrhaphy. Urology. 2011;77(3):751-3.
Crestani A, Giannarini G, Rossanese M, Calandriello M, Palumbo V, Valotto C, et al. Sliding-clip technique for renorrhaphy improves perioperative outcomes of open partial nephrectomy. Scandinavian Journal of Urology. 2018;52(5-6):401-6.
Rogers C, Sukumar S, Gill IS. Robotic partial nephrectomy: the real benefit. Current opinion in urology. 2011;21(1):60-4.
Benway BM, Cabello JM, Figenshau RS, Bhayani SB. Sliding-clip renorrhaphy provides superior closing tension during robot-assisted partial nephrectomy. Journal of endourology. 2010;24(4):605-8.
Benway BM, Wang AJ, Cabello JM, Bhayani SB. Robotic partial nephrectomy with sliding-clip renorrhaphy: technique and outcomes. European Urology. 2009;55(3):592-9.
Kaouk JH, Khalifeh A, Hillyer S, Haber G-P, Stein RJ, Autorino R. Robot-assisted laparoscopic partial nephrectomy: step-by-step contemporary technique and surgical outcomes at a single high-volume institution. European urology. 2012;62(3):553-61.
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