Tissue cyanoacrylate glue in partial nephrectomy – our own experience and assessment


Authors: J. Košina;  J. Pacovsky;  P. Hušek;  L. Holub;  M. Broďák
Authors‘ workplace: Urologická klinika FN a LF Univerzity Karlovy, Hradec Králové přednosta: doc. MUDr. M. Broďák, Ph. D.
Published in: Rozhl. Chir., 2016, roč. 95, č. 2, s. 79-82.
Category: Original articles

Overview

Introduction:
The effect of cyanoacrylate glues was repeatedly evaluated in resections of liver, lungs and others organs, but minimally in kidney resection. The aim of our study was to evaluate the use of cyanoacrylate tissue glue in open and laparoscopic partial nephrectomy.

Method:
We evaluated a cohort of 32 patients who underwent partial nephrectomy with treatment of the resected area using cyanoacrylate glue. Laparoscopic resection was done in 23 patients, while 9 patients underwent an open procedure. Surgical results, complications and oncologic results were assessed.

Results:
The median follow-up duration was 46 months. The mean time of open partial nephrectomy was 104 minutes and that of laparoscopic resection was 154 minutes; blood losses reached 250 ml and 184 ml, respectively. No serious complications occurred, and all patients survived the 3-year follow-up without any tumor recurrence.

Conclusion:
Hemostasis using the cyanoacrylate glue Glubran II was effective and safe. On the other hand, it increased the costs of the surgery and was not necessary.

Key worlds:
partial nephrectomy − laparoscopic resection of kidney − cyanoacrylate tissue glue


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Surgery Orthopaedics Trauma surgery
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