@entity8 using ice-cold saline for retroperitoneal laparoscopic partial nephrectomy: evaluation of split renal function with XXXX renal scintigraphy.

@entity1 @entity29582 @entity8 @entity63 @entity1009 @entity2332 @entity703
OBJECTIVES: To evaluate the changes in split renal function after retroperitoneal laparoscopic partial nephrectomy with @entity8 using ice-cold saline. METHODS: From June 2002 to October 2009, 32 @entity1 (median age 56 years) underwent retroperitoneal laparoscopic partial nephrectomy with @entity2332 using ice-cold saline for the treatment of small @entity703 . The total renal function was monitored using the estimated glomerular filtration rate. Split renal function was evaluated using @entity29582 renal scintigraphy preoperatively and 3 months postoperatively. RESULTS: The median renal ischemic time, including the initial 10 minutes for cooling, was 52 minutes (range 28-101). Of the @entity1 whose renal temperature was monitored, the lowest renal temperature during cooling was 15-25  C. The median decrease in the estimated glomerular filtration rate was 7.2 mL/ @entity1009 .73 m(2) (range -16.3 to 33.7). The median decrease in the contribution of the affected @entity8 was 5.3% (range 0.4%-21.1%). On multivariate analysis, a shorter @entity63 duration was an independent predictor of a lesser decrease in the contribution of the affected kidney (P = .0032). CONCLUSIONS: The methods we have described are simple and effective to facilitate suboptimal @entity2332 . The decrease in the renal contribution of the affected kidney appeared to be minimal, although the ischemic time was relatively longer in our series.
