Volume 13, Number 3Review ArticlesA Review of Current Hemostatic Agents and Tissue Sealants Used in Laparoscopic Partial NephrectomyTreatment ReviewI GalanakisN VasdevN SoomroLaparoscopic partial nephrectomy (LPN) is currently considered to be one of the most challenging procedures in minimally invasive urological surgery. With an increasing number of renal tumors being managed using LPN, there is now a further interest in the development of techniques and agents to reduce complications associated with the procedure. Hemostasis is of paramount importance during LPN, and hemostatic agents and tissue sealants are now being used commonly during LPN. Despite this, there is a dearth of prospective, randomized, human trials in current literature that compare the various agents. This review evaluates hemostatic agents and tissue sealants being used during LPN as an adjuvant to suturing in human studies. [Rev Urol. 2011;13(3):131-138 doi: 10.3909/riu0524] © 2011 MedReviews®, LLCLaparoscopic partial nephrectomyRenal tumorsHemostatic agentsTissue sealantsSuturing adjuvant
Volume 15, Number 1Review ArticlesPhysiologic and Anesthetic Considerations in Octogenarians Undergoing Laparoscopic Partial NephrectomyManagement ReviewNikhil VasdevElizabeth ToddNaeem A SoomroThe number of small renal tumors detected is increasing as imaging becomes both more available and advanced, and as the population ages, with a greater proportion of patients in their 80s emerging with small and treatable renal tumors. The technique of laparoscopic partial nephrectomy is emerging and becoming ever more popular in some centers, and is potentially a safer alternative for the elderly due to improved postoperative pain, shorter hospital stay with faster return to preoperative activities, and lower rates of morbidity and mortality. We present a systematic review of the physiologic and anesthetic considerations in octogenarians undergoing the procedure, highlighting special considerations and the need for expertise throughout the multidisciplinary team when dealing with these patients, in order to minimize risk and optimize outcome. [ Rev Urol. 2013;15(1):23-31 doi: 10.3909/riu0565] © 2013 MedReviews®, LLCRenal cell carcinomaRadical nephrectomyLaparoscopic partial nephrectomyRenal tumorOctogenarian