ArticleEuropean urology open science2023
A New Concept for Minimally Invasive Surgical Treatment in Renal Cancer: The Use of Neuroaxial Anesthesia During Laparoscopic Partial Nephrectomy.
Article in European urology open science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed.
- Single-port Robotic Prostatectomy with Neuraxial Anesthesia and Virtual Reality Support: Combining Technologies To Minimize Surgical Impact.European urology open science · 2026Article
- Open radical cystectomy and ileal loop diversion under combined spinal-epidural anaesthesia for the elderly and frail.BMC surgery · 2025Article
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15 authors.
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Abstract
A new concept for minimally invasive treatment involves abdominal laparoscopic surgery performed while the patient breathes independently without losing consciousness. Here we report the first series of laparoscopic partial nephrectomy (LPN) performed under neuroaxial anesthesia (NA). From May 2021 to September 2022 we prospectively enrolled selected patients with an organ-confined single renal mass to undergo LPN under NA. Anesthesia was administered using an epidural catheter placed at the level of T7, with additional anesthesia at the level of T10. The rationale was to avoid use of a tracheal tube and the side effects of general anesthesia. Ten patients were enrolled in the study. Targeted sedation was achieved in all cases. In one case, a switch to general anesthesia was needed because of patient anxiety. Food intake started at 12 h after surgery in 9/10 cases; mobilization started from 3 h after surgery. The length of hospital stay was 3 d in 4/10 cases and 4 d in 3/10 cases. This first experience worldwide of LPN performed under NA demonstrates the feasibility and safety of the procedure.
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