Evidence map›Paper›PMID 41498053›Full record

ArticleIJU case reports2026

A Case of Cerebral Air Embolization During Robot-Assisted Partial Nephrectomy via a Retroperitoneal Approach for the Patient With Renal Cell Carcinoma.

Takashi Matsumoto, Masashi Kaitsumaru, Keiji Tsukino, Jun Mutaguchi, Shigehiro Tsukahara, Tokiyoshi Tanegashima, Shunsuke Goto, Satoshi Kobayashi, Masaki Shiota, Masatoshi Eto and 1 more

Abstract read
In one paragraph

Article in IJU case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Takashi MatsumotoDepartment of Urology, Graduate School of Medical Sciences Kyushu University Fukuoka Japan.
Masashi KaitsumaruDepartment of Urology, Graduate School of Medical Sciences Kyushu University Fukuoka Japan.
Keiji TsukinoDepartment of Urology, Graduate School of Medical Sciences Kyushu University Fukuoka Japan.ORCID https://orcid.org/0009-0002-2955-6849
Jun MutaguchiDepartment of Urology, Graduate School of Medical Sciences Kyushu University Fukuoka Japan.ORCID https://orcid.org/0000-0001-8798-2681
Shigehiro TsukaharaDepartment of Urology, Graduate School of Medical Sciences Kyushu University Fukuoka Japan.
Tokiyoshi TanegashimaDepartment of Urology, Graduate School of Medical Sciences Kyushu University Fukuoka Japan.ORCID https://orcid.org/0000-0002-1631-4720
Shunsuke GotoDepartment of Urology, Graduate School of Medical Sciences Kyushu University Fukuoka Japan.
Satoshi KobayashiDepartment of Urology, Graduate School of Medical Sciences Kyushu University Fukuoka Japan.ORCID https://orcid.org/0000-0002-7760-0771
Masaki ShiotaDepartment of Urology, Graduate School of Medical Sciences Kyushu University Fukuoka Japan.
Masatoshi EtoDepartment of Urology, Graduate School of Medical Sciences Kyushu University Fukuoka Japan.ORCID https://orcid.org/0000-0002-3312-9930
Junichi InokuchiDepartment of Urology, Graduate School of Medicine University of the Ryukyus Ginowan Japan.ORCID https://orcid.org/0000-0002-6791-905X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Cerebral air embolism accompanied by right-to-left shunt through the venous system during Robot-assisted partial nephrectomy (RAPN) is regarded as a rare occurrence, with a high mortality rate. Case Presentation: A case of a 77-year-old man with renal cell carcinoma who developed cerebral air embolism during right retroperitoneal RAPN using AirSeal. Intraoperatively, a sudden drop in end-tidal CO Conclusion: This case highlights the risk of serious brain stroke during RAPN. The pathways of air entry into the cerebral circulation occasionally remain unclear and are difficult to fully exclude preoperatively. Renal vein clamping and adequate insufflation pressure are recommended when the tumor is entirely endophytic or close to the renal vein, especially when performing a right retroperitoneal approach.

Indexed as

AirSealcerebral air embolismpartial nephrectomyrenal cell carcinomaretroperitoneal approach

Identifiers

PMID41498053
PMCPMC12765818

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.