ESOU 2021: Surgery in Detail - Key Points on Partial Nephrectomy: Ischemia vs No Ischemia
(UroToday.com) The first Renal Cancer session at this year’s European Association of Urology (EAU) Section of Oncological Urology (ESOU) 2021 virtual annual meeting focused on localized disease and was divided into two primary sections, the first focusing on key points in partial nephrectomy while the second examined approaches to larger renal masses. In the first mini-session examining key points in partial nephrectomy, Dr. Mottrie discussed considerations when considering ischemia versus no ischemia in robotic-assisted partial nephrectomy.
Dr. Mottrie began by highlighting data from a systematic review published in European Urology which, after including 91 studies performed between 2005 and 2014, concluded that 20-25 minutes represents the most accurate cut-off for clinically relevant ischemia. The authors also concluded that the use of no-ischemia or partial occlusive approaches may im