Use of the Satinsky clamp for hilar clamping during robotic partial nephrectomy: indications, technique, and multi-center outcomes

A Satinsky clamp may be a backup option for hilar clamping during robotic partial nephrectomy (RPN) if there are challenges with application of bulldog clamps, but there are potential safety concerns. We evaluate outcomes of RPN using Satinsky vs. bulldog clamps, and provide tips for safe use of the...

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Bibliographic Details
Published in:Journal of robotic surgery 2017-03, Vol.11 (1), p.47-51
Main Authors: Abdullah, Newaj, Rahbar, Haider, Barod, Ravi, Dalela, Deepansh, Larson, Jeff, Johnson, Michael, Mass, Alon, Zargar, Homayoun, Kaouk, Jihad, Allaf, Mohamad, Bhayani, Sam, Stifelman, Michael, Rogers, Craig
Format: Article
Language:English
Subjects:
Aged
Blood Loss, Surgical - statistics & numerical data
Blood vessels
Body mass index
Clamping
Clamps
Demographics
Dissection
Female
Humans
Kidney Neoplasms - surgery
Laparoscopy
Length of Stay - statistics & numerical data
Male
Medicine
Medicine & Public Health
Middle Aged
Minimally Invasive Surgery
Nephrectomy - adverse effects
Nephrectomy - instrumentation
Nephrectomy - methods
Operative Time
Original Article
Patients
Postoperative Complications - etiology
Retrospective Studies
Robotic Surgical Procedures - adverse effects
Robotic Surgical Procedures - instrumentation
Robotic Surgical Procedures - methods
Robotics
Surgeons
Surgery
Surgical Instruments - adverse effects
Tumors
Urology
Variables
Veins & arteries
Warm Ischemia - statistics & numerical data
Citations: Items that this one cites
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Summary:A Satinsky clamp may be a backup option for hilar clamping during robotic partial nephrectomy (RPN) if there are challenges with application of bulldog clamps, but there are potential safety concerns. We evaluate outcomes of RPN using Satinsky vs. bulldog clamps, and provide tips for safe use of the Satinsky as a backup option. Using a multi-center database, we identified 1073 patients who underwent RPN between 2006 and 2013, and had information available about method of hilar clamping (bulldog clamp vs. Satinsky clamp). Patient baseline characteristics, tumor features, and perioperative outcomes were compared between the Satinsky and bulldog clamp groups. A Satinsky clamp was used for hilar clamping in 94 (8.8 %) RPN cases, and bulldog clamps were used in 979 (91.2 %) cases. The use of a Satinsky clamp was associated with greater operative time (198 vs. 175 min, p  
ISSN:1863-2483
1863-2491
DOI:10.1007/s11701-016-0611-y