Exploring the role of intracorporeal ultrasound in partial nephrectomies: a systematic review
Mohsin, Mohamed S Jess, Rebecca Abdulrasheed, Habeeb Almedej, Humood Osman, Banan Gaballa, Nader Chandrasekharan, Shankar
Mohsin, Mohamed S
Jess, Rebecca
Abdulrasheed, Habeeb
Almedej, Humood
Osman, Banan
Gaballa, Nader
Chandrasekharan, Shankar
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Affiliation
University Hospitals Birmingham NHS Foundation Trust
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Publication date
2024-11-08
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Abstract
Renal cell carcinoma accounts for the sixth most common cancer in the United Kingdom. With the increasing application of cross-sectional imaging, the frequency of incidental renal masses has increased over time. Laparoscopic and robot-assisted partial nephrectomy has become the standard of care in the management of size and stage-appropriate renal masses. The objective of this systematic review was to analyse the surgical outcomes when intracorporeal ultrasound was utilised as an adjunct in partial nephrectomy. A comprehensive search in PubMed and Google Scholar was performed in July 2024 for publications in the English language. The primary endpoint was to evaluate the role of intracorporeal ultrasound as an adjunct in robotic partial nephrectomies and its impact on tumour clearance. After identifying 609 records, 52 records were screened and 44 records were sought for retrieval. Eight publications were included in this systematic review comprising 765 patients. Seven of the eight studies reported outcomes from single centres. The mean percentage of negative surgical margins was 97.6% (range = 92.1-100%). The use of intracorporeal ultrasound as an adjunct in partial nephrectomy for T1 renal cell cancer has proven to improve the rates of negative surgical margins thereby reducing the incidence of local recurrence and distant metastasis.
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Mohsin MS, Jess R, Abdulrasheed H, Almedej H, Osman B, Gaballa N, Chandrasekharan S. Exploring the Role of Intracorporeal Ultrasound in Partial Nephrectomies: A Systematic Review. Cureus. 2024 Nov 8;16(11):e73293. doi: 10.7759/cureus.73293.
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Article