title: Case report: technical and functional implications of hand-assisted laparoscopic partial nephrectomy in a patient with autosomal dominant polycystic kidney disease.
abstract: We describe laparoscopic partial nephrectomy in a patient with autosomal dominant polycystic kidney disease. Reconstruction was accomplished despite the abnormal quality of the renal tissue. In this patient, with borderline renal function, the warm-ischemia time (50 minutes) was longer than the normally accepted time and was poorly tolerated. In order to avoid the damaging effects of warm ischemia, alternatives to hilar clamping should be employed, and open partial nephrectomy should be considered.
authors.affiliation: Division of Urology, London Health Sciences Centre, The University of Western Ontario, London, Ontario, Canada.
authors.forename: Vaishali
authors.initials: V
authors.lastname: Karnik
authors.forename: Christopher Y
authors.initials: CY
authors.lastname: Nguan
authors.forename: Yves
authors.initials: Y
authors.lastname: Caumartin
authors.forename: Patrick P W
authors.initials: PP
authors.lastname: Luke
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008279:Magnetic Resonance Imaging; D009392:Nephrectomy / Q000379:methods*; D016891:Polycystic Kidney, Autosomal Dominant / Q000601:surgery*; D011182:Postoperative Care; D014057:Tomography, X-Ray Computed