Skip to main content
SpringerLink
Log in

Laparoscopic renal cooling device

  • Original Article
  • Published:
Medical & Biological Engineering & Computing Aims and scope Submit manuscript

Abstract

A new medical device has been designed for inducing hypothermia in kidneys, via laparoscopic deployment, without leaving residual fluid in the abdomen. It was tested in laboratory and animal trials to ascertain its suitability for achieving a target renal temperature of 15°C for tissue preservation within a 30-min period. A simple theoretical model was developed to calculate cooling rates under ideal circumstances. In the laboratory, a potato was used as the model for the kidney and an average minimum temperature of 15.8°C was reached in 30 min. The theoretical model calculated this as 9.9°C. In the animal trials, an average minimum temperature of 11.4°C was reached in 30 min, compared to the calculated temperature of 9.8°C from the theoretical model. In conclusion, the new device can cool as affectively as other techniques trialled, with the added advantage that it does not release cold fluid or ice into the abdomen.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  1. Adkins KL, Chang SS, Cookson MS, Smith JA (2003) Partial nephrectomy safely preserves renal function in patients with a solitary kidney. J Urol 169(1):79–81

    Article  Google Scholar 

  2. Ames CD, Venkatesh R, Weld KJ, Morrissey K, Foyil KV, Shen T, Dryer S, Hruby G, Sutera SP, Landman J (2005) Laparoscopic renal parenchymal hypothermia with novel ice-slush deployment mechanism. Urology 66:33–37

    Article  Google Scholar 

  3. Brenner BM (ed) (1996) The kidney, vol 1, 5th edn. W B Saunders, USA

  4. Buhri AB, Singh RP (1993) Measurement of thermal conductivity using differential scanning calorimetry. J Food Sci 58(5):1145–1147

    Article  Google Scholar 

  5. Cengel YA, Boles MA (1998) Thermodynamics: an engineering approach, 3rd edn. WCB McGraw-Hill, USA

    Google Scholar 

  6. Cooper TE, Trezek GJ (1971) Correlation of thermal properties of some human tissue with water content. Aerosp Med 42(1):24–27

    Google Scholar 

  7. Duck FA (1990) Physical properties of tissue: a comprehensive reference book. Academic Press, Great Britain

    Google Scholar 

  8. Ghavamian R, Cheville JC, Lohse CM, Waever AL, Zinke H, Blute ML (2002) Renal cell carcinoma in the solitary kidney: an analysis of complications and outcome after nephron sparing surgery. J Urol 168(2):456–459

    Article  Google Scholar 

  9. Gill IS, Abreu SC, Desai MM, Steinberg AP, Ramani AP, Ng C, Banks K, Novick AC, Kaouk JH (2003) Laparoscopiuc ice slush renal hypothermia for partial nephrectomy: the initial experience. J Urol 170:52–56

    Article  Google Scholar 

  10. Herrell SD, Jahoda AE, Husain AN, Albala DM (1998) The laparoscopic cooling sheath: novel device for hypothermic preservation of kidney during temporary renal artery occlusion. J Endourol 12(2):155–161

    Article  Google Scholar 

  11. Janetschek G, Abdelmaksoud A, Bagheri F, Al-Zahrani K, nad Leeb H, Gschwedtner M (2004) Laparoscopic partial nephrectomy in cold ischemia: renal artery perfusion. J Urol 171:68–71

    Article  Google Scholar 

  12. Landman J, Venkatesh R, Lee D, Vanlangendonck R, Morrissey K, Andriole GL, Clayman RV, Sundaram CP (2003) Renal hypothermia achieved by retrograde endoscopic cold saline perfusion: technique and initial clinical application. Urol 61:1023–1025

    Article  Google Scholar 

  13. Laven BA, Kasza KE, Rapp DE, Orvieto MA, Lyon MB, Oras JJ, Bieser DG, Vanden Hoek TL, Som H, Shalhav AL (2006) A pilot study of ice-slurry application for inducing laparoscopic renal hypothermia. BJU Int 66:166–170

    Google Scholar 

  14. Navarro AP, Sohrabi S, Colechin E, Griffiths C, Talbot D, Soomro NA (2008) Evaluation of the ischemic protection efficacy of a laparoscopic renal cooling device using renal transplantation viability assessment criteria in a porcine model. J Urol 179:1184–1189

    Article  Google Scholar 

  15. Pandit RB, Prasad S (2003) Finite element analysis of micorwave heating of potato-transient temperature profiles. J Food Eng 60:193–202

    Article  Google Scholar 

  16. Ramani AP, Ryndin I, Lynch AC, Veetil RTP (2006) Current concepts in achieving hypothermia during laparoscopic partial nephrectomy. BJU Int 97:342–344

    Article  Google Scholar 

  17. Totora GJ, Grabowski SR (2000) Principles of anatomy and physiology, 9th edn. Wiley, USA

    Google Scholar 

  18. Wakabayashi Y, Narita M, Kin CJ, Kawakami T, Yoshiki T, Okada Y (2004) Renal hypothermia using ice slush for retroperitoneal laparoscopic partial nephrectomy. Urology 63:773–775

    Article  Google Scholar 

  19. Ward JP (1975) Determination of the optimum temperature for regional renal hypothermia during temporary renal ischemia. Br J Urol 47:17–24

    Article  Google Scholar 

  20. Webster TM, Moeckel GW, Herrell SD (2005) Simple method for achieving renal parenchymal hypothermia for pure laparoscopic partial nephrectomy. J Endourol 19(9):1075–1081

    Article  Google Scholar 

  21. Wickham JE (1967) Regional renal hypothermia. Br J Urol 39(6):727–743

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Regional Medical Physics, Freeman Hospital, Newcastle upon Tyne, NE7 7DN, UK

    E. S. Colechin, J. Riddle & C. Griffiths

  2. Liver and Renal Transplant Unit, Freeman Hospital, Newcastle upon Tyne, NE7 7DN, UK

    A. P. Navarro

  3. Department of Urology, Freeman Hospital, Newcastle upon Tyne, NE7 7DN, UK

    N. A. Soomro

Authors
  1. E. S. Colechin
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. J. Riddle
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. A. P. Navarro
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. N. A. Soomro
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. C. Griffiths
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to E. S. Colechin.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Colechin, E.S., Riddle, J., Navarro, A.P. et al. Laparoscopic renal cooling device. Med Biol Eng Comput 46, 1219–1225 (2008). https://doi.org/10.1007/s11517-008-0378-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11517-008-0378-z

Keywords

Search

Navigation