Laparoscopic Versus Open Partial Nephrectomy for the Treatment of Pathological T ₁ N ₀ M ₀ Renal Cell Carcinoma: A 5-Year Survival Rate

Abstract

Laparoscopic partial nephrectomy is an alternative technique with mid-range oncological results comparable to open partial nephrectomy in patients with localized pathological stage T1N0M0 renal cell carcinoma.

Laparoscopic Partial Nephrectomy: Fifty Cases

“…The technique of laparoscopic partial nephrectomy was carefully choreographed, and was generally similar to that previous described, 5,6 but with the following alterations: No preopera-tive or intraoperative stents were placed in any patients. A transperitoneal approach was used in all cases, and the colon was reflected, the renal hilum was isolated, and the tumor was identified.…”

Intraoperative abdominal ultrasound in oncologic imaging

“…Significant advances in urologic surgery in recent years have resulted in a wide variety of nephron-sparing surgical techniques as open or laparoscopic partial nephrectomy (PN), robotic-assisted PN, enucleation, RFA, and cryoablation procedures [7,10,[18][19][20][21] . Nephron-sparing procedures have become the treatment of choice for T1 renal tumors and recent data suggests that PN may be as effective as radical nephrectomy for larger renal tumors [22] .…”

Partial Nephrectomy for the Treatment of Renal Masses: Oncologically Sound and Functionally Prudent

“…Initially employed to resect small, exophytic renal masses, the indications have expanded to include completely endophytic tumors, hilar tumors and tumors that measure 4-7cm in size (Gill et al 2006;Permpongkosol et al 2006;Lattouf et al 2008;Simmons et al 2009;Shikanov et al 2010 As urologists gained more experience with LPN, more centers have employed LPN for technically challenging scenarios where OPN was historically utilized. Tumors that are centrally located and close to the hilum mean the surgeon will encounter larger blood vessles and must perform a more extensive renorrhaphy, often with pelvicaliceal repair.…”