Operative Techniques and Outcomes in Laparoscopic Radical Nephrectomy

Abstract

Laparoscopic Radical Nephrectomy (LRN) is one of the commonest minimal access urological surgical procedures for renal malignancies. The procedure involves the complete removal of the affected kidney, together with the adrenal gland and surrounding Gerota’s fascia along with the ureter as distal as possible. Advantages of LRN includes decreased intra-operative blood loss, decreased post operative pain, speedy recovery and decreased duration of hospital stay. This chapter aims to describe all the operative steps in an illustrated manner and also to highlight the difficulties which may be encountered by beginners and how to troubleshoot the various difficulties and complications during the procedure.

Robot-Assisted Versus Laparoscopic Radical Nephrectomy: A Systematic Review and Meta-Analysis

“…In addition, varying definitions of surgery time across the included studies may have contributed to varying results. The possible advantages of RARN over LRN include enhanced vision and dexterity [34]. However, the metaanalysis did not reveal any significant changes in estimated blood loss, suggesting that the better visualization and dexterity did not translate into a meaningful clinical advantage in terms of blood loss.…”