Retroperitoneoscopic Radical Nephrectomy by the Posterior Lumber Approach for Renal-Cell Carcinoma Associated with Chronic Renal Failure

Abstract

This procedure seems to be minimally invasive and suitable for the treatment of small RCC in atrophic kidneys, especially in patients with CRF.

Retroperitoneal Laparoscopic Radical Nephrectomy: Experience of 23 Cases

“…Initially we required four trocars, but recently we have found three ports to be sufficient for this operation. Operative time, blood loss and rate of open conversion were similar to those methods in previous reports as shown in table 1 [5][6][7][8][9]. No complication occurred in our series.…”

“…Laparoscopic radical nephrectomy via the retroperitoneal approach has several advantages compared with the procedure via the transperitoneal approach, including early ligation of the renal vessels and decreased likelihood of intestinal complications, although the working space obtained with it is smaller. Several techniques for laparoscopic radical nephrectomy via the retroperitoneal approach have been developed up to the present [5][6][7][8][9], and our technique is based on that introduced by Gill et al [7]. Initially we required four trocars, but recently we have found three ports to be sufficient for this operation.…”

“…Laparoscopic radical nephrectomy is usually performed via a transperitoneal approach [1][2][3][4], and the retroperitoneal approach is considered technically difficult due to the smaller working area of the retroperitoneal space. However, several surgeons have recently reported that laparoscopic radical nephrectomy via the retroperitoneal approach is an acceptable procedure [5][6][7][8][9]. We present here our experience in 23 cases of retroperitoneal laparoscopic radical nephrectomy for renal cell carcinoma, describe our technique in detail, and discuss the fascial anatomy of perirenal structures.…”

Renal Cell Carcinoma in Dialysis Patients with End Stage Renal Disease: Focus on Surgery and Pathology

“…Moreover, transperitoneal surgery itself could result in intraperitoneal adhesion which is not desirable for future peritoneal dialysis for ESRD patients or other abdominal operation. Retroperitoneal LRN approach has been shown to be a safe treatment modality for renal masses in ESRD patients 13 . Venous CO 2 embolism is a recognized risk during laparoscopic procedures.…”

Urologische Laparoskopie bei marginalen Patienten

“…Weitere Komplikationen wurden nicht genannt. Trotz der geringen Patientenzahl wurde auch in dieser Serie die prinzipielle Machbarkeit des laparoskopischen Eingriffs bei niereninsuffizienten Patienten bestätigt [22]. An der eigenen Klinik haben wir über die Ergebnisse der Laparoskopie sowohl beim dialysepflichtigen Patienten als auch beim nierentransplantierten Patienten berichtet [10,13,14].…”