Evolution of surgical technique and patient outcomes for laparoscopic partial nephrectomy

Urology
Kyle WeldJaime Landman

Abstract

To review the operative technique, complication rates, and short-term oncologic efficacy of the first 60 laparoscopic partial nephrectomies performed by a single surgeon and to report changes in our technique and the associated outcomes. Between January 2002 and December 2004, data regarding patient characteristics, intraoperative technique, and outcome of 60 consecutive patients undergoing laparoscopic partial nephrectomy were prospectively collected. All 60 procedures were successfully completed laparoscopically without conversion to an open or hand-assisted approach. Histopathologic examination revealed renal cell carcinoma in 60% of patients with no positive margins or recurrences at a mean follow-up of 25.3 months. The overall complication rate was 30.0%, with 8 urologic (13.3%) and 10 nonurologic (16.7%) complications. With experience, laparoscopic partial nephrectomy is a viable alternative to open partial nephrectomy for small renal masses. At present, energy technologies and surgical pharmaceuticals are helpful adjuncts, but are not reliable for primary hemostasis and collecting system closure. Adaptation of traditional open techniques, including vascular control, excision of the tumor with cold scissors, and suture re...Continue Reading

References

Dec 1, 1993·Journal of Laparoendoscopic Surgery·E M McDougallK Anderson
Jun 11, 2003·The Journal of Urology·Inderbir S GillAndrew C Novick
Aug 2, 2003·Urology·Herbert M User, Robert B Nadler
Mar 31, 2004·BJU International·R S PruthiM Richman
Jun 19, 2004·Current Opinion in Urology·Karim Touijer, Bertrand Guillonneau
Jul 13, 2004·The Journal of Urology·Pierluigi BoveLouis R Kavoussi
Jul 16, 2004·Journal of Endourology·Stephen E Strup, Scott Hubosky
Jul 16, 2004·Journal of Endourology·Jeffrey A SternPaul E Andrews
Apr 12, 2005·The Journal of Urology·David S FinleyRalph V Clayman
May 11, 2005·Urology·Karen ReisigerJaime Landman
May 25, 2005·Journal of Endourology·Dinesh SinghInderbir S Gill

❮ Previous
Next ❯

Citations

Oct 25, 2011·Journal of Minimal Access Surgery·Jose L Dominguez-EscrigNaeem Soomro
Feb 28, 2008·Current Opinion in Urology·David Canes
Jan 9, 2007·Journal of Endourology·Sean CollinsJaime Landman
Apr 21, 2007·Journal of Endourology·Kevin C ZornArieh L Shalhav
Sep 25, 2008·Journal of Endourology·Seong Soo Jeon, Isaac Yi Kim
Mar 17, 2007·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Jessica H van Dijk, Pilar Laguna M Pes
Oct 22, 2011·The Journal of Urology·Arnaud DoerflerPatrice Jichlinski
Sep 2, 2008·The Urologic Clinics of North America·Geoffrey N BoxRalph V Clayman
Feb 22, 2008·The Journal of Urology·Burak TurnaInderbir S Gill
Nov 13, 2007·European Urology·Francesco PorpigliaRoberto Mario Scarpa
Jun 5, 2008·ANZ Journal of Surgery·Prem RashidInderbir S Gill
Sep 9, 2008·International Journal of Urology : Official Journal of the Japanese Urological Association·Heng-Li ShenHong-Jeng Yu
Mar 14, 2013·BJU International·Saied FroghiBen Challacombe
Nov 22, 2011·Journal of Biomedical Materials Research. Part B, Applied Biomaterials·Hua XieRenu Virmani
Apr 27, 2011·BJU International·Alex SheflerGünter Janetschek
Aug 13, 2015·International Urology and Nephrology·R VeeratterapillayA Bhatti
Apr 20, 2007·BJU International·Monish AronInderbir S Gill
Mar 28, 2008·Current Urology Reports·Daniel S Lehman, Jaime Landman
Apr 19, 2008·Current Urology Reports·Daniel S Lehman, Jaime Landman
May 15, 2008·Nature Clinical Practice. Urology·John S LamPeter G Schulam
Jul 14, 2019·Journal of Robotic Surgery·Joseph ZanghiThai Nguyen

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.