Laparoscopic partial nephrectomy: contemporary technique and outcomes

European Urology
Georges-Pascal Haber, Inderbir S Gill

Abstract

Laparoscopic partial nephrectomy has emerged as a viable alternative to open partial nephrectomy while minimizing patient morbidity. In this article and accompanying video we describe our current technique of LPN and review our outcomes in specific patient sub-sets. Since September 1999 more than 500 laparoscopic partial nephrectomies have been performed by the senior author. Data were collected prospectively. All patients underwent a three-dimensional CT scan prior to the operation. Our established technique involves preoperative ureteral catheterization, laparoscopic renal ultrasonography to delineate the tumor, en bloc clamping of the renal hilar vascular pedicle, tumor excision with cold endoshears, pelvicaliceal suture repair and parenchymal closure over Surgicel bolsters with biologic hemostatic agent. Renal hypothermia was achieved laparoscopically with ice slush in selected cases with anticipated long warm ischemia time. Mean tumor size was 2.9 cm (1-10.3 cm), 31% of the tumors were greater than 3 cm, 5% occurred in a solitary kidney, and tumor location was central in 40% and hilar in 6% of patients. Transperitoneal approach was employed in 65% of the cases. Mean warm ischemia time was 32 min. Intraoperative complicatio...Continue Reading

References

Jan 1, 1993·The Journal of Urology·M R Licht, A C Novick
Jan 17, 2002·The Journal of Urology·Inderbir S GillAndrew C Novick
Jun 11, 2003·The Journal of Urology·Inderbir S GillJihad H Kaouk
Jun 11, 2003·The Journal of Urology·Inderbir S GillAndrew C Novick
Dec 14, 2004·The Journal of Urology·Anup P RamaniInderbir S Gill
Feb 1, 2005·BJU International·Mihir M DesaiJihad H Kaouk
Mar 23, 2005·Urology·Antonio FinelliJihad H Kaouk
Aug 12, 2005·The Journal of Urology·Inderbir S GillMihir Desai
Jan 13, 2006·The Journal of Urology·Inderbir S GillMihir Desai
Jan 13, 2006·The Journal of Urology·Alireza MoinzadehMihir Desai
Feb 14, 2006·The Journal of Urology·Igor FrankInderbir S Gill

❮ Previous
Next ❯

Citations

Apr 3, 2007·Abdominal Imaging·Ralf-Thorsten HoffmannMaximilian F Reiser
Feb 13, 2008·World Journal of Urology·Axel S Merseburger, Markus A Kuczyk
Aug 4, 2009·World Journal of Urology·Jens-Uwe StolzenburgEvangelos N Liatsikos
Mar 6, 2010·World Journal of Urology·Francesco PorpigliaGunter Janetschek
Aug 4, 2010·International Urology and Nephrology·A NouralizadehA H Kashi
Dec 13, 2012·Current Urology Reports·Varun Sharma, Markus Margreiter
Apr 21, 2007·Journal of Endourology·Kevin C ZornArieh L Shalhav
Feb 26, 2008·Journal of Endourology·Sam B Bhayani
May 16, 2009·Journal of Endourology·Nasser SimforooshAlireza Aminsharifi
Sep 25, 2008·Journal of Endourology·Philippe KoenigInderbir S Gill
Jul 16, 2010·Journal of Endourology·Hyun Jung KooIsaac Yi Kim
Aug 22, 2009·Journal of Endourology·Jennifer L YoungRalph V Clayman
Aug 7, 2010·Journal of Endourology·Riccardo AutorinoM Pilar Laguna
Jul 4, 2012·Advances in Urology·Idir OuzaidLaurent Salomon
Oct 25, 2011·Journal of Minimal Access Surgery·Jose L Dominguez-EscrigNaeem Soomro
Aug 9, 2013·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Jae Duck ChoiSeong Il Seo
Aug 7, 2014·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Raed A AzharMonish Aron
Apr 29, 2008·European Urology·Jean-Baptiste LattoufGünter Janetschek
May 17, 2011·The Journal of Urology·Cheryn SongHanjong Ahn
Mar 24, 2010·Journal of Vascular and Interventional Radiology : JVIR·Sebastian FlackePeter N Madras
Nov 17, 2009·The Journal of Urology·Inderbir S GillMihir M Desai
Mar 17, 2009·The Journal of Urology·Rebecca L O'MalleySamir S Taneja
Aug 8, 2008·European Urology·Matthew N SimmonsInderbir S Gill
Sep 2, 2008·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·M CrépelJ-J Patard
Jun 19, 2008·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·Y RouachA Méjean
Jan 29, 2008·European Urology·Francesco PorpigliaRoberto Mario Scarpa
Feb 13, 2008·Urology·Jose R ColomboInderbir S Gill
Dec 18, 2007·The Journal of Urology·Mike M Nguyen, Inderbir S Gill
Oct 16, 2007·European Urology·Tullio Sulser

❮ 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.