Laparoscopic partial nephrectomy in patients with neoplasia in a solitary kidney

Urology
Sam B BhayaniLouis R Kavoussi

Abstract

To assess the renal function and describe our operative experience with laparoscopic partial nephrectomy (LPN) in patients with solitary kidneys. The medical records were analyzed to find patients with a solitary kidney and renal neoplasms who underwent LPN. Demographic, operative, pathologic, and follow-up data were obtained. Four patients were identified with solitary kidneys who had undergone LPN. The mean operative time was 251 minutes, mean warm ischemic time 15 minutes, mean estimated blood loss 395 mL, and mean hospitalization stay 3 days. The mean preoperative creatinine was 1.5 mg/dL and the mean peak creatinine 2.0 mg/dL. All patients returned to their baseline creatinine levels in the follow-up period. The final pathologic finding was Stage pT1 in 1, pT3a in 2, and angiomyolipoma in 1 patient. All surgical margins were negative. No cancer recurrence developed in the patients, with a mean follow-up of 17 months (range 3 to 35). LPN in patients with a solitary kidney is feasible and a reasonable treatment alternative to open partial nephrectomy.

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Citations

Jun 13, 2014·Current Opinion in Urology·Homayoun ZargarJihad H Kaouk
Aug 12, 2005·Current Opinion in Urology·Nasser Albqami, Günter Janetschek
May 25, 2005·Journal of Endourology·Dinesh SinghInderbir S Gill
Feb 26, 2008·Journal of Endourology·Sam B Bhayani
Jan 30, 2010·Journal of Endourology·Ioannis VarkarakisCharalambos Deliveliotis
Sep 18, 2009·The Journal of Urology·Burak TurnaAndrew C Novick
Jul 25, 2007·Clinical Genitourinary Cancer·Edward M Gong, Arieh L Shalhav
Jul 25, 2006·Clinical Genitourinary Cancer·Amr Fergany
Jan 29, 2008·European Urology·Francesco PorpigliaRoberto Mario Scarpa
Nov 7, 2012·International Journal of Urology : Official Journal of the Japanese Urological Association·Kamol PanumatrassameeJihad H Kaouk
Sep 8, 2011·BJU International·Georges-Pascal HaberInderbir S Gill
Jul 25, 2006·Current Problems in Cancer·Philip L RossChristopher J Kane
Jan 13, 2006·The Journal of Urology·Inderbir S GillMihir Desai
Feb 14, 2006·Nature Clinical Practice. Urology·Nasser Albqami, Günter Janetschek
Mar 4, 2009·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Andrei NaduHarry Winkler

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