Laparoscopic resection of local recurrence after previous radical nephrectomy for clinically localized renal-cell carcinoma: perioperative outcomes and initial observations

Journal of Endourology
Jithin YohannanMohamad E Allaf

Abstract

Local recurrence is rare after radical nephrectomy for clinically localized renal-cell carcinoma (RCC). Aggressive open surgical resection of isolated local recurrence has been shown to offer durable local control and potential improvement in cancer-specific survival. The objective of this study is to assess early outcomes on a select group of patients who underwent laparoscopic resection of isolated local recurrence after radical nephrectomy for clinically localized RCC. The perioperative and clinical outcomes of four patients who underwent laparoscopic resection of local recurrence between 2007 and 2009 by a single surgeon were reviewed. Two patients underwent resection of ipsilateral adrenal recurrence while the remaining two underwent resection of recurrence in retroperitoneal lymph nodes. The mean age of patients was 57 years (44-66 y), all had primary tumors with clear-cell histology, and Eastern Cooperative Oncology Group performance status was 0. The mean recurrence size was 5 cm (3-7 cm). All surgical margins were negative. Mean operative time was 195 minutes (170-210 min), and mean estimated blood loss was 187 mL (100-250 mL). No patient needed blood transfusion. Mean length of stay was 2.5 days (2-3 d). At a mean fol...Continue Reading

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Citations

Mar 15, 2013·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Oner SanliFaruk Ozcan
Mar 14, 2016·Clinical Genitourinary Cancer·YueJun DuSascha Pahernik
Mar 1, 2016·Surgery Research and Practice·Ömer Acar, Öner Şanlı

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Methods Mentioned

BETA
dissection
surgical resections
surgical resection

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