Retroperitoneal laparoscopic partial nephrectomy: surgical experience and outcomes

The Journal of Urology
P PyoM Grasso

Abstract

We present outcomes in 110 consecutive patients who underwent retroperitoneal laparoscopic partial nephrectomy performed in a 72-month period by a single surgeon (MG). Patients were placed in the flank position and the retroperitoneal space was developed using a balloon dissector. Hilar control was achieved with bulldog clamps. Tumor depth and extent were evaluated using intraoperative sonography. Perioperative data were assessed and outcomes were retrospectively analyzed at a mean followup of 23 months. Mean patient age was 62 years. Mean operative time was 199.7 minutes and mean postoperative stay was 2.6 days. Mean blood loss was 260.0 ml and mean tumor size was 2.4 cm. Final pathological evaluation revealed negative positive margins in these cases. Of all tumors 63.7% were pathologically confirmed renal cell carcinoma. In 57 patients mean preoperative and postoperative creatinine was 1.1 and 1.3 mg/dl, respectively, at a mean of 20.6 months. In 47 patients with renal cell carcinoma who underwent computerized tomography or magnetic resonance imaging during the mean 23-month followup there was 1 incidence of local recurrence at 1 year. Conversion to open surgery occurred in 2 cases and laparoscopic radical nephrectomy was per...Continue Reading

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Citations

May 6, 2009·World Journal of Urology·Catherine MichelsMichael Grasso
Feb 14, 2013·World Journal of Urology·Mayank Patel, James Porter
Apr 29, 2010·Current Urology Reports·Douglas S Berkman, Samir S Taneja
Oct 30, 2012·Journal of Endourology·Jacob CohenMichael Grasso
Oct 18, 2011·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Minggen HuRong Liu
Mar 13, 2013·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Joseph Feliciano, Michael Stifelman
Dec 1, 2010·Journal of Robotic Surgery·Ekong E Uffort, James C Jensen
Oct 25, 2011·The Journal of Urology·Thambi DoraiMichael Grasso
Apr 14, 2016·Journal of Minimal Access Surgery·Aneesh SrivastavaManoj Kumar
May 2, 2014·International Journal of Urology : Official Journal of the Japanese Urological Association·Wasilijiang WahafuXu Zhang
Jun 9, 2016·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Hee Youn KimSeung-Ju Lee
Jan 25, 2017·Journal of Endourology·Christopher J D WallisRaj Satkunasivam
Sep 20, 2011·Korean journal of urology·Jeong Ho KimGyung Tak Sung
Nov 20, 2012·Current Opinion in Urology·Mayank Patel, James Porter

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