Retroperitoneal laparoscopic partial nephrectomy for renal-cell carcinoma in a solitary kidney: report of 56 cases

Journal of Endourology
Jun-Hua ZhengJian-Hua Huang

Abstract

The aim of this study was to evaluate the possibility and clinical efficacy of retroperitoneal laparoscopic partial nephrectomy for T(1)- and T(2)-stage renal-cell carcinoma (RCC) of a solitary kidney. A total of 56 patients with RCC in a solitary kidney were selected in this study, including 41 men and 15 women with a mean age of 49 years. B-type ultrasonography and CT revealed T(1)N(0)M(0) tumors in 51 cases and T(2)N(0)M(0) tumors in the remaining 5 cases; 41 cases were RCC in left kidney, and 15 were RCC in right kidney. Of them, 24 cases had RCC located in the upper pole, 24 in the inferior pole, and 8 in the central region of the kidney. The mean tumor diameter was 3.0 +/- 0.8 cm (1.5-5.5 cm). Postoperative pathology report showed 46 cases of T(1)-stage tumor (T(1a): 38; T(1b): 8) and 10 cases of T(2) stage. Retroperitoneal laparoscopic nephron-sparing surgery was performed. Surgical resection was performed along a resection line 0.5 cm from the tumors. Renal function was determined using emission CT before and after operation. Preoperative three-dimensional CT image reconstruction was performed using multislice spiral CT. All procedures were successfully performed without open conversion and serious complications. The me...Continue Reading

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Citations

Oct 25, 2011·Journal of Minimal Access Surgery·Jose L Dominguez-EscrigNaeem Soomro
Nov 7, 2012·International Journal of Urology : Official Journal of the Japanese Urological Association·Kamol PanumatrassameeJihad H Kaouk
Jun 13, 2014·Current Opinion in Urology·Homayoun ZargarJihad H Kaouk
Aug 4, 2010·Current Opinion in Urology
Feb 3, 2011·Current Opinion in Urology

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