LAPAROSCOPIC RADICAL NEPHRECTOMY FOR LARGE (GREATER THAN 7 CM, T2) RENAL TUMORS
|
|
- Gabriella Spencer
- 6 years ago
- Views:
Transcription
1 /04/ /0 Vol. 172, , December 2004 THE JOURNAL OF UROLOGY Printed in U.S.A. Copyright 2004 by AMERICAN UROLOGICAL ASSOCIATION DOI: /01.ju LAPAROSCOPIC RADICAL NEPHRECTOMY FOR LARGE (GREATER THAN 7 CM, T2) RENAL TUMORS ANDREW P. STEINBERG, ANTONIO FINELLI, MIHIR M. DESAI, SIDNEY C. ABREU, ANUP P. RAMANI, MASSIMILIANO SPALIVIERO, LISA RYBICKI, JIHAD KAOUK, ANDREW C. NOVICK AND INDERBIR S. GILL* From the Section of Laparoscopic and Robotic Surgery, Glickman Urological Institute, Cleveland Clinic Foundation, Cleveland, Ohio ABSTRACT Purpose: Laparoscopic radical nephrectomy has emerged as a standard of care in appropriate candidates with clinical stage T1 renal tumors (7 cm or less). Herein we present our experience with laparoscopic radical nephrectomy for clinical stage T2 tumors (greater than 7 cm). Materials and Methods: Patients undergoing laparoscopic radical nephrectomy between September 1997 and July 2003 were retrospectively subdivided into group 166 with tumor size 7 cm and group 65 with tumor size greater than 7 cm. Also, group was compared with a group of 34 contemporary, comparable patients undergoing open radical nephrectomy for tumor greater than 7 cm (group ). Results: Compared with group, group had younger patients, larger tumors and greater blood loss (100 vs 200 ml) (each p 0.001). Importantly operative time, analgesic requirements, hospital stay, and convalescence and complication rates were comparable. Group and group patients had similar sized tumors (9.2 and 9.9 cm, respectively) but shorter operative time (p 0.03), lesser blood loss (p 0.001), shorter hospital stay (p 0.001) and more rapid convalescence (p 0.02) occurred in. Conclusions: Laparoscopic radical nephrectomy for stage T2 renal masses (greater than 7 cm) is feasible and efficacious. Laparoscopic nephrectomy offers the advantages of decreased blood loss, shorter hospital stay and more rapid recovery over open radical nephrectomy for comparable tumors greater than 7 cm. Although surgical outcomes are comparable with laparoscopic radical nephrectomy for smaller tumors (7 cm or less), adequate laparoscopic experience is necessary before performing radical nephrectomy for large T2 tumors. KEY WORDS: kidney; carcinoma, renal cell; laparoscopy; nephrectomy Since the initial description of laparoscopic radical nephrectomy (LRN) by Clayman et al in 1991, 1 groups at multiple centers have confirmed its technical feasibility, and successful intermediate and long-term oncological outcomes. 2 5 Using the transperitoneal 2, 3 or retroperitoneal 4, 6 laparoscopic approach the aim remains to duplicate the principles of open radical nephrectomy by removing the kidney surrounded by the perinephric fat and enveloping Gerota s fascia with or without concomitant adrenalectomy. With growing experience LRN has become the standard of care at many centers worldwide in select patients with T1 tumors who are not candidates for nephron sparing surgery. To date the literature on LRN has mostly addressed nephrectomy for clinical stage T1 tumors. The role of laparoscopy in the treatment of large renal masses has been indirectly addressed in only a few recent publications 7, 8 and in the setting of cytoreductive surgery. 9, 10 We report our experience with LRN for large (greater than 7 cm, T2) tumors and compare it to LRN for smaller (7 cm or less, T1) tumors and open radical nephrectomy for comparable large (greater than 7 cm, T2) renal tumors. Accepted for publication July 2, * Correspondence and requests for reprints: Section of Laparoscopic and Robotic Surgery, Glickman Urological Institute, A 100, Cleveland Clinic Foundation, 9500 Euclid Ave., 44195, Cleveland, Ohio (telephone: ; FAX: ; gilli@ ccf.org) MATERIALS AND METHODS The records of patients who underwent LRN for suspected renal cell carcinoma (RCC) at our institution between September 1997 and July 2003 were retrospectively reviewed. Data were accrued from a prospectively maintained computerized database and from hospital charts. From this cohort of 355 patients 231 with complete data available were included in this analysis. LRN was performed in 166 patients with tumors 7 cm or less (group ) and in 65 with tumors greater than 7 cm (group ). Additionally, patients in group were compared with a comparable cohort of 34 patients (group ) who have undergone open radical nephrectomy at our institution since February 2000 for tumors greater than 7 cm. Patients with vena caval tumor thrombus, bulky lymphadenopathy or tumors greater than 14 cm were excluded from analysis. LRN in groups and was performed transperitoneally (32% and 38%) or retroperitoneally (68% and 62%, respectively) based on surgeon preference. The laparoscopic techniques used for the transperitoneal or retroperitoneal approach have been described previously. All specimens were removed intact without morcellation. Groups and were compared with study group. Categorical variables were compared with the chi-square test. Continuous variables are shown as median values and compared using the Wilcoxon rank sum test. Correlations between continuous variables were performed using Spearman correlation coefficients.
2 LAPAROSCOPIC RADICAL NEPHRECTOMY FOR LARGE RENAL TUMORS 2173 RESULTS Table 1 lists baseline demographics. Patients were older in group compared with group (67 vs 59 years, p 0.001). Gender, American Society of Anesthesiology (ASA) score and body mass index (BMI) were similar. Groups and, which were defined by tumor size, expectedly had a significantly different median tumor size (4.5 vs 9.2 cm, p 0.001). However, median tumor size was comparable between groups and (9.2 and 9.9 cm, respectively, p 0.33). On preoperative computerized tomography the groups had a similar incidence of renal vein involvement (7.3% and 3.4%, respectively, p 0.48). Table 2 lists intraoperative data. Operative time was similar among the 3 groups. Although group had greater estimated blood loss (EBL) compared with group (200 vs 100 ml, p 0.001), the 2 laparoscopic groups had less blood loss than the open group (500 ml, p 0.001). There were 2 open conversions in group and none in group (p 0.51). The 2 open conversions were due to a splenic tear requiring splenectomy and renal arterial bleeding due to clip dislodgment, respectively. Postoperatively the recovery profile was similar in groups and. However, in comparison with group, patients in group had decreased analgesic requirements (p 0.001) and more rapid convalescence (p 0.02, table 2). Although the incidence of intraoperative complications in laparoscopic groups and (7.2% and 7.7%, respectively, p 0.90) was somewhat lower than in group (17.6%), this difference did not achieve statistical significance (p 0.12). The most common intraoperative complication in each group was hemorrhage or vascular injury (table 3). One trocar related injury was reported (group ). In this patient a small mesenteric vessel was punctured during Veress needle placement, causing a selfcontained mesenteric hematoma. Minor bowel injury (colonic serosal injury) occurred in 1 patient in group, which was repaired with laparoscopic suturing without sequelae. Postoperative complications were similar in groups, and (19.9%, 21.5% and 26.5%, respectively). Notably more wound related complications and paralytic ileus were reported in the laparoscopic groups compared with the open group, perhaps due to differences in postoperative expectations and surgeon reporting (table 3). There were 2 postoperative deaths, each in group, namely inadvertent superior mesenteric artery transection followed by open revascularization and multi-organ failure in 1 patient and delayed candidemia with fungal myocarditis in 1. Table 4 lists pathological results. RCC was confirmed in 83%, 89% and 88% of the patients in groups, and, respectively. Pathological tumor stage was similar in groups and. There were 2 focally positive margins in group and none in the other groups. Adrenal pathology was similar among the groups. In group the outcomes of large tumors (greater than 7 to less than 10 cm) in 35 patients and very large tumors (10 cm or greater) in 30 were compared (table 5). Baseline demographics were similar in regard to patient age, gender and ASA score but median BMI was lower in patients with tumors greater than 10 cm (27 vs 33, p 0.04). Operative parameters (operative time, EBL and intraoperative complications) and perioperative parameters (hospital stay, morphine equivalents, postoperative complications and convalescence) were similar between the groups. Also, in group the 40 patients undergoing retroperitoneal radical nephrectomy were compared with the 25 undergoing transperitoneal radical nephrectomy (table 6). Tumor size was larger in the transperitoneal group (9 vs 10 cm, p 0.02). For all other perioperative and postoperative outcomes evaluated there was no difference between the retroperitoneal and transperitoneal approaches for T2 tumors. DISCUSSION With its oncological efficacy and superior recovery profile confirmed by numerous studies laparoscopic nephrectomy has emerged as the standard of care in most patients with T1 renal tumors who are not candidates for nephron sparing surgery. 2, 3, 7, 8 At our institution LRN has become a routine, efficacious and cost-effective surgical option in select patients 5, 11 with a renal mass. Clearly larger tumor size is a technical concern even in the hands of experienced laparoscopic surgeons. Initial reports of LRN involved relatively smaller renal tumors. Ono et al from Japan restricted their experience to tumors less than 5 cm and reported a mean tumor size of 3.1 cm in their 8-year experience. 3 Dunn et al reviewed the Washington University 9-year experience for LRN and stratified patients into small (4 cm or less) or large (greater than 4 cm) tumor. 8 All tumors were less than 10 cm. Although their cutoff between small and large tumors may be somewhat low, the study showed similar operative and postoperative outcomes between the groups. In the same study a comparison was performed between LRN and open radical nephrectomy for 4.1 to 10 cm tumors. Although operative time was longer in the laparoscopic group (5.9 vs 2.8 hours, p 0.001), EBL, analgesic use and hospital stay were significantly less. However, although time to normal activity was shorter (5.1 vs 7.6 weeks), the difference did not achieve statistical significance. With an upward shift in the tumor size cutoff in staging for T2 renal tumors from 4 to 7 cm in the TNM classification, 12 TABLE 1. Demographic data and preoperative tumor characteristics vs Demographics: Age (yrs) * % ASA: BMI % Men/women 57.2/ / / % Clinical status: Localized Metastatic Tumor characteristics: Median cm tumor size 4.5 ( ) 0.001* 9.2 ( ) 9.9 ( ) 0.33 % Rt side % Computerized tomography renal vein involvement Significant (chi-square test p 0.05). vs
3 2174 LAPAROSCOPIC RADICAL NEPHRECTOMY FOR LARGE RENAL TUMORS TABLE 2. Intraoperative and postoperative data vs vs LAPT Intraop: Median operative time (mins) 180 (65 450) (75 360) 207 (99 360) 0.03 Median EBL (ml) 100 (5 3,000) 0.001* 200 (50 1,800) 500 (100 3,500) No. complications (%) 12 (7.2) (7.7) 6 (17.6) 0.13 No. conversions to open (%) 2 (1.2) 0.37 Not applicable Not applicable Not applicable Median specimen wt (gm) * Postop: Median mg morphine equivalents 17 (0 480) (4 219) (74 999) 0.001* Median days hospital stay 1.5 (1 14) (1 13) 5.0 (4 11) 0.001* No. complications (%) 33 (19.9) (21.5) 9 (26.5) 0.58 Median wks convalescence 4 (1 24) (1 20) 8 (2 32) 0.02* TABLE 3. Complications No. (%) No. (%) No. (%) Intraop: Vascular/hemorrhage 8 (4.8) 4 (6.2) 6 (17.6) Bowel 1 (0.6) 1 (1.5) 0 Renal parenchymal 1 (0.6) 0 0 Spleen, liver 1 (0.6) 0 0 Other 1 (0.6) 0 0 Totals 12 (7.2) 5 (7.7) 6 (17.6) Postop: Wound 10 (6.0) 3 (4.6) 1 (2.9) Delayed bleeding 6 (3.6) 3 (4.6) 4 (11.8) Pulmonary 5 (3.0) 1 (1.5) 2 (5.9) Ileus 4 (2.4) 3 (4.6) 0 Venous thromboembolism 1 (0.6) 0 1 (2.9) Acute renal failure 1 (0.6) 1 (1.5) 0 Cardiac (2.9) Other 6 (3.6) 3 (4.6) 0 Totals 33 (19.8) 14 (21.4) 9 (26.4) TABLE 4. Pathological findings vs vs No. pts % Pathological findings: RCC Other malignancy Benign % RCC tumor subtypes: Clear cell Papillary Chromophobe % Pathological tumor stage: pt * pt pt3a pt3b pt3c pt No. pos surgical margin * % Adrenal pathology: None Normal RCC metastasis Other benign findings we reviewed our experience with LRN for tumors greater than 7 cm. The primary aim of the current study was to assess the safety and perioperative efficacy of LRN for larger (greater than 7 cm) renal tumors. Long-term oncological followup was not evaluated in this study. Our data demonstrate that compared with LRN for smaller T1 tumors (median size 4.5 cm) LRN for larger T2 tumors (median size 9.2 cm) results in similar rates of intraoperative complications (p 0.90), postoperative complications (p 0.78), conversion to open surgery (p 0.37), hospital stay (p 0.16) and convalescence (p 0.88). Although a somewhat larger extraction incision is necessary (6.5 vs 8.0 cm, p ), analgesic re-
4 LAPAROSCOPIC RADICAL NEPHRECTOMY FOR LARGE RENAL TUMORS 2175 TABLE 5. LRN for large (greater than 7 to less than 10 cm) vs very large (10 cm or greater) tumors Large Very Large No. pts Pt demographics: Median tumor size (cm) * Median age % Men/women 68/32 67/ Median BMI * Median ASA score Operative data: Median operative time (mins) Median EBL (ml) No. complications (%) 3 (8.6) 2 (6.7) 0.77 No. conversions to open (%) 0 0 Postoperative data: Median morphine equivalents (mg) Median hospital stay (hrs) No. complications (%) 8 (22.9) 6 (20.0) 0.78 Median convalescence (wks) No. pos margin (%) 0 2 (6.9) 0.11 quirements are similar (p 0.99). Finally, although blood loss is statistically greater during LRN for T2 tumors (p 0.001), its clinical impact is negligible (100 vs 200 ml.). Stifelman et al performed a multi-institutional study of hand assisted laparoscopy for large renal specimens (greater than 7 cm). 13 When comparing perioperative outcomes, the only statistically significant difference was slightly shorter convalescence. However, this was of questionable clinical importance (18 vs 21 days, p 0.05). The complications, morbidity and mortality associated with open radical nephrectomy are available in a few published reports Nephrectomy performed via a midline incision for 193 tumors (mean tumor size 8.5 cm) was associated with a median blood loss of 935 ml, a 64% transfusion rate, and an intraoperative and postoperative complication rate of 20.7% and 19.1%, respectively. 14 More specifically splenic injury requiring splenectomy occurred in 24 patients (12.4%), significant vascular injury occurred in 16 (8.3%) and an incisional hernia developed in 4 (2.1%). The mortality rate was 2.1% and all patients who died postoperatively had metastatic disease. In another series of 656 radical nephrectomies performed between 1986 and 1997 via an anterior subcostal incision (mean tumor size 6.8 cm) the intraoperative and postoperative complication rates were 6.4% and 29.7%, respectively. 15 Specifically splenectomy due to iatrogenic injury was performed in 8% of patients and 32% received transfusion intraoperatively and/or postoperatively. The overall reoperation rate for managing complications was 2.3%. The mortality rate was 0.6%. Lastly, results from the National Veterans Administration Surgical Quality Improvement Program for 1,373 radical nephrectomies performed from 1991 to 1997 were reviewed. 16 The 30-day morbidity and mortality rates were 15% and 2%, respectively. Hemorrhage requiring the transfusion of more than 4 U packed red blood cells occurred in 1.9% of patients. These reported rates of morbidity are similar to those in our group. Notably a limitation of our study is the small number of patients in the group. From an oncological standpoint LRN for tumors greater than 7 cm appears to be efficacious. In our experience a 3.1% positive margin rate was noted, which was not statistically significant (p 0.30). Each patient with a positive surgical margin had a tumor greater than 10 cm, which was located anterior and apparently infiltrating the visceral peritoneum. Based on our experience with these 2 patients we now make a dedicated effort to excise an adequate patch of peritoneum en bloc with the tumor even during retroperitoneal nephrectomy. Stifelman et al reported a positive margin rate during hand assisted LRN similar to that for smaller tumors and only 1 recurrence (3%) in a 13.2-month followup. 13 Longer TABLE 6. Retroperitoneal vs transperitoneal approach in group Retroperitoneal Transperitoneal No. pts Median pt demographics: Tumor size (cm) * Age BMI ASA score Operative data: Median operative time (mins) Median EBL (ml) No. complications (%) 4 (10.0) 1 (4.0) 0.77 No. conversions to 0 0 open surgery (%) Postop data: Median specimen wt 860 1, (gm) No. pos margin (%) 2 (5) No. complications (%) 7 (17.5) 7 (28.0) 0.78 follow data were reported by Portis et al, who documented 97% cancer specific survival and 92% recurrence-free survival at 5 years for tumors greater than 7 cm. 7 In our study perioperative outcomes were similar between LRN for large (greater than 7 to less than 10 cm) and very large (10 cm or greater) renal tumors. We report that LRN for larger T2 tumors can be performed transperitoneally or retroperitoneally. In our series the retroperitoneal approach was used in 61.5% of cases. While hilar control for T2 tumors is as equally rapid and efficacious as for smaller T1 tumors, subsequent mobilization of larger specimens is more challenging retroperitoneoscopically. In this regard, if necessary, intentional peritonotomy is created to provide adequate space to entrap the mobilized specimen. Early in our experience specimens were extracted through a flank incision by extending or connecting port sites. Currently most, if not all, specimens are extracted through a Gibson or Pfannenstiel incision and occasionally transvaginally in select females. We believe that this provides improved pain, recovery and cosmesis. Our current contraindications to LRN are tumors with vena caval thrombus, bulky lymphadenopathy or invasion of adjacent structures. Large size per se is only a relative contraindication, for which the experience of the individual laparoscopic surgeon is the primary determining factor. Larger renal tumors can have significant parasitic vessels that can increase the degree of intraoperative technical difficulty. On rare occasions preoperative angio-infarction of a large tumor may facilitate the performance of LRN. Certainly adequate laparoscopic experience is necessary before performing radical nephrectomy for large, stage T2 renal tumors. CONCLUSIONS LRN for larger renal tumors (greater than 7 cm) is feasible and efficacious. Surgical outcomes are comparable with those of LRN for smaller tumors (7 cm or less) and they offer the advantages of decreased blood loss, lesser complications and shorter hospital stay over open radical nephrectomy for select tumors greater than 7 cm. REFERENCES 1. Clayman, R. V., Kavoussi, L. R., Soper, N. J., Dierks, S. M., Meretyk, S., Darcy, M. D. et al: Laparoscopic nephrectomy: initial case report. J Urol, 146: 278, Chan, D. Y., Cadeddu, J. A., Jarrett, T. W., Marshall, F. F. and Kavoussi, L. R.: Laparoscopic radical nephrectomy: cancer control for renal cell carcinoma. J Urol, 166: 2095, Ono, Y., Kinukawa, T., Hattori, R., Gotoh, M., Kamihira, O. and Ohshima, S.: The long-term outcome of laparoscopic radical nephrectomy for small renal cell carcinoma. J Urol, 165: 1867, 2001
5 2176 LAPAROSCOPIC RADICAL NEPHRECTOMY FOR LARGE RENAL TUMORS 4. Abbou, C. C., Cicco, A., Gasman, D., Hoznek, A., Antiphon, P., Chopin, D. K. et al: Retroperitoneal laparoscopic versus open radical nephrectomy. J Urol, 161: 1776, Gill, I. S., Meraney, A. M., Schweizer, D. K., Savage, S. S., Hobart, M. G., Sung, G. T. et al: Laparoscopic radical nephrectomy in 100 patients: a single center experience from the United States. Cancer, 92: 1843, Gill, I. S., Schweizer, D., Hobart, M. G., Sung, G. T., Klein, E. A. and Novick, A. C.: Retroperitoneal laparoscopic radical nephrectomy: the Cleveland Clinic experience. J Urol, 163: 1665, Portis, A. J., Yan, Y., Landman, J., Chen, C., Barrett, P. H., Fentie, D. D. et al: Long-term followup after laparoscopic radical nephrectomy. J Urol, 167: 1257, Dunn, M. D., Portis, A. J., Shalhav, A. L., Elbahnasy, A. M., Heidorn, C., McDougall, E. M. et al: Laparoscopic versus open radical nephrectomy: a 9-year experience. J Urol, 164: 1153, Walther, M. M., Lyne, J. C., Libutti, S. K. and Linehan, W. M.: Laparoscopic cytoreductive nephrectomy as preparation for administration of systemic interleukin-2 in the treatment of metastatic renal cell carcinoma: a pilot study. Urology, 53: 496, Pautler, S. E., Richards, C., Libutti, S. K., Linehan, W. M. and Walther, M. M.: Intentional resection of the diaphragm during cytoreductive laparoscopic radical nephrectomy. J Urol, 167: 48, Meraney, A. M. and Gill, I. S.: Financial analysis of open versus laparoscopic radical nephrectomy and nephroureterectomy. J Urol, 167: 1757, Sobin, L. H. and Wittekind, Ch.: TNM Classification of Malignant Tumors, 6th ed. New Jersey: Wiley, Stifelman, M. D., Handler, T., Nieder, A. M., Del Pizzo, J., Taneja, S., Sosa, R. E. et al: Hand-assisted laparoscopy for large renal specimens: a multi-institutional study. Urology, 61: 78, Swanson, D. A. and Borges, P. M.: Complications of transabdominal radical nephrectomy for renal cell carcinoma. J Urol, 129: 704, Mejean, A., Vogt, B., Quazza, J. E., Chretien, Y. and Dufour, B.: Mortality and morbidity after nephrectomy for renal cell carcinoma using a transperitoneal anterior subcostal incision. Eur Urol, 36: 298, Corman, J. M., Penson, D. F., Hur, K., Khuri, S. F., Daley, J., Henderson, W. et al: Comparison of complications after radical and partial nephrectomy: results from the National Veterans Administration Surgical Quality Improvement Program. BJU Int, 86: 782, 2000
Laparoscopic Radical Nephrectomy for Renal Cell Carcinoma
Laparoscopic Radical Nephrectomy for Renal Cell Carcinoma Yoshinari Ono 1,Ryohei Hattori 1,Momokazu Gotoh 1, Tsuneo Kinukawa 2,Shin Yamada 3, and Osamu Kamihira 4 Summary. Laparoscopic radical nephrectomy
More informationLaparoscopic Radical Nephrectomy for Renal Masses 7 Centimeters or Larger
SCIENTIFIC PAPER Laparoscopic Radical Nephrectomy for Renal Masses 7 Centimeters or Larger James S. Rosoff, MD, Jay D. Raman, MD, R. Ernest Sosa, MD, Joseph J. Del Pizzo, MD ABSTRACT Objective: To report
More informationObesity Is an Adverse Factor on Laparoscopic Radical Nephrectomy for T2 but Not T1 Renal Cell Carcinoma
Endourology www.kjurology.org http://dx.doi.org/.4/kju.2.52.8.58 Obesity Is an Adverse Factor on Laparoscopic Radical Nephrectomy for T2 but Not T Renal Cell Carcinoma Se Yun Kwon, Jae Jun Bae, Jung Gon
More informationIn the past radical nephrectomy necessitated a large
A Prospective Study of Laparoscopic Radical Nephrectomy for T1 Tumors Is Transperitoneal, Retroperitoneal or Hand Assisted the Best Approach? Robert B. Nadler,* Stacy Loeb, J. Quentin Clemens, Robert A.
More informationRetroperitoneal Laparoscopic Radical Nephrectomy for Renal Cell Carcinoma: A Report on 2 Initial Cases
Yonago Acta medica 2002;45:35 41 Retroperitoneal Laparoscopic Radical Nephrectomy for Renal Cell Carcinoma: A Report on 2 Initial Cases Tadahiro Isoyama, Takehiro Sejima, Hiroyuki Kadowaki, Shinji Hirakawa
More informationLaparoscopic Radical Nephrectomy- the current gold standard
Laparoscopic Radical Nephrectomy- the current gold standard Anoop M. Meraney, M.D Director, Urologic Oncology, Helen and Harry Gray Cancer Center, Hartford Hospital and Connecticut Surgical Group. Is it
More informationRetroperitoneoscopic Radical Nephrectomy: Initial Experience
Retroperitoneoscopic Radical Nephrectomy: Initial Experience A. Hasegan 1, D. Bratu 2, V. Pirvut 1, I. Mihai 1, N. Grigore 1 1 Lucian Blaga University of Sibiu, Department of Urology 2 Lucian Blaga University
More informationWho are Candidates for Laparoscopic or Open Radical Nephrectomy. Arieh Shalhav
Who are Candidates for Laparoscopic or Open Radical Nephrectomy Arieh Shalhav Fritz Duda Chair of Urologic Surgery Professor of Surgery and the Comprehensive Cancer Research Center Who are Candidates for
More informationPartial Nephrectomy Techniques for Renal Preservation: Historical and Modern Approaches
Partial Nephrectomy Techniques for Renal Preservation: Historical and Modern Approaches Cary N Robertson MD FACS Associate Professor Division of Urology Associate Director Urologic Oncology Duke Cancer
More informationLaparoscopic Nephrectomy: New Standard of Care?
Original Article Laparoscopic Nephrectomy: New Standard of Care? Hong Gee Sim, Sidney K.H. Yip, Chee Yong Ng, Yee Sze Teo, Yeh Hong Tan, Woei Yun Siow and Wai Sam Cheng, Department of Urology, Singapore
More informationThe Surgical Management of RCC
The Surgical Management of RCC From Robson to Radiofrequency Ablation Tony Finelli, MD, MSc, FRCSC University Health Network University of Toronto Background Renal cell carcinoma (RCC) is 9 th most common
More informationLower pole approach in retroperitoneal laparoscopic radical nephrectomy: a new approach for the management of renal vascular pedicle
Yuan et al. World Journal of Surgical Oncology (2018) 16:31 https://doi.org/10.1186/s12957-018-1324-7 RESEARCH Open Access Lower pole approach in retroperitoneal laparoscopic radical nephrectomy: a new
More informationCOMPLICATIONS OF LAPAROSCOPIC PARTIAL NEPHRECTOMY IN 200 CASES
0022-5347/05/1731-0042/0 Vol. 173, 42 47, January 2005 THE JOURNAL OF UROLOGY Printed in U.S.A. Copyright 2005 by AMERICAN UROLOGICAL ASSOCIATION DOI: 10.1097/01.ju.0000147177.20458.73 COMPLICATIONS OF
More informationHand-Assisted Laparoscopic Radical Nephrectomy in the Treatment of a Renal Cell Carcinoma with a Level II Vena Cava Thrombus
Surgical Technique Laparoscopic Excision of an RCC with Level II thrombus International Braz J Urol Vol. 36 (3): 327-331, May - June, 2010 doi: 10.1590/S1677-55382010000300009 Hand-Assisted Laparoscopic
More informationLAPAROSCOPIC PARTIAL NEPHRECTOMY FOR CANCER: TECHNIQUES AND OUTCOMES
Clinical Urology International Braz J Urol Official Journal of the Brazilian Society of Urology LAPAROSCOPIC PARTIAL NEPHRECTOMY Vol. 31 (2): 100-104, March - April, 2005 LAPAROSCOPIC PARTIAL NEPHRECTOMY
More informationBJUI. Robotic nephrectomy for the treatment of benign and malignant disease
. JOURNAL COMPILATION 2008 BJU INTERNATIONAL Laparoscopic and Robotic Urology ROGERS et al. BJUI BJU INTERNATIONAL Robotic nephrectomy for the treatment of benign and malignant disease Craig Rogers, Rajesh
More informationThe Effect of Kidney Morcellation on Operative Time, Incision Complications, and Postoperative Analgesia after Laparoscopic Nephrectomy
Clinical Urology Kidney Morcellation Effect on Laparoscopic Nephrectomy International Braz J Urol Vol. 32 (3): 273-280, May - June, 2006 The Effect of Kidney Morcellation on Operative Time, Incision Complications,
More informationLaparoscopic Nephroureterectomy for Upper Tract Transitional Cell Carcinoma: Comparison of Laparoscopic and Open Surgery
european urology 49 (2006) 332 336 available at www.sciencedirect.com journal homepage: www.europeanurology.com Laparoscopy Laparoscopic Nephroureterectomy for Upper Tract Transitional Cell Carcinoma:
More informationTransperitoneal Laparoscopic Nephrectomy for Autosomal Dominant Polycystic Kidney Disease
SCIENTIFIC PAPER Transperitoneal Laparoscopic Nephrectomy for Autosomal Dominant Polycystic Kidney Disease Grégory Verhoest, MD, Arnaud Delreux, MD, Romain Mathieu, MD, Jean-Jacques Patard, MD, Cécile
More informationeuropean urology 49 (2006)
european urology 49 (2006) 314 323 available at www.sciencedirect.com journal homepage: www.europeanurology.com Kidney Cancer Retroperitoneoscopic Versus Open Surgical Radical Nephrectomy for Large Renal
More informationLaparoscopic Surgery in Urological Oncology: Brief Overview
Review Article Laparoscopic Surgery in Urological Oncology International Braz J Urol Vol. 32 (5): 504-512, September - October, 2006 Laparoscopic Surgery in Urological Oncology: Brief Overview Jose R.
More informationRAPN. in T1b Renal Masses? A. Mottrie. G. Denaeyer, P. Schatteman, G. Novara
RAPN in T1b Renal Masses? A. Mottrie G. Denaeyer, P. Schatteman, G. Novara Department of Urology O.L.V. Clinic Aalst OLV Vattikuti Robotic Surgery Institute Aalst Belgium Guidelines on Renal Cell Carcinoma
More informationLAPAROSCOPIC NEPHRON-SPARING SURGERY IN THE PRESENCE OF RENAL ARTERY DISEASE
SURGICAL TECHNIQUES IN UROLOGY LAPAROSCOPIC NEPHRON-SPARING SURGERY IN THE PRESENCE OF RENAL ARTERY DISEASE ANDREW P. STEINBERG, SIDNEY C. ABREU, MIHIR M. DESAI, ANUP P. RAMANI, JIHAD H. KAOUK, AND INDERBIR
More informationOrgan-Preserving Endoscopic Kidney Cancer Resection
european urology 50 (2006) 732 737 available at www.sciencedirect.com journal homepage: www.europeanurology.com Surgery in Motion Organ-Preserving Endoscopic Kidney Cancer Resection Elmar Heinrich, Tobias
More informationIndex. Note: Page numbers of article titles are in boldface type.
Note: Page numbers of article titles are in boldface type. A Adenocarcinoma, pancreatic ductal, laparoscopic distal pancreatectomy for, 61 Adrenal cortical carcinoma, laparoscopic adrenalectomy for, 114
More informationTHORACIC COMPLICATIONS DURING UROLOGICAL LAPAROSCOPY
0022-5347/04/1714-1451/0 Vol. 171, 1451 1455, April 2004 THE JOURNAL OF UROLOGY Printed in U.S.A. Copyright 2004 by AMERICAN UROLOGICAL ASSOCIATION DOI: 10.1097/01.ju.0000116352.15266.57 SIDNEY C. ABREU,
More informationPatient Selection for Surgery in RCC with Thrombus. E. Jason Abel, M.D.
Patient Selection for Surgery in RCC with Thrombus E. Jason Abel, M.D. RCC with venous invasion Venous invasion occurs in ~10% of RCC Surgery more complex Increased risk for morbidity Thrombus may be confined
More informationRetroperitoneal Laparoscopic Radical Nephroureterectomy for High Urothelial Tumours
Retroperitoneal Laparoscopic Radical Nephroureterectomy for High Urothelial Tumours A. Hașegan 1, V. Pîrvuț 1, I. Mihai 1, N. Grigore 1 1 Lucian Blaga University of Sibiu, Faculty of Medicine Clinical
More informationLaparoscopic Nephrectomy For Benign and Inflammatory Conditions* T. MANOHAR, M.D., MIHIR DESAI, M.D., and MAHESH DESAI, M.S., FRCS, FRCS ABSTRACT
JOURNAL OF ENDOUROLOGY Volume 21, Number 11, November 2007 Mary Ann Liebert, Inc. DOI: 10.1089/end.2007.9883 Laparoscopic Nephrectomy For Benign and Inflammatory Conditions* T. MANOHAR, M.D., MIHIR DESAI,
More informationLaparoscopic Adrenalectomy in the Treatment of Pheochromocytoma 111
Vol. Brazilian 1, Nº 3Journal of Videoendoscopic Surgery Original Article Laparoscopic Adrenalectomy in the Treatment of Pheochromocytoma 111 Laparoscopic Adrenalectomy in the Treatment of Pheochromocytoma:
More informationSingle-center comparison of purely laparoscopic, hand-assisted laparoscopic, and open radical nephrectomy in patients at high anesthetic risk
Single-center comparison of purely laparoscopic, hand-assisted laparoscopic, and open radical nephrectomy in patients at high anesthetic risk Baldwin D D, Dunbar J A, Parekh D J, Wells N, Shuford M D,
More informationComparison of Video-Assisted Minilaparotomy, Open, and Laparoscopic Partial Nephrectomy for Renal Masses
Original Article http://dx.doi.org/10.3349/ymj.2012.53.1.151 pissn: 0513-5796, eissn: 1976-2437 Yonsei Med J 53(1):151-157, 2012 Comparison of Video-Assisted Minilaparotomy, Open, and Laparoscopic Partial
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE INTERVENTIONAL PROCEDURES PROGRAMME Interventional procedures overview of laparoscopic partial nephrectomy 308 Introduction This overview has been
More informationLaparoscopic Nephrectomy: A Prospective, Nonrandomized Comparison With Open Surgical Nephrectomy.
ISPUB.COM The Internet Journal of Urology Volume 9 Number 4 Laparoscopic Nephrectomy: A Prospective, Nonrandomized Comparison With Open Surgical M Zaz, A Patloo, M Khan, A Amin, R Bali, M Khan Citation
More informationLong-Term Oncologic Outcome after Laparoscopic Radical Nephroureterectomy for Upper Tract Transitional Cell Carcinoma
european urology 51 (2007) 1639 1644 available at www.sciencedirect.com journal homepage: www.europeanurology.com Laparoscopy Long-Term Oncologic Outcome after Laparoscopic Radical Nephroureterectomy for
More informationShape the Future of Urological Surgery
Shape the Future of Urological Surgery THE ROLE OF LAPAROSCOPIC SURGERY IN NEW MILENNIUM Victor Chia-Hsiang Lin, MD Division of Urology, Department of Surgery Chi-Mei Medical Center MY TALK TODAY IS Minimal
More informationLaparoscopic Management of Kidney Cancer: Updated Review
Laparoscopy provides equivalent oncologic outcomes, comparable complication rates, and improved perioperative morbidity compared to standard open surgical techniques for managing kidney cancers. Monique
More informationNIH Public Access Author Manuscript Eur Urol. Author manuscript; available in PMC 2009 March 1.
NIH Public Access Author Manuscript Published in final edited form as: Eur Urol. 2008 March ; 53(3): 514 521. doi:10.1016/j.eururo.2007.09.047. ROBOTIC PARTIAL NEPHRECTOMY FOR COMPLEX RENAL TUMORS: SURGICAL
More informationWhat is the role of partial nephrectomy in the context of active surveillance and renal ablation?
What is the role of partial nephrectomy in the context of active surveillance and renal ablation? Dogu Teber Department of Urology University Hospital Heidelberg Coming from Heidelberg obligates to speak
More informationInitial Clinical Experience with Robot-Assisted Laparoscopic Partial Nephrectomy for Complex Renal Tumors
Initial Clinical Experience with Robot-Assisted Laparoscopic Partial Nephrectomy for Complex Renal Tumors Kyung Hwa Choi, Cheol Kyu Oh, Wooju Jeong, Enrique Ian S. Lorenzo, Woong Kyu Han, Koon Ho Rha From
More informationGUIDELINES ON RENAL CELL CARCINOMA
GUIDELINES ON RENAL CELL CARCINOMA B. Ljungberg (chairman), D.C. Hanbury, M.A. Kuczyk, A.S. Merseburger, P.F.A. Mulders, J-J. Patard, I.C. Sinescu Introduction This EAU guideline was prepared to help urologists
More informationResearch Article Practice Trends in the Surgical Management of Renal Tumors in an Academic Medical Center in the Past Decade
ISRN Endoscopy Volume 2013, Article ID 945853, 5 pages http://dx.doi.org/10.5402/2013/945853 Research Article Practice Trends in the Surgical Management of Renal Tumors in an Academic Medical Center in
More information2 Adrenal Disease. Open Surgery. Andrew C. Novick SURGICAL ANATOMY
Preface More than 125 years have passed since the basic contributions of John Hunter, Crawford Long, and Lord Lister transformed surgery into a sound science as well as a delicate art. Several great surgeons
More informationLAPAROSCOPIC NEPHRECTOMY USING A RETROPERITONEAL APPROACH : COMPARISON WITH A TRANSABDOMINAL APPROACH
LAPAROSCOPIC NEPHRECTOMY USING A RETROPERITONEAL APPROACH : COMPARISON WITH A TRANSABDOMINAL APPROACH Yoshinari One,'" Shinichi Ohshirna, Satoshi Hirabayashi,3 Yukio Hatano,4 Toshibumi Sakakibara,S Hiroaki
More informationPREFACE... V. CONTRIBUTORS... xiii. 1. SURGICAL INCISIONS... 3 J. Stephen Jones
Contents PREFACE... V CONTRIBUTORS... xiii PART I: THE KIDNEY AND ADRENAL 1. SURGICAL INCISIONS... 3 2. ADRENAL DISEASE: OPEN SURGERY... 17 3. LAPAROSCOPIC ADRENALECTOMY... 23 Mihir M. Desai and Inderbir
More informationInitial Series of Robotic Radical Nephrectomy with Vena Caval Tumor Thrombectomy
EUROPEAN UROLOGY 59 (2011) 652 656 available at www.sciencedirect.com journal homepage: www.europeanurology.com Case Series of the Month Initial Series of Robotic Radical Nephrectomy with Vena Caval Tumor
More informationOriginal Article A novel approach to locate renal artery during retroperitoneal laparoendoscopic single-site radical nephrectomy
Int J Clin Exp Med 2014;7(7):1752-1756 www.ijcem.com /ISSN:1940-5901/IJCEM0000870 Original Article during radical nephrectomy Lixin Shi, Wei Cai, Juan Dong, Jiangping Gao, Hongzhao Li, Shengkun Sun, Qiang
More informationSINGLE INCISION ENDOSCOPIC SURGERY (SIES)
EAES CONSENSUS CONFERENCE SINGLE INCISION ENDOSCOPIC SURGERY (SIES) STATEMENTS AND RECOMMENDATIONS EAES appreciates your input! Please give your opinion on the below statements and recommendations of the
More informationRobotic Surgery for Upper Tract Urothelial Carcinoma. Li-Ming Su, MD
Robotic Surgery for Upper Tract Urothelial Carcinoma Li-Ming Su, MD David A. Cofrin Professor of Urology, Associate Chairman of Clinical Affairs, Chief, Division of Robotic and Minimally Invasive Urologic
More informationSurgical Management of Metastatic and Locally Recurrent Kidney Cancer: Does it Make Sense?
Surgical Management of Metastatic and Locally Recurrent Kidney Cancer: Does it Make Sense? Philippe E. Spiess, MD, FACS Associate Member Department of GU Oncology Department of Tumor Biology Moffitt Cancer
More informationOutcomes. Glickman Urological & Kidney Institute
Outcomes 28 Glickman Urological & Kidney Institute Prostate Cryotherapy Cryotherapy has recently been used for treatment of prostate cancer as primary treatment and after failure of radiation treatment.
More informationGuidelines on Renal Cell
Guidelines on Renal Cell Carcinoma (Text update March 2009) B. Ljungberg (Chairman), D.C. Hanbury, M.A. Kuczyk, A.S. Merseburger, P.F.A. Mulders, J-J. Patard, I.C. Sinescu Introduction Renal cell carcinoma
More informationCase Report Left Transperitoneal Adrenalectomy with a Laparoendoscopic Single-Site Surgery Combined Technique: Initial Case Reports
Volume 2011, Article ID 651380, 4 pages doi:10.1155/2011/651380 Case Report Left Transperitoneal Adrenalectomy with a Laparoendoscopic Single-Site Surgery Combined Technique: Initial Case Reports Yasuhiro
More informationLAPAROSCOPIC NEPHRECTOMY IN INFLAMMATORY RENAL DISEASE: PROPOSAL FOR A STAGED APPROACH
Clinical Urology LAPAROSCOPIC NEPHRECTOMY IN INFLAMMATORY DISEASE International Braz J Urol Official Journal of the Brazilian Society of Urology Vol. 31(1): -8, January - February, 5 LAPAROSCOPIC NEPHRECTOMY
More informationOncourology COMPLICATIONS OF PARTIAL NEPHRECTOMY AT OPERATIVE TREATMENT OF RENAL CELL CARCINOMA
1 Oncourology COMPLICATIONS OF PARTIAL NEPHRECTOMY AT OPERATIVE TREATMENT OF RENAL CELL CARCINOMA Address: Eduard Oleksandrovych Stakhovsky, 03022, Kyiv, Lomonosova Str., 33/43, National Cancer Institute
More informationSimultaneous Laparoscopic Nephroureterectomy and Cystectomy: A Preliminary Report
Clinical Urology Laparoscopic Nephroectomy and Cystectomy International Braz J Urol Vol. 34 (4): 413-421, July - August, 2008 Simultaneous Laparoscopic Nephroectomy and Cystectomy: A Preliminary Report
More informationwere reduced by the cost of probe. With a median follow-up of 20 months there was no difference in oncological outcome.
Laparoscopy and Robotic LAPAROSCOPIC PARTIAL NEPHRECTOMY VS LAPAROSCOPIC RADIOFREQUENCY ABLATION BENSALAH et al. Evaluation of costs and morbidity associated with laparoscopic radiofrequency ablation and
More informationLaparoscopic and Open Partial Nephrectomy: Complication Comparison Using the Clavien System
SCIENTIFIC PAPER Laparoscopic and Open Partial Nephrectomy: Complication Comparison Using the Clavien System Jennifer E. Reifsnyder, MD, Ranjith Ramasamy, MD, Casey K. Ng, MD, James DiPietro, BS, Benjamin
More informationLaparoscopic Surgery. The Da Vinci Robot. Limits of Laparoscopy. What Robotics Offers. Robotic Urologic Surgery: A New Era in Patient Care
Laparoscopic Surgery Robotic Urologic Surgery: A New Era in Patient Care Laparoscopic technique was introduced in urologic surgery in the 1990s Benefits: Improved recovery time, decreased morbidity Matthew
More informationREVIEW Scandinavian Journal of Surgery 93: , 2004 LAPAROSCOPIC VERSUS OPEN NEPHRECTOMY FOR RENAL CELL CARCINOMA?
REVIEW Scandinavian Journal of Surgery 93: 132 136, 2004 LAPAROSCOPIC VERSUS OPEN NEPHRECTOMY FOR RENAL CELL CARCINOMA? K. Taari 1, I. Perttilä 1, H. Nisen 2 1 Department of Urology, Helsinki University
More informationMinimal Access Cancer Management
Minimal Access Cancer Management Frederick L. Greene, MD; Kent W. Kercher, MD; Heidi Nelson, MD; Chris M. Teigland, MD; Anne-Marie Boller, MD Dr. Greene is Chairman, Department of General Surgery, Carolinas
More informationComplications in robotic surgery!! Review of the literature! RALP, RAPN and RARC!
Complications in robotic surgery Review of the literature RALP, RAPN and RARC Anna Wallerstedt, MD Karolinska University Hospital Stockholm, Sweden Agenda The importance of reporting surgical complications
More informationFinancial and Other Disclosures
Financial and Other Disclosures Off-label use of drugs, devices, or other agents: None Data from IRB-approved human research is not presented I have the following financial interests or relationships to
More informationSalvage surgery after energy ablation for renal masses
Salvage surgery after energy ablation for renal masses Jose A. Karam, Christopher G. Wood, Zachary R. Compton, Priya Rao*, Raghunandan Vikram, Kamran Ahrar and Surena F. Matin Departments of Urology, *Pathology,
More informationLaparoendoscopic Pfannenstiel Nephrectomy using Conventional Laparoscopic Instruments - Preliminary Experience
Surgical Technique Laparoendoscopic Pfannenstiel Nephrectomy International Braz J Urol Vol. 36 (6): 718-723, November - December, 2010 doi: 10.1590/S1677-55382010000600010 Laparoendoscopic Pfannenstiel
More informationEVALUATION OF THE OUTCOME OF THE MANAGEMENT OF PATIENTS WITH RENAL CELL CARCINOMA
International Invention Journal of Medicine and Medical Sciences (ISSN: 2408-7246) Vol. (9) pp. 99-204, November, 206 Available online http://internationalinventjournals.org/journals/iijmms Copyright 206
More informationSingle-stage laparoscopic surgery for bilateral organ tumors using a transumbilical approach with a zigzag incision: a report of two cases
Kato et al. BMC Urology (2018) 18:28 https://doi.org/10.1186/s12894-018-0343-6 CASE REPORT Single-stage laparoscopic surgery for bilateral organ tumors using a transumbilical approach with a zigzag incision:
More informationContemporary Role of Renal Mass Biopsy
Contemporary Role of Renal Mass Biopsy Jeffrey K. Mullins, MD Director Urologic Oncology CHI Memorial Chattanooga Urology Associates September 8, 2018 Disclosures I, Jeffrey Mullins, do not have a financial
More informationCheung, MC; Lee, FCW; Chu, SSM; Leung, SYL; Wong, BBW; Ho, KL; Tam, PC. Citation Hong Kong Medical Journal, 2005, v. 11 n. 1, p.
Title Laparoscopic nephrectomy: an early experience at Queen Mary Hospital; 瑪麗醫院進行腹腔鏡腎臟切除術的早期經驗 Author(s) Cheung, MC; Lee, FCW; Chu, SSM; Leung, SYL; Wong, BBW; Ho, KL; Tam, PC Citation Hong Kong Medical
More informationRenal Function Outcomes in Patients Undergoing Open or Laparoscopic Radical Nephrectomy
Renal Function Outcomes in Patients Undergoing Open or Laparoscopic Radical Nephrectomy Koo Han Yoo, Hyung-Lae Lee, Sung-Goo Chang, Seung Hyun Jeon From the Department of Urology, Kyung Hee University
More informationChallenges in RCC surgery. Treatment Goals. Surgical challenges. Management options in VHL associated RCCs
Management options in VHL associated RCCs Challenges in RCC surgery JJ PATARD, MD, PhD Paris XI University Observation, Radical nephrectomy, Renal parenchymal sparing surgery, Open, laparoscopic, robotic
More informationIdentifying unrecognized collecting system entry and the integrity of repair during open partial nephrectomy: comparison of two techniques
ORIGINAL ARTICLE Vol. 40 (5): 637-643, September - October, 2014 doi: 10.1590/S1677-5538.IBJU.2014.05.08 Identifying unrecognized collecting system entry and the integrity of repair during open partial
More informationCombined Robotic Radical Prostatectomy and Robotic Radical Nephrectomy
CASE REPORT Combined Robotic Radical Prostatectomy and Robotic Radical Nephrectomy Hugh J. Lavery, MD, Shiv Patel, Michael Palese, MD, Nabet G. Kasabian, MD, Daniel M. Gainsburg, MD, David B. Samadi, MD
More informationEarly Experience of Laparoendoscopic Single-Site Nephroureterectomy for Upper Urinary Tract Tumors
www.kjurology.org DOI:10.4111/kju.2010.51.7.472 Robotics/Laparoscopy Early Experience of Laparoendoscopic Single-Site Nephroureterectomy for Upper Urinary Tract Tumors Ill Young Seo, Hye Min Hong, Il Sang
More informationRapid communication chronic renal insufficiency after laparoscopic partial nephrectomy and radical nephrectomy for pathologic T1a lesions
Washington University School of Medicine Digital Commons@Becker Open Access Publications 2008 Rapid communication chronic renal insufficiency after laparoscopic partial nephrectomy and radical nephrectomy
More informationDifferences in Left and Right Laparoscopic Adrenalectomy
SCIENTIFIC PAPER Differences in Left and Right Laparoscopic Adrenalectomy Jocelyn M. Rieder, MD, Alan A. Nisbet, MD, Melanie C. Wuerstle, MD, Viet Q. Tran, MD, Eric O. Kwon, MD, Gary W. Chien, MD ABSTRACT
More informationUro-Assiut 2015 Robotic Nephron Sparing Surgery
Uro-Assiut 2015 Robotic Nephron Sparing Surgery Khaled Fareed, MD, MBA Center for Advanced Laparoscopy, Robotics & Minimally Invasive Surgery Glickman Urological & Kidney Institute Associate Professor,
More informationVincenzo Ficarra. Direttore Clinica di Urologia Azienda Ospedaliera Universitaria di Udine
Best Papers on Kidney Cancer Vincenzo Ficarra Direttore Clinica di Urologia Azienda Ospedaliera Universitaria di Udine Uro-oncological oncological topics Renal Tumor biopsy Positive Surgical Margins after
More informationLaparoscopic Partial Nephrectomy for Renal Tumours: Early Experience in Singapore General Hospital
576 Original Article Laparoscopic Partial Nephrectomy for Renal Tumours: Early Experience in Singapore General Hospital Nor Azhari Bin Mohd Zam, 1 MBBS, MRCS, MMed, Yeh Hong Tan, 1 FRCS, MMed, FAMS, Paul
More informationProspective multi-center study of oncologic outcomes of robot-assisted partial nephrectomy for pt1 renal cell carcinoma
Washington University School of Medicine Digital Commons@Becker Open Access Publications 2012 Prospective multi-center study of oncologic outcomes of robot-assisted partial nephrectomy for pt1 renal cell
More informationLaparoscopic nephrectomy for benign non functioning kidneys
Review Article Laparoscopic nephrectomy for benign non functioning kidneys Narmada P. Gupta, Gagan Gautam Department of Urology, All India Institute of Medical Sciences, New Delhi, India Address for correspondence:
More informationComplex Thoracoscopic Resections for Locally Advanced Lung Cancer
Complex Thoracoscopic Resections for Locally Advanced Lung Cancer Duke Thoracoscopic Lobectomy Workshop March 21, 2018 Thomas A. D Amico MD Gary Hock Professor of Surgery Section Chief, Thoracic Surgery,
More informationKidney Case 1 SURGICAL PATHOLOGY REPORT
Kidney Case 1 Surgical Pathology Report February 9, 2007 Clinical History: This 45 year old woman was found to have a left renal mass. CT urography with reconstruction revealed a 2 cm medial mass which
More informationFeasibility of Laparoendoscopic Single-Site Partial Nephrectomy in a Porcine Model
www.kjurology.org DOI:10.4111/kju.2011.52.1.44 Endourology/Urolithiasis Feasibility of Laparoendoscopic Single-Site Partial Nephrectomy in a Porcine Model Dong-Hun Koo, Yong Hyun Park, Chang Wook Jeong
More informationGUIDELINES ON RENAL CELL CANCER
20 G. Mickisch (chairman), J. Carballido, S. Hellsten, H. Schulze, H. Mensink Eur Urol 2001;40(3):252-255 Introduction is characterised by a constant rise in incidence over the last 50 years, with a predominance
More informationCritical Analysis of Laparoscopic Donor Nephrectomy in the Setting of Complex Renal Vasculature: Initial Experience and Intermediate Outcomes
JOURNAL OF ENDOUROLOGY Volume 23, Number 3, March 2009 ª Mary Ann Liebert, Inc. Pp. 451 455 DOI: 10.1089=end.2008.0242 Critical Analysis of Laparoscopic Donor Nephrectomy in the Setting of Complex Renal
More informationIVC THROMBECTOMY: OPEN
IVC THROMBECTOMY: OPEN Gennady Bratslavsky, M.D. Professor and Chairman Department of Urology SUNY Upstate Medical University Syracuse, NY Disclosures None I am not an ideal candidate to argue for open
More informationMultidisciplinary management of retroperitoneal sarcomas
Multidisciplinary management of retroperitoneal sarcomas Eric K. Nakakura, MD UCSF Department of Surgery UCSF Comprehensive Cancer Center San Francisco, CA 7 th Annual Clinical Cancer Update North Lake
More informationImpact of lymphadenectomy in management of renal cell carcinoma
Journal of the Egyptian National Cancer Institute (2012) 24, 57 61 Cairo University Journal of the Egyptian National Cancer Institute www.nci.cu.adu.eg www.sciencedirect.com ORIGINAL ARTICLE Impact of
More informationDetermination of cell viability after laparoscopic tissue stapling in a porcine model
Washington University School of Medicine Digital Commons@Becker Open Access Publications 2005 Determination of cell viability after laparoscopic tissue stapling in a porcine model Ramakrishna Venkatesh
More informationLaparoscopic vs open partial nephrectomy for T1 renal tumours: evaluation of long-term oncological and functional outcomes in 340 patients
Laparoscopic vs open partial nephrectomy for T1 renal tumours: evaluation of long-term oncological and functional outcomes in 3 patients Christopher Springer, M. Raschid Hoda, Harun Fajkovic, Giovannalberto
More informationLaparoscopic partial nephrectomy for tumors 7cm and above. Perioperative outcomes
ORIGINAL ARTICLE Vol. 43 (5): 857-862, September - October, 2017 doi: 10.1590/S1677-5538.IBJU.2016.0642 Laparoscopic partial nephrectomy for tumors 7cm and above. Perioperative outcomes Matvey Tsivian
More informationChapter 2. Simple Nephrectomy. Please Give Three Tips for Laparoscopic Simple Nephrectomy. Dr. de la Rosette
Chapter 2 Simple Nephrectomy Please Give Three Tips for Laparoscopic Simple Nephrectomy............. 39 How Does One Find the Renal Hilum during Transperitoneal Laparoscopic Nephrectomy?.................
More informationFlorida Cancer Specialist & Research Institute, Sebastian and Vero Beach, Fl, USA 3
Evaluation of Perioperative Outcomes and Renal Function after Robotic Assisted Laparoscopic Partial Nephrectomy Off/On Clamp: Comparison of ct1a versus ct1b Renal Masses Hugo H Davila 1-4*, Raul E Storey
More informationLaparoscopic Nephroureterectomy with Concomitant Open Bladder Cuff Excision
Laparoscopic Nephroureterectomy with Concomitant Open Bladder Cuff Excision A Single Center Experience LAPAROSCOPIC UROLOGY Seyed Amir Mohsen Ziaee, Valiollah Azizi, Akbar Nouralizadeh, Shahram Gooran,
More informationIndications For Partial
Indications For Partial Nephrectomy Christopher G. Wood, M. D., FACS Professor and Deputy Chairman Douglas E. Johnson, M. D. Endowed Professorship in Urology Department of Urology The University of Texas
More informationLaparoendoscopic Single-Site Nephrectomy Using a Modified Umbilical Incision and a Home-Made Transumbilical Port
Original Article DOI 10.3349/ymj.2011.52.2.307 pissn: 0513-5796, eissn: 1976-2437 Yonsei Med J 52(2):307-313, 2011 Laparoendoscopic Single-Site Nephrectomy Using a Modified Umbilical Incision and a Home-Made
More informationHostile Abdomen Index Risk Stratification and Laparoscopic Complications
SCIENTIFIC PAPER Hostile Abdomen Index Risk Stratification and Laparoscopic Complications Michael A. Goldfarb, MD, Bogdan Protyniak, MD, Molly Schultheis, MD ABSTRACT Background: Common life-threatening
More informationBilateral Renal Angiomyolipomas with Invasion of the Renal Vein: A Case Report
Case Study TheScientificWorldJOURNAL (2008) 8, 145 148 TSW Urology ISSN 1537-744X; DOI 10.1100/tsw.2008.29 Bilateral Renal Angiomyolipomas with Invasion of the Renal Vein: A Case Report C. Blick, N. Ravindranath,
More informationeuropean urology 55 (2009)
european urology 55 (2009) 1198 1206 available at www.sciencedirect.com journal homepage: www.europeanurology.com Endo-urology Single-Incision, Umbilical Laparoscopic versus Conventional Laparoscopic Nephrectomy:
More information