Téma: 

Laparoscopic radical nephrectomy

Juraj Mikuláš, Peter Laurinc, Roman Mráz

Objective: Radical nephrectomy becomes a worldwide-accepted indication for laparoscopic surgery in selected tumor stages, representing the combined benefit of oncologic efficacy equal to open surgery along with the advantages of minimal invasive operative approach. In our institution transperitoneal radical laparoscopic nephrectomy LRN/become a standard technique in renal cell carcinoma (RCC staged) T1-2.
Material and methods: From July 2003 till December 2005 27 transperitoneal laparoscopic radical nephrectomies for renal parenchyma tumors were performed at out department. We analyze data regarding operative and postoperative outcomes.
Results: We operated on 27 patients – 21 right and 6 left sided tumors, ranging from 3,5 – to 7,5 cm. Twice a conversion to standard open procedure was required (once due to severe adhesions after previous cholecystectomy, once due to a mechanic stapler failure). In two patients an open revision was required because of bleeding. Histopathologicaly in one case oncocytoma was diagnosed; the remaining 26 cases revealed RCC pT1-2, no positive lymph nodes were detected.
Conclusion: Laparoscopic radical nephrectomy is a effective treatment for patients with pT1–2N0M0 RCC. Although no long term oncologic follow-up evaluation is available for our patient group we believe, that according to literature data available, laparoscopic radical nephrectomy is a safe procedure in terms of oncologic outcome with a significant benefit for the patient due to its minimal invasiveness.

Ročník 2006  Témy časopisu Clinical urology 1 / 2006

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