Predictors of trifecta outcomes in laparoscopic partial nephrectomy for clinical T1a renal masses

2015 ◽  
Vol 22 (11) ◽  
pp. 1000-1005 ◽  
Author(s):  
Kimito Osaka ◽  
Kazuhide Makiyama ◽  
Noboru Nakaigawa ◽  
Masahiro Yao
Keyword(s):  
Partial Nephrectomy ◽  
Laparoscopic Partial Nephrectomy ◽  
Renal Masses

scholarly journals Comparison of Video-Assisted Minilaparotomy, Open, and Laparoscopic Partial Nephrectomy for Renal Masses

2012 ◽  
Vol 53 (1) ◽  
pp. 151 ◽  
Author(s):  
Hwang Gyun Jeon ◽  
Kyung Hwa Choi ◽  
Kwang Hyun Kim ◽  
Koon Ho Rha ◽  
Seung Choul Yang ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Laparoscopic Partial Nephrectomy ◽  
Renal Masses ◽  
Video Assisted

scholarly journals Safety and efficacy of retroperitoneal sutureless zero ischemia laparoscopic partial nephrectomy for low nephrometry score masses

2019 ◽  
Vol 91 (3) ◽  
Author(s):  
Emanuele Corongiu ◽  
Pietro Grande ◽  
Angelo Di Santo ◽  
Giorgio Pagliarella ◽  
Stefano Squillacciotti ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Intraoperative Complications ◽  
Functional Results ◽  
Laparoscopic Partial Nephrectomy ◽  
Tumor Diameter ◽  
Selective Embolization ◽  
Renal Masses ◽  
Nephrometry Score ◽  
Estimated Blood Loss ◽  
Zero Ischemia

Objectives: To evaluate oncological feasibility and oncological and functional results of retroperitoneal sutureless zero ischemia laparoscopic partial nephrectomy (LPN). Patients and methods: Patients with posterior renal masses with low nephrometry score (RENAL ≤ 7) treated who underwent retroperitoneal sutureless zero ischemia.in a single center from January 2016 to November 2017. Clinical, surgical and pathological data were prospectively collected. Complications were reported according to the modified Clavien classification. Results: Retroperitoneal sutureless zero ischemia laparoscopic partial nephrectomy was performed on 15 patients. The indication for nephron-sparing surgery was elective in 11 (73%) patients and imperative in 4 (27%). Median RENAL score was 5 (IQR: 5-7), median tumor diameter 25 mm (IQR: 20-35). In 11 cases, the tumor was located polar (85%), and in 2 cases hilar (15%). There were no intraoperative complications. No cases were converted to radical nephrectomy, and in no case parenchyma suture was necessary. Median operative time was 90 min (IQR:40-150), in no case clamping of the renal artery was necessary, median hospital stay was 4 days, median estimated blood loss (EBL) was 310 (180-500) ml. Pathological analysis showed renal cell carcinoma in 11 patients (85%), 9 (60%) staged T1a and 2 (13%) T1b. In 4 (27%) an oncocytoma was found. There were no positive surgical margins. One patient developed a major postoperative complication (postoperative renal bleeding requiring super-selective embolization). Trifecta rate was 93%. Conclusions: Sutureless retroperitoneal zero ischemia LPN for the treatment of low-complexity posterior renal masses showed to be safe and feasible. Longer follow-up and higher numbers of patients are, however, warranted to draw definitive conclusions on functional outcomes.

Management of Renal Masses with Laparoscopic-Guided Radiofrequency Ablation versus Laparoscopic Partial Nephrectomy

2009 ◽  
Vol 23 (1) ◽  
pp. 81-88 ◽  
Author(s):  
Vincent G. Bird ◽  
Robert I. Carey ◽  
Rajinikanth Ayyathurai ◽  
Victoria Y. Bird
Keyword(s):  
Radiofrequency Ablation ◽  
Partial Nephrectomy ◽  
Laparoscopic Partial Nephrectomy ◽  
Renal Masses

Hook-wire assisted localization of a completely endophytic renal mass during three-dimensional laparoscopic partial nephrectomy: Presentation of our technique

2021 ◽  
pp. 039156032110318
Author(s):  
Nikolaos Ferakis ◽  
Spyridon Paparidis ◽  
Athanasios Papatheodorou ◽  
Evangelos N Symeonidis ◽  
Antonios Katsimantas
Keyword(s):  
Partial Nephrectomy ◽  
Renal Mass ◽  
Three Dimensional ◽  
Cost Effective ◽  
Surgical Excision ◽  
Laparoscopic Partial Nephrectomy ◽  
Cell Renal Cell Carcinoma ◽  
Renal Masses ◽  
Case Presentation ◽  
Hook Wire

Introduction: Totally endophytic renal masses may be invisible during laparoscopic partial nephrectomy, posing challenge to surgeons regarding tumor’s identification and resection. Case presentation: A 22-year-old male was incidentally diagnosed with a completely endophytic, cT1a renal mass. Percutaneous Computed Tomography-guided insertion of a hook-wire was performed prior to laparoscopic partial nephrectomy. The hook-wire anchored centrally into the tumor and its extra-renal part was easily identified intraoperatively, contributing to tumor’s identification and surgical excision. Total operative time was 185 min, warm ischemia time was 21.5 min, tumor excision time was 10 min, and total renorraphy time was 31 min. No complications were encountered perioperatively. The patient was discharged on the fourth postoperative day. Histology revealed a pT1a, clear-cell renal cell carcinoma, with negative surgical margins. Conclusions: Our first experience indicates that hook-wire guided excision of a completely endophytic renal mass during laparoscopic partial nephrectomy is feasible, safe, and cost-effective.

Safety and efficacy of transperitoneal laparoscopic nephron sparing surgery in patients with previous abdominal surgery

2020 ◽  
pp. 039156032092172
Author(s):  
Stefano Manno ◽  
Lucio Dell’Atti ◽  
Antonio Cicione ◽  
Angelo Spasari
Keyword(s):  
Length Of Stay ◽  
Abdominal Surgery ◽  
Partial Nephrectomy ◽  
Operative Time ◽  
Laparoscopic Partial Nephrectomy ◽  
Renal Masses ◽  
Conversion To Open Surgery ◽  
Previous Abdominal Surgery ◽  
Estimated Blood Loss ◽  
Nephron Sparing

Objective: The aim of this study is to assess the safety and feasibility of the transperitoneal laparoscopic approach during nephron sparing surgery in patients with previous abdominal surgery. Patients and methods: We retrospectively analyzed patients undergoing transperitoneal laparoscopic partial nephrectomy for renal masses. All patients had received a diagnosis of cT1a renal exophytic mass (⩽5 cm). Patients were divided into two groups, those with and without previous abdominal surgery. Patients with solitary kidney or major previous abdominal surgery were excluded in this study. The operative time, estimated blood loss, length of stay, surgical complications, and positive surgical margins were recorded to compare outcomes among two groups. Results: Of the 157 patients who were included in our study, 71 (45.3%) had a history of abdominal surgery (Group 1), while the remaining 86 (54.7%) had not (Group 2). Cholecystectomy was the most common previous surgery performed near the renal fossa. Patients with previous abdominal surgery experienced increased operative time (111.5 vs 83.2 min; p = 0.001). However, no statistically significant difference was found in estimated blood loss (122.1 vs 114.4 mL; p = 0.363), length of stay (4.1 vs 3.8 days; p = 0.465), rate of conversion to open surgery (2.8% vs 2.3%; p = 0.234), and rate of complications ( p = 0.121). However, operative time ( p = 0.003) and length of stay ( p < 0.001) were greater in patients with versus those without previous open cholecystectomy. Conclusion: Our results suggest that laparoscopic partial nephrectomy after minor previous abdominal surgery is safe and feasible in selected patients affected by renal masses with low nephrometry score. However, previous cholecystectomy results in an increased risk of conversion to open surgery and longer hospital stay in patients undergoing right laparoscopic partial nephrectomy.

Decision Tree for Laparoscopic Partial Nephrectomy Versus Laparoscopic Renal Cryoablation for Small Renal Masses

2009 ◽  
Vol 23 (3) ◽  
pp. 431-437 ◽  
Author(s):  
Alan A. Nisbet ◽  
Jocelyn M. Rieder ◽  
Viet Q. Tran ◽  
Stephen G. Williams ◽  
Gary W. Chien
Keyword(s):  
Decision Tree ◽  
Partial Nephrectomy ◽  
Laparoscopic Partial Nephrectomy ◽  
Small Renal Masses ◽  
Renal Masses

Comparison between open and laparoscopic partial nephrectomy for cT1 renal masses

2017 ◽  
Vol 16 (11) ◽  
pp. e2925
Author(s):  
D. Diaconescu ◽  
F. Varzescu ◽  
G. Rosoga ◽  
F. Bengus ◽  
C. Calin ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Laparoscopic Partial Nephrectomy ◽  
Renal Masses

Laparoscopic partial nephrectomy for large renal masses: results of a European survey

2010 ◽  
Vol 28 (4) ◽  
pp. 525-529 ◽  
Author(s):  
Francesco Porpiglia ◽  
Cristian Fiori ◽  
Thierry Piechaud ◽  
Richard Gaston ◽  
Giorgio Guazzoni ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Laparoscopic Partial Nephrectomy ◽  
Renal Masses ◽  
European Survey
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