Retroperitoneal Laparoscopic Radical Nephrectomy for Large (>7 cm) Solid Renal Tumors: Comparison of Perioperative Outcomes with the Transperitoneal Approach

2017 ◽  
Vol 27 (4) ◽  
pp. 393-397 ◽  
Author(s):  
Hee Youn Kim ◽  
Dong Sup Lee ◽  
Je Mo Yoo ◽  
Joon Ho Lee ◽  
Seung-Ju Lee
2020 ◽  
Vol 48 (10) ◽  
pp. 030006052096123
Author(s):  
Xudong Guo ◽  
Hanbo Wang ◽  
Yuzhu Xiang ◽  
Xunbo Jin ◽  
Shaobo Jiang

Objective To compare the operative and oncologic outcomes between hand-assisted laparoscopic radical nephrectomy (HALRN) and laparoscopic radical nephrectomy (LRN) for large (stage ≥T2b) and locally advanced renal cell carcinoma. Methods We retrospectively collected data from patients who underwent HALRN or LRN for stage ≥T2b renal cell carcinoma from January 2011 to January 2018 in our institution. The patients’ demographics, perioperative parameters, and postoperative follow-up data were compared between the two groups. The survival outcome was estimated using the Kaplan–Meier method. Results The HALRN group comprised 78 patients, and the LRN group comprised 63 patients. The median operative duration was significantly shorter in the HALRN than LRN group. The two groups were equivalent in terms of the incision length, blood loss, complication rate, and duration of hospitalization. In the HALRN and LRN groups, the 5-year overall survival rates were 69.4% and 73.1%, the 5-year cancer-specific survival rates were 80.0% and 83.3%, and the 5-year progression-free survival rates were 66.4% and 74.7%, respectively, with no significant differences. Conclusions Compared with LRN, HALRN may offer a shorter operative duration and equivalent surgical outcomes without sacrificing oncological efficacy. In addition, HALRN has specific advantages for extremely large and complicated renal tumors.


2010 ◽  
pp. 125-148
Author(s):  
Leslie A. Deane ◽  
David I. Lee ◽  
Jaime Landman ◽  
Chandru P. Sundaram ◽  
Ralph V. Clayman

Urology ◽  
2006 ◽  
Vol 68 (6) ◽  
pp. 1183-1187 ◽  
Author(s):  
Edward M. Gong ◽  
Mark B. Lyon ◽  
Marcelo A. Orvieto ◽  
Alvaro Lucioni ◽  
Glenn S. Gerber ◽  
...  

2020 ◽  
Author(s):  
Yimu Zhang ◽  
Zhengyu Zhou ◽  
Jiyan Bai ◽  
Pei Tian ◽  
Dong Yang ◽  
...  

Abstract Background: We report our modified surgical technique of retroperitoneal laparoscopic radical nephrectomy (RLRN) and assess its perioperative outcomes and postoperative complications, with a focus on operative time (OT). Methods: We retrospectively analyzed a single-center, single-surgeon cohort of 130 consecutive patients who underwent RLRN between January 2015 and March 2019. A study group of 65 patients who received modified RLRN was compared with a control group of 65 patients who received classical RLRN. OT, estimated blood loss ( EBL ), perioperative complications, postoperative first exhaust time (PFET), pathological stage, and postoperative hospital stay (PHS) were compared between the two groups. Results: All demographic, clinical, and pathological variables were comparable between the groups. No differences were observed in perioperative complications (p=0.648), peritoneal injuries (p=0.843), PFET (p=0.448), pathological stage (p=0.767), and PHS (p=0.304). The modified RLRN group resulted in a significantly reduced overall OT (53.8±8.4 min vs. 60.5±10.6 min, p=0.000), peritoneal injury intervention subgroup OT (56.3±9.8 min vs. 75.2±12.4 min, p=0.000), and EBL (55.7±10.1 mL vs. 62.3±11.6 mL, p=0.001) compared with the classical RLRN group. We observed a significant reduction in OT and EBL but no increase in postoperative complications, PFET, or PHS with modified versus traditional RLRN for localized renal carcinoma.Conclusions: Findings from this study present a modified RLRN surgical technique that is standardized, more precise, and has better practicability.


2006 ◽  
Vol 175 (4S) ◽  
pp. 284-284
Author(s):  
Edward M. Gong ◽  
Mark B. Lyon ◽  
Marcelo A. Orvieto ◽  
Alvaro Luciani ◽  
Glenn S. Gerber ◽  
...  

2020 ◽  
Vol 6 (2) ◽  
pp. 305-312 ◽  
Author(s):  
Boris Gershman ◽  
Laura Bukavina ◽  
Zhengyi Chen ◽  
Badrinath Konety ◽  
Fredrick Schumache ◽  
...  

JAMA ◽  
2017 ◽  
Vol 318 (16) ◽  
pp. 1561 ◽  
Author(s):  
In Gab Jeong ◽  
Yash S. Khandwala ◽  
Jae Heon Kim ◽  
Deok Hyun Han ◽  
Shufeng Li ◽  
...  

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