Gasless laparoscopy-assisted nephrectomy without tissue morcellation for renal carcinoma.
OBJECTIVE
The efficacy of gasless laparoscopy-assisted nephrectomy for renal tumors is determined.


METHODS
Seven patients with renal tumors underwent gasless laparoscopy-assisted nephrectomy. The results were compared to those of patients undergoing open nephrectomy.


RESULTS
Although a long operating time was required, convalescence was significantly more rapid. En bloc removal of the kidney and complete pathological examination were possible in all patients.


CONCLUSIONS
This procedure may be useful for the treatment of noninvasive renal carcinoma, especially in patients with cardiovascular and/or ventilatory complications. However, long-term followup is necessary to confirm the efficacy in preventing recurrence.
Suzuki
K
K
Department of Urology, Hamamatsu University School of Medicine, Japan.
Masuda
H
H
Ushiyama
T
T
Hata
M
M
Fujita
K
K
Kawabe
K
K
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods*