title: Early experience of laparoscopic radical nephrectomy for T3b renal cell carcinoma.
abstract: We report our experience with laparoscopic radical nephrectomy for a 79-year-old man who had renal cell carcinoma (RCC) with a renal vein thrombus. For the transaction of the renal vein with the thrombus, we used an endoscopic gastrointestinal anastomosis stapler. The operating time was 4 h and blood loss was 400 mL. The patient could walk and drink on the first postoperative day. He recovered normal activity 30 days postoperatively. There were no intraoperative and postoperative complications. The present report demonstrates the feasibility of laparoscopic radical nephrectomy in patients with T3b RCC who suffer from tumor thrombus in the renal vein.
authors.affiliation: Department of Urology, Nagoya University Graduate School of Medicine, Japan. seraph@wonkwang.md
authors.forename: Ill Young
authors.initials: IY
authors.lastname: Seo
authors.forename: Yoshinari
authors.initials: Y
authors.lastname: Ono
authors.forename: Yoko
authors.initials: Y
authors.lastname: Yoshikawa
authors.forename: Takashi
authors.initials: T
authors.lastname: Saika
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Yoshino
authors.forename: Satoshi
authors.initials: S
authors.lastname: Katsuno
authors.forename: Hidemori
authors.initials: H
authors.lastname: Araki
authors.forename: Shinichi
authors.initials: S
authors.lastname: Ohshima
mesh_terms: D000368:Aged; D002292:Carcinoma, Renal Cell / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D005240:Feasibility Studies; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D010535:Laparoscopy; D008279:Magnetic Resonance Imaging; D008297:Male; D009361:Neoplasm Invasiveness; D009360:Neoplastic Cells, Circulating / Q000473:pathology; D009392:Nephrectomy; D012082:Renal Veins / Q000601:surgery; D013537:Sutures; D014057:Tomography, X-Ray Computed