[Laparoscopic partial nephrectomy].
We retrospectively reviewed the clinical results of 24 patients who underwent laparoscopic partial nephrectomy by a diagnosis of renal cell carcinoma (RCC) between 1999 and 2004, including 16 elective cases and 8 imperative cases. Twenty-two were successfully treated laparoscopically; two cases in the imperative group required conversion to open surgery because of uncontrollable bleeding. A vascular clamp was used in 12 cases for an average of 26 minutes. The creatinine clearance changed from 98 to 93 ml/min in the elective cases and from 49 to 44 ml/min in the imperative cases. Pathological evaluation revealed RCC in 10 elective cases and 6 imperative cases. Local recurrence (renal hilum lymph node and ipsilateral kidney) was found in 2 patients in the imperative group. Although laparoscopic partial nephrectomy is useful, long-term follow-up is necessary for evaluating the tumor control.
Hattori
Ryohei
R
The Department of Urology, Nagoya University School of Medicine.
Gotoh
Momokazu
M
Yoshikawa
Yoko
Y
Yoshino
Yasushi
Y
Tuchiya
Futoshi
F
Katoh
Masashi
M
Komatsu
Tomonori
T
Matsukawa
Yoshihisa
Y
Ono
Yoshinari
Y
D000368:Aged; D002292:Carcinoma, Renal Cell / Q000601:surgery*; D017558:Elective Surgical Procedures; D005260:Female; D006801:Humans; D007668:Kidney / Q000503:physiopathology; D007680:Kidney Neoplasms / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods*; D012189:Retrospective Studies