title: [Laparoscopic partial nephrectomy: A series of 17 cases].
abstract: OBJECTIVE
  The objective of this study was to evaluate the Feasibility, the morbidity and the carcinologic results of laparoscopic partial nephrectomy.
  
  
  METHODS
  Between August 2001 and December 2005, 17 partial nephrectomies were performed by laparoscopy in patients with a mean age of 59.2 years. Postoperative complications, the conversion rate, operating time, arterial clamping time, length of hospital stay and oncological results were studied for each patient.
  
  
  RESULTS
  The mean operating time was 190 min, the mean arterial clamping time was 30 min and the mean hospital stay was 6.3 days. There were 2 complications including one postoperative haematoma requiring surgical revision for drainage and repositioning of a stent for urine leak. Two conversions had to be performed early in our experience. A tumour recurrence 2 years after the initial operation was treated by total nephrectomy.
  
  
  CONCLUSIONS
  Our results in terms of morbidity are similar to those reported for open surgery, but the recurrence rate appears to be slightly higher than that observed with open partial nephrectomy. Laparoscopic partial nephrectomy remains a difficult operation requiring a learning curve even for a department that regularly performs laparoscopic surgery.
authors.affiliation: Service de Chirurgie Urologique et Andrologique, CHRU de Limoges, France.
authors.forename: Xavier
authors.initials: X
authors.lastname: Plainard
authors.forename: Pascal
authors.initials: P
authors.lastname: Paulhac
authors.forename: Nicolas
authors.initials: N
authors.lastname: Lesaux
authors.forename: Emanuel
authors.initials: E
authors.lastname: Kessler
authors.forename: Jean-Philippe
authors.initials: JP
authors.lastname: Dumas
authors.forename: Pierre
authors.initials: P
authors.lastname: Colombeau
mesh_terms: D000328:Adult; D000368:Aged; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery*; D010535:Laparoscopy; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D009392:Nephrectomy / Q000379:methods*; D016896:Treatment Outcome