[Limits of laparoscopic surgery in the treatment of renal tumors].
Laparoscopic radical nephrectomy is considered to be the technique of choice in the mangement of stage T1 and T2 renal cancer, though increased mastery of this alternative type of surgery has served to expand its indications. In any case, these procedures have a series of limitations which are tied to the intrinsic characteristics of laparoscopic surgery, and which are associated with the patient and tumor characteristics, and the experience of the surgeon. The present study discusses the different indications and establishes the current limits of laparoscopic surgery applied to the management of renal tumors. Its role in cell-reducing therapy in metastatic disease, and the methods available for reducing tumor implantation in the surgical ports are also commented.
Rosales Bordes
Antonio
A
Unidad de Uro-Oncología, Servicio de Urología, Fundació Puigvert, Barcelona, España. urologia@fundacio-puigvert.es
Salvador Bayarri
José
J
Rodríguez
Oscar
O
Peña
José A
JA
Gaya
José M
JM
Parada Moreno
Rubén
R
Esquena Fernández
Salvador
S
Domínguez
Alberto
A
Palou Redorta
Joan
J
Villavicencio Mavrich
Humberto
H
D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology / Q000601:surgery*; D010535:Laparoscopy; D009367:Neoplasm Staging; D009392:Nephrectomy / Q000379:methods*