title: [Limits of laparoscopic surgery in the treatment of renal tumors].
abstract: 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.
authors: Unidad de Uro-Oncología, Servicio de Urología, Fundació Puigvert, Barcelona, España. urologia@fundacio-puigvert.es
authors: Antonio
authors: A
authors: Rosales Bordes
authors: José
authors: J
authors: Salvador Bayarri
authors: Oscar
authors: O
authors: Rodríguez
authors: José A
authors: JA
authors: Peña
authors: José M
authors: JM
authors: Gaya
authors: Rubén
authors: R
authors: Parada Moreno
authors: Salvador
authors: S
authors: Esquena Fernández
authors: Alberto
authors: A
authors: Domínguez
authors: Joan
authors: J
authors: Palou Redorta
authors: Humberto
authors: H
authors: Villavicencio Mavrich
mesh_terms: D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology / Q000601:surgery*; D010535:Laparoscopy; D009367:Neoplasm Staging; D009392:Nephrectomy / Q000379:methods*