title: Transperitoneal laparoscopic right radical nephrectomy for renal cell carcinoma and end-stage renal disease: a case report.
abstract: Nephron-sparing surgery (partial nephrectomy) results are similar to those of radical nephrectomy for small (<4 cm) renal tumors. However, in patients with end-stage renal disease, radical nephrectomy emerges as a more efficient treatment for localized renal cell cancer. Laparoscopic radical nephrectomy (LRN) increasingly is being performed. The objective of the present study was to present a case of a patient under hemodialysis who was submitted to LRN for a small renal mass and discuss the current issues concerning this approach. It appears that radical nephrectomy should be the standard treatment in dialysis patients even for small tumors. The laparoscopic technique is associated with acceptable cancer-specific survival and recurrence rate along with shorter hospital stay, less postoperative pain and earlier return to normal activities.
authors.affiliation: Department of Surgery, Interbalkan European Medical Center, Thessaloniki, Greece.
authors.forename: Christoforos
authors.initials: C
authors.lastname: Kosmıdis
authors.affiliation: Department of Surgery, Interbalkan European Medical Center, Thessaloniki, Greece.
authors.forename: Christoforos
authors.initials: C
authors.lastname: Efthimiadis
authors.affiliation: Department of Surgery, Interbalkan European Medical Center, Thessaloniki, Greece.
authors.forename: Georgios
authors.initials: G
authors.lastname: Anthimidis
authors.affiliation: Department of Surgery, Interbalkan European Medical Center, Thessaloniki, Greece.
authors.forename: Marios
authors.initials: M
authors.lastname: Grigoriou
authors.affiliation: Department of Surgery, Interbalkan European Medical Center, Thessaloniki, Greece.
authors.forename: Kalliopi
authors.initials: K
authors.lastname: Vasiliadou
authors.affiliation: Department of Radiology, "Panagia" General Hospital, Thessaloniki, Greece.
authors.forename: Georgia
authors.initials: G
authors.lastname: Ioannidou
authors.affiliation: Department of Oncology, Interbalkan European Medical Center, Thessaloniki, Greece.
authors.forename: Sofia
authors.initials: S
authors.lastname: Baka
authors.affiliation: 1st Propeudeutic Surgical Clinic of AUTh., AHEPA Hospital, Thessaloniki, Greece.
authors.forename: Epaminondas
authors.initials: E
authors.lastname: Fahantidis