Transperitoneal laparoscopic right radical nephrectomy for renal cell carcinoma and end-stage renal disease: a case report.
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.
Kosmıdis
Christoforos
C
Department of Surgery, Interbalkan European Medical Center, Thessaloniki, Greece.
Efthimiadis
Christoforos
C
Department of Surgery, Interbalkan European Medical Center, Thessaloniki, Greece.
Anthimidis
Georgios
G
Department of Surgery, Interbalkan European Medical Center, Thessaloniki, Greece.
Grigoriou
Marios
M
Department of Surgery, Interbalkan European Medical Center, Thessaloniki, Greece.
Vasiliadou
Kalliopi
K
Department of Surgery, Interbalkan European Medical Center, Thessaloniki, Greece.
Ioannidou
Georgia
G
Department of Radiology, "Panagia" General Hospital, Thessaloniki, Greece.
Baka
Sofia
S
Department of Oncology, Interbalkan European Medical Center, Thessaloniki, Greece.
Fahantidis
Epaminondas
E
1st Propeudeutic Surgical Clinic of AUTh., AHEPA Hospital, Thessaloniki, Greece.