Laparoscopic-assisted partial nephrectomy combined with open procedure for posteromedial renal tumors.
OBJECTIVE
To describe the technique of laparoscopic-assisted partial nephrectomy melded with open procedure in resection of postero-medial renal tumors.


METHODS
Six patients with postero-medial renal tumors were admitted between July 2008 and March 2009. They included 4 diagnosed renal cell carcinomas and 2 renal angiomyolipomas on preoperative imaging, and their tumors ranged from 2.5-4.3 cm in diameter. They underwent laparoscopic-assisted nephron-sparing surgery combined with a small-incision procedure.


RESULTS
All 6 patients underwent successful resection. The mean operating time was 124 minutes and the average duration of pneumoperitoneum was 25 minutes. The duration of renal arterial blockage ranged from 19-36 minutes, with an average of 23 minutes. The intraoperative hemorrhage volume averaged 160 mL. Postoperative pathology revealed negative margins in all resected specimens. No urinary fistula or secondary hemorrhage occurred postoperatively, and renal function showed no impairment. The patients were followed for 1-8 months. Ultrasonographic or computed tomography examination revealed no recurrence.


CONCLUSIONS
The laparoscopic-assisted partial nephrectomy combined with an open procedure is a novel technique for the resection of posterior medial renal tumors. The technique is safe and effective.
Lu
Jin-Shan
JS
Department of Urology, China People Liberation Army General Hospital, Beijing, China.
Zhang
Xu
X
Gao
Jiang-Ping
JP
Zhang
Lei
L
Zu
Qiang
Q
D018207:Angiomyolipoma / Q000601:surgery*; D016063:Blood Loss, Surgical; D002292:Carcinoma, Renal Cell / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007668:Kidney / Q000098:blood supply; D007680:Kidney Neoplasms / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D007813:Laparotomy / Q000379:methods*; D009392:Nephrectomy / Q000379:methods*; D011183:Postoperative Complications; D016896:Treatment Outcome