Single-portal access laparoscopic radical nephrectomy for renal cell carcinoma in transplant patients: the first experience.
We present the details of the first three single-portal access laparoscopic radical nephrectomies (S-Portal-RN) performed in patients with a malignant renal tumour that developed after a renal transplant. The mean operative time was 171.6 ± 37.5 min, with a mean blood loss of 126.6 ± 25.1 ml. A single small skin incision (5 cm) was performed to remove the kidney. No significant difference in glomerular filtration rate was observed postoperatively. The postoperative recovery was uneventful with favourable short-term outcomes and high patient satisfaction at the 2-mo follow-up. We believe that S-Portal-RN for renal cancer after a renal transplant can be performed without increased risks for the patients or for the transplanted kidney.
Department of Urology and Kidney Transplantation, Martin-Luther-University, Halle/Saale, Germany. francesco.greco@medizin.uni-halle.de
Francesco
F
Greco
Sigrid
S
Wagner
M Raschid
MR
Hoda
Karl
K
Weigand
Antonino
A
Inferrera
Paolo
P
Fornara
D002292:Carcinoma, Renal Cell / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology / Q000601:surgery*; D016030:Kidney Transplantation / Q000009:adverse effects*; D010535:Laparoscopy / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000009:adverse effects / Q000379:methods*; D017060:Patient Satisfaction; D013997:Time Factors; D016896:Treatment Outcome