Laparoscopic partial nephrectomy: Technical considerations and an update.
The widespread use of radiological imaging (ultrasound, computed tomography and magnetic resonance imaging) has resulted in a steady increase in the incidental diagnosis of small renal masses. While open partial nephrectomy (OPN) remains the reference standard for the management of small renal masses, laparoscopic partial nephrectomy (LPN) continues to evolve. LPN is currently advocated to be at par with OPN oncologically. The steep learning curve and technical demand of LPN make it challenging to establish this as a new procedure. We present a detailed up-to-date review on the previous, current and planned technical considerations for the use of LPN, highlighting important surgical techniques, including single-port and robotic surgery, techniques on improving intra-operative haemostasis and the management of complications specific to LPN.
Department of Urology, Freeman Hospital, Newcastle upon Tyne, UK.
Jose L
JL
Dominguez-Escrig
Nikhil
N
Vasdev
Anna
A
O'Riordon
Naeem
N
Soomro